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To assist and advocate for people affected by mental illness, developmental disabilities
and related disorders in living meaningful lives.


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Self Directed Services for Adults



Self Directed Services for adults (21+ years) with developmental disabilities or a brain injury (Participant Directed and Managed Services).

This service option provides individuals with a developmental disability or acquired brain disorder and/or their families the option to design, manage and direct their support services using Medicaid funds. Individuals/family members may choose their own staff, help decide how much to pay them, and determine their schedule. There is also the option to contract with family members, businesses, neighbors, or service providers for supports, transportation, tutoring and a variety of other activities. Following Medicaid guidelines, individuals and/or their family work collaboratively with NHS staff to determine when and how the authorized funds are spent.

This self-directed services option allows families to access a variety of services and resources, but along with greater choice comes a greater level of responsibility as well. Families who choose this model of service must be willing to design, direct, implement and monitor the services provided. The staff of NHS supports PDMS Families through a teaching model of support. The staff work collaboratively with families to teach skills and build the individual’s or representative’s capacity to manage a PDMS program effectively and successfully.

Types of Services that can be provided:

• Personal care, employment supports, adult education, vocational and leisure activities;

• Adaptations through environmental and vehicle modifications and assistive technology;

• Services that assist the individual to acquire and maintain life skills in such areas as personal safety, meal preparation, and budgeting;

• Services that, based on the individual’s preferences, broaden his or her life experiences through social, artistic, and spiritual expression;

• Respite and family support services that meet the needs of individuals living with their families.





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