Despite international and national law advocating the rights of people with intellectual dis-ability, little policy or practice has been evident in terms of supporting individuals’ spiritual lives. Yet, the scant research available on the topic clearly shows that spirituality is both meaningful and important to many people with intellectual dis-ability. In this chapter, we discuss the possible barriers to spiritual support including the rising global secular viewpoint of healthcare practice, the ill-conceived wisdom that people with intellectual dis-ability are incapable of having a spiritual life, the lack of healthcare policy guidance on how to support spiritual needs, and clinical and professional staff nervousness about providing support. We then discuss the importance of providing appropriate spiritual assessments, ending with a call to not only introduce these more routinely into health and social care plans, but to provide support to meet the spiritual needs of individuals with intellectual dis-ability.