There are people with complex disabilities who are unable to change their body position and posture independently.  If an individual adopts an asymmetrical position, is not able to independently change position and is submitted to the forces of gravity, they can develop secondary complications such as tissue damage, muscle contractures, pain and discomfort, constipation and infections; characteristics which are typically not a direct consequence of the diagnosed impairment (Pope, 2007). Consequently, protecting musculoskeletal alignment, range of motion, and skin integrity becomes a key focus of intervention for these individuals. Despite growing evidence of the benefits of supportive lying interventions, this holistic and humane approach is not often at the forefront of clinician's minds for at-risk clientele.  This presentation will provide a broad overview of the 24-hour approach to posture care, specifically the role of supported supine lying. The goal is to demonstrate the importance of the holistic approach of supportive supine lying and its critical role in improving the health and comfort of individuals with complex disabilities.