Why choices are important

When it comes to managing your services, everyone has different needs and preferences. In recent years, there has been a growing movement within the aging and disability communities that is known variously as independent living, self-determination or consumer-direction. While there are some differences in each of these, they have basically this philosophy in common: that people are the best judges of what assistance they may need and of how that assistance should be delivered.

The Texas Department of Disability and Aging Services (DADS) has long been a leader in promoting best practices in home and community services. Some of the earliest and best examples of consumer-directed services were developed and implemented in Texas.

DADS gives you a choice about how your services are managed:

Remember that the choice is yours.

What's right for me?

There are five factors you may consider:

  1. Personal preference. Do you like to make most of your own decisions, or do you want an agency to make most decisions about your services?
  2. Time and effort. Are you willing to do more work in exchange for more control over your services?
  3. Capabilities. Are you (or someone you trust) physically and mentally able to handle the responsibilities that come with more control over your services?
  4. Control. Do you like to control your own day-to-day routines, or do you prefer to let someone else take charge?
  5. Support. What support consultation services may be available in your CDS and SRO options to help you meet employer responsibilities?

Services that can be self-directed

The CDS option is available for the following services in the programs listed below.

  • Community Based Alternatives (CBA) — Personal assistance services, respite, nursing, physical therapy, occupational therapy and speech/hearing therapy
  • Community Living Assistance and Support Services (CLASS) — Habilitation services, respite services, nursing, physical therapy, occupational therapy, speech/hearing therapy and support consultation
  • Consumer Managed Personal Attendant Services (CMPAS) — Personal assistance services
  • Deaf Blind with Multiple Disabilities (DBMD) — Residential habilitation (less than 24 hours), intervenor, respite services and support consultation
  • Home and Community-based Services (HCS) — Supported home living, respite services and support consultation
  • Medically Dependent Children Program (MDCP) — Adjunct and respite services provided by an attendant or a nurse
  • Primary Home Care (PHC), Family Care (FC), Personal Care Services (PCS), Community Attendant Services (CAS) — Personal assistance services
  • Texas Home Living (TxHmL) — All services and support consultation

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Updated: June 30, 2014