Introduction: Rehabilitation services for people with mental illnesses have been extensively researched. However, services with similar aims and specifications for patients with intellectual disabilities (ID) have had little focus. Method: This study describes the characteristics and outcomes of 21 patients admitted to a specialist ID rehabilitation service over an 8 year timeframe. Results: Rather that solely accepting “step down” referrals, some patients were referred from community settings. During the study, 20 patients were discharged, 80% to lower levels of service restriction, while 14.3% were referred to higher levels. Discussion: The study suggested that rehabilitation services have an important role within the wider service model for people with ID. Within the service studied, patient were referred from both higher and lower levels of restriction, suggesting the rehab service “bridged the gap” between inpatient and community settings, supporting the aim of caring for patients in the least restrictive setting for their needs.