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...
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...
Person-centered planning when there are no real options Sometimes the honest answer is that the county has nothing that fits. Person-centered planning does not require pretending otherwise. It requires writing...
Building natural supports and community inclusion Seventy percent of autistic adults report loneliness. The intervention is not another program. It is two named community members who know his story and...
Meaningful activity when employment is not realistic Not everyone can hold a competitive job. That does not mean the day has to be television. Contribution, mastery, and connection are the...
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...
Respite care for high-support adults: finding and training providers The worker who lasts is the one you train slowly, pay fairly, and trust with a hard week. Here is how...
Preventing abuse, neglect, and exploitation in services The worker you liked last month is missing an hour of your daughter’s shift. Her jewelry is gone. She flinches when he touches...








