Dental Care for Autistic Adults: The Crisis Nobody Talks About A toothache doesn’t announce itself politely in an adult who can’t easily say where it hurts. It shows up as...
Day Program Alternatives: Building Structure Without Formal Programs How to assemble a weekly structure map from libraries, volunteering, faith communities, hobby groups, micro-enterprises, and home routines when formal day programs...
Customized employment: is it a real option for your high-support-needs adult? It is promoted specifically for people most affected by disability. A 2023 review found eighteen studies and zero randomized...
Crisis decision tree: 988 vs 911 vs mobile crisis vs ER Four doors. Three of them are not the ER. Knowing which door to open in the worst hour of...
Crisis communication card for non-speaking adults Your non-speaking adult cannot tell the ER doctor that she has a peanut allergy or that flashing lights trigger seizures. The card in her...
Creating sustainable daily structure for high-support adults Boredom is not a mood. For a high-support adult with long unstructured stretches, it is a predictable risk factor for the exact behaviors...
Creating a Housing Emergency Plan Before Caregivers Age Plan A is the long-term placement. Plan B is the bridge if Plan A fails. Plan C is the crisis door when...
Constipation as a Medical Emergency: The GI Crisis Hiding in Plain Sight For a Level 2 or 3 adult, chronic untreated constipation is one of the most common causes of...
How Oakland County families killed a $215 million rate cut Section 1033 would have stripped $4.56 an hour out of direct care agency rates while leaving the wage mandate in...
Co-Occurring Mental Health Conditions: When It’s Not ‘Just Autism’ A clinician who attributes every symptom to autism isn’t being thorough. They’re skipping the exam. This single diagnostic habit causes more...
