As the Small Island Developing States of the Caribbean prepare to take climate change adaptation measures, there is a distinct possibility that the most vulnerable groups are at risk of being marginalised. This paper focuses on the need for inclusion and social equity in adaptation planning as climate change issues disproportionately impact health, settlement, and livelihoods of these vulnerable groups. It also focuses on climate change potential impacts on tourism, agriculture and fisheries sectors, which are the economic mainstay of the region. Based on regional observations, priority areas include increasing community participation, local initiatives and filling critical socio-economic and livelihood data gaps, which policy makers need to focus on and incorporate in their climate change adaptation plans in order to ensure effective and equitable climate change adaptation.