Empower

Listen

Support

Create

Responsive

Respect

Families, Providers and Individuals all have things to “unlearn”

New tools, techniques and approaches are being developed

Cannot rely on or go back to the way things “used to be”

There is no “right way” to implement HCBS, it is expected to be responsive

Based on respect and recognition

Leads to new skills

Expands self advocacy

Improves Self Confidence

Regardless of diagnosis, ability, or understanding

Regardless of the activity

Regardless of the environment

Regardless of mood or energy

Regardless of expressive language limitations

Regardless of executive function challenges

Provide a voice

Provide

Identify preferences

Identify

Respect what is important to the individual

Respect

Enhance quality of life

Enhance

Increase happiness

Increase

Support success

Support

Build on interests and abilities

Build on

Can be tailored to specific situations like

Free time

Outings

Activities

Daily schedule

Food

No pre-selected list of acceptable options may mean more discussion of when/where/how

Not specific to a situation or task, opening the door to free expression of what matters

Good fit for individuals who require context, do best with limited options, or get overwhelmed with too many decisions

Depending on ability can be just two or up to several options to select from

All possibilities should be immediately accessible to build confidence that choices will be respected and responded to

Ask for permission before providing assistance, care or acting on their behalf

Can build respect, empowerment, self esteem and self worth

Response can be in any format

Sign

Point

Facial expression

Sounds

Pictures

Words

Multiple options can be offered one by one

Negotiation

Compromise

Communication

Control

Respect

Self regulation

Planning

Sit down together to plan menus, outings and activities.

Everyone has a voice.

Everyone has input.

Everyone has a chance to be in control.