The document discusses the concept of 'scaling up' in the context of Beit Issie Shapiro's approach to creating inclusive services for individuals with disabilities. It highlights successful initiatives, such as the establishment of dental clinics and inclusive playgrounds, and emphasizes the importance of leadership, partnerships, and continuous evaluation for effective scaling. Additionally, it outlines the 'accessible path to employment' program aimed at integrating individuals with disabilities into the workforce through training and support.