Interviews with ten workers involved in leadership teams of the Northern New England LEADS (Leadership, Education, and Advocacy for Direct-care and Support) Institute are provided here. The LEADS Institute is a regional culture change initiative aimed at building a core of strong leaders among direct-care staff, supervisors and administrators. The workers describe their experiences in the program, changes they have been involved in, successes, and challenges (abstract from: http://www.directcareclearinghouse.org/l_art_det.jsp?res_id=265110).