CMH basics and being your own best case manager Your case manager is not your enemy, and they are not your only path forward either. Once you know who actually...
Isolation as disability discrimination Years alone at home with no day program, no transportation, and no plan is not simply a gap in services. Under federal law, unnecessary segregation of...
Safety risks of idle time for severe autism Self-injury, aggression, and elopement rarely arrive without warning. For many adults with significant support needs, they follow boredom the way smoke follows...
Transportation collapse as a hidden barrier A missed ride never shows up as its own line item anywhere. It shows up as a missed medical appointment, a lost shift, a...
When an autistic adult is forced to stay home all day “No day program available” is written on a denial letter like a scheduling inconvenience. Lived at home, it is...
Autistic burnout in adulthood (not a buzzword) Autistic burnout is not tiredness with a trendier name. It is a specific, documented state of exhaustion, skill loss, and reduced tolerance triggered...
Balancing safety and autonomy: reasonable risk for autistic adults Every skill your family member has ever learned came with some risk attached. Cooking risks burns. Community access risks getting lost....
Why ERs and police become the default crisis response There is no missing phone number that would have prevented most of these calls. There is a missing service system, and...
When ‘community integration’ becomes isolation The progress note says twenty hours of community integration this month. The reality is twenty hours of sitting in a van outside a store while...
When waiting lists act like policy tools A waiting list is not a queue that eventually empties. On an HCBS waiver, it is a rationing mechanism, sized by legislative appropriation,...
