Sixty years of promises and the crisis they built Nobody designed this. That is the problem. Six decades of reasonable decisions, each solving the previous decade’s emergency, stacked into a...
Group Homes, Supported Living, Shared Living, Intentional Communities Four housing models compared on the four variables that actually matter: autonomy, staffing, cost structure, and who controls the lease. Plus the...
Housing for Adults with Significant Behavioral Challenges When providers say “we can’t take him,” the answer is rarely about him. The answer is usually about their staffing and their behavior-support...
Hiring and vetting direct support staff Self-directing your family member’s care means you are now, unofficially, a hiring manager, an HR department, and a scheduler, with none of the training...
Healthcare Options Without Guardianship HIPAA, healthcare proxies, durable POAs, representative payees, and supported decision making. The instruments that handle most adult healthcare decisions without ever filing a court petition. By...
Healthcare Decisions and Rights at Age 18 The day your child turns eighteen, the law reassigns every healthcare authority you have spent eighteen years building. Here is the punch-list to...
HCBS Settings Rule Compliance in 2026: What Actually Changes for Families After years of statewide transition plans, provider audits, and compliance deadlines, the federal HCBS Settings Rule is finally reaching...
Guardianship, Limited Guardianship, and Supported Decision Making A decision framework that starts with autonomy and ends with safety, broken down by the life domain that actually matters: medical, finances, housing,...
Grooming Battles: Hair, Nails, Shaving, and Personal Hygiene for Sensory-Defensive Adults No service category exists for the invisible daily battle over a haircut. It still consumes more caregiver time and...
Grief, loss, and big changes: supporting processing and regulation Grandma dies. The Saturday worker leaves. You move. Your autistic adult was silent at the funeral and is now, three months...
