Under Article 19 of the Convention on the Rights of Persons with Disabilities (UN CRPD), individuals with disabilities are entitled to live independently and be included in their communities. Residential institutions often operate in isolation from local environments, restricting the autonomy of those they are intended to serve. This report examines these and other topics selectively across 18 Arab countries through the lens of state commitments under Article 19. Though limited in scope, through interviews with public officials and directors of institutions, as well as persons with disabilities living in institutions, their caregivers, and family members, the report provides insight into existing institutionalization practices, as well as reflects on future pathways to deinstitutionalization.