TASH and person-centered work grew up together, taking shape in the late 1970’s, growing in the 1980’s and 1990’s, and adapting to the changes in the political-economic environment and shifts in system demands in the new century. O’Brien describes person-centered work and reflects on what TASH has given to practitioners and the organizational qualities that made those gifts possible. It also identifies vulnerabilities person-centered work and TASH share in the current environment.