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...
Transportation barriers: building mobility without driving Two out of three autistic young adults do not have a driver’s license by 21. The mobility plan for the other two thirds is...
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...
The Waskul settlement changed Michigan self-determination. Are you using your new rights? A federal court set a floor under Community Living Supports budgets, gave administrative law judges the power to...
Therapy and peer groups near you (including neurodiversity-affirming groups) Isolation is one of the quietest crises in adult autism services, and it hits differently depending on your zip code. Metro...
Intentional communities (LINCs, ICW) and alternatives to group homes Group homes run on facility schedules, not individual ones. A small number of Michigan communities flipped that arrangement, giving adults their...
Community Living Supports: how to request more hours The hours you get are driven by the words in your documentation, not by how tired you sound on the phone. Here...
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...
When the hours are authorized and nobody shows up A denial you can appeal. An unfilled shift is not a denial, so most families have no idea it is actionable...
