How to document harm when services disappear When a service ends, the harm doesn’t announce itself with a diagnosis code. It shows up as lost skills, disrupted sleep, and a...
How to Testify at the Michigan Legislature: A Practical Guide for Families Three minutes. That’s often all the time a family gets in front of a legislative committee. Used well,...
Incontinence in Autistic Adults: Management, Dignity, and Getting Help One of the most common daily realities of caregiving for a Level 2 or 3 adult, and one of the least...
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...
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...
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...
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...
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...
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...
Functional AAC for Adults: It’s Not Too Late How to introduce AAC in adulthood, choose goals that matter (pain, consent, real preferences, not the color of the cat), and work...
