The Visions Enrichment Program was derived from the need to provide a daytime program for adults with mental retardation who are also considered to be medically fragile and/or have severely involved orthopedic needs. The individuals who participate in this program require more intense hands on care to meet their physical and medical needs. Additional staffing and nursing assistance is available at all times for this special group. The curriculum for the Visions Enrichment Program is sensory based with an educational component aimed at developing and strengthening skills.