{ABSTRACT} Persons with intellectual disabilities have always been included as members of the Roman Catholic Church. However, for centuries they were viewed as “holy innocents” who needed care but lacked the use of reason necessary for a mature faith life. In 1978, the National Conference of Catholic Bishops published a pastoral statement recognizing the needs and gifts of persons with disabilities. This pastoral and the two that followed have provided an impetus for “opening the doors” towards greater inclusion of persons with disabilities. This paper will explore the historical shifts in thinking and the present day relationship between persons with intellectual disabilities and the Church. Additionally, the spirituality of persons with intellectual disabilities will be highlighted.