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This is the first of a three-case series (IMD-3-0918 to IMD-3-0920). This case series describes one of the world''s most remarkable communities, which for the past twenty years has continuously achieved extraordinary results working with marginalised individuals. Case A describes the development of the San Patrignano Community since the idea was first conceived in the mid-1970s until the death of its founder, Vincenzo Muccioli, in 1995. The Community, in the central Italian Emilia Romagna region, is run and managed by 2,000 rehabilitating heroin addicts. The case tells a compelling tale of Vincenzo''s courageous and entrepreneurial leadership. It also follows the spontaneous, gradual and organic growth of the Community''s social fabric, therapeutic approach and strong sense of shared purpose and family values. The development of the Community''s ''productive'' activities (which are, in fact, San Patrignano''s business ventures) is also described. A video is available to accompany the case series ''IMD-3-0918-V''.