The integration of DRR with adaptation is globally recognized as a rational use of resources benefiting both areas. A substantial theoretical literature has developed on the topic, but we still know little of implementing such integration on the ground. This presentation focuses on the experiences at national and agency levels in the south-west Pacific and outlines possible future directions to support integrated DRR & CCA policy and practice. Based on the perspectives of practitioners from Australia, Vanuatu and the Solomon Islands, it explores the different institutional pathways and the range of constraints and enabling factors in integrating adaptation with DRR and EM practices. In both Vanuatu and the Solomon Islands the concentration of information, responsibility and actions through a single focal point was preferred rather than mainstreaming the policy agenda across departments and agencies. In contrast, the Australian examples take the view that spreading responsibility for CCA and DRR integration through mainstreaming across departments and agencies is effective in increasing whole-of-government approaches. Cross-cutting issues related to the lack of monitoring and evaluation mechanisms for governments, regional agencies, communities and NGOs to better understand the process and practice of CCA and DRR integration, and factors related to community resilience and its practical assessment. One key issue was the assessment of response capacity and capability at agency, country and regional levels. Gaining a better understanding of the current status of capacity and capability to respond to multiple simultaneous extreme events was deemed a core component in constructing more robust and efficient practice.