Guy has worked in a number of human service settings over the years - institutional, hospital, residential, recreational, vocational, educational, and counseling. In addition, Guy worked in private rehabilitation helping injured workers to find suitable employment.

He had also been President and served on the Board of L'Arche Syracuse for 12 years, an international community for people with and without disabilities. He has been involved as an advocate, friend, and ally of Citizen Advocacy in New
York, New England, and Pennsylvania, and has led CAPE evaluations of citizen advocacy programs.

Guy is a facilitator for  personal futures planning.He has worked in Pennsylvania on a number of statewide initiatives providing values related training, technical assistance to counties moving from program to person directed services, self determination, leadership development, and presently independent comsumer monitoring of services. Also, Guy speaks at Partners in
Policy Making events in ten states. In addition, he has been involved in statewide planning in both Pennsylvania and Louisiana.

Guy is a father of two older sons who live in Syracuse, New York, and he is living happily near Pittsburgh, Pennsylvania, with his wife MaryJo Alimena Caruso and their three sons, who are 4 and 3 years old, and the baby being 10 months old.