Inclusive education, as stated in declarations and human development goals, features in the educational policies being implemented in Central American and Caribbean (CA-DR) countries (Belize, Guatemala, El Salvador, Honduras, Nicaragua, Costa Rica, Panama, and the Dominican Republic). The policies seek to give the entire population of each country permanent access to quality education services, and they have a particular focus on people with disabilities. However, there are considerable challenges to be overcome, caused by a combination of historical factors and the sociopolitical and economic context. Some of the countries still have significant levels of poverty and inequity, both of which hinder the development of inclusive education. At the same time, inclusive education is expected to help eradicate social exclusion and facilitate social mobility. This paradigm began as an effort to secure disabled people’s right to education, and countries have since been working to offer disabled people access to regular schools. Nevertheless, segregated education services or services with an integration aim still persist. Moreover, poverty causes many students to drop out of school, or never to enroll at all. Each country has vulnerable or marginalized groups in its population. The work being done, from an inclusive perspective, follows two main routes: reorienting education systems toward inclusivity; and offering these groups affirmative actions to ensure their regular attendance at mainstream schools that have quality programs for all. If CA-DR countries are to achieve inclusive education, they must fulfill two requirements. Firstly, they must develop intersectorial interventions that revert causes of exclusion—education policies in isolation are unable to do that. Secondly, they must take action to ensure that inclusive education is achieved in practice in the classroom. There are advances toward inclusion, but more work is needed to answer the question of how CA-DR countries can develop inclusive societies, based on social protection and quality education services for all, that give proper attention to diversity, practice equity, and promote social mobility. Bottom-up strategies are valuable in the effort to achieve inclusive education.