In this chapter John Fish draws on his experience working with the Organisation for Economic Co-operation and Development (OECD) to provide an international perspective on the opportunities in work, training and education for young people with disabilities or learning difficulties. He discusses the need for improving education and training and the way the contexts for transition to adult life have changed in the United Kingdom. He argues for the coordination of agencies involved in supporting young people and considers the major issues these agencies need to address. A number of initiatives in Europe and the United States are described. Finally he considers the part education should play.