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This web page contains information that will help you learn how to direct your own services and supports. It does not have all the answers, but it does include ideas, information, and samples of materials to help you be able to make informed choices.

Choose subject area below for more information:

Background information about self-determination and self-directed supports (SDS)

Money matters, working with a fiscal agent, developing and managing a budget

Using person-centered planning

Staffing, recruiting, hiring, and firing

Safety and risk

Being an employer

Getting help

Managing your health

SDS, jobs and careers

A home of your own

 

Background information about self-determination and self-directed supports (SDS).

Here is some basic information about what self-determination means, as well as explaining what your rights and responsibilities are. It also includes some sample handbooks explaining how self-directed supports work in different communities in Wisconsin.

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Money matters: Working with a fiscal agent, developing and managing a budget.

A "fiscal agent" or a "fiscal intermediary" is someone who can help you manage the money that pays for your supports and services. This person can also help you fill out the payroll and tax forms for your employees and make sure they get paid.

  • Fiscal Assistance, Inc. (Dane County, WI) According to their web site, their mission is "to administer the funds for the programs we support and we strive to provide accurate, easy-to-understand financial information so that clients can make well-informed financial decisions in their day-to-day lives."
  • Individual and Family Fact Sheet: Using a Fiscal Intermediary. (Connecticut) This fact sheet explains how people can work with a fiscal intermediary (also know as a fiscal agent).
  • Fact Sheet: Hiring a Fiscal Agent (Hennepin County, MN) How fiscal agents can help you handle your tax-related issues.

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Person-Centered Planning is a way of thinking about people that respects their interests, hopes, dreams, and desires.

It is a process of discussion and self-evaluation in which a person discovers how he or she wants to live, and the person's friends help explore what needs to be done to reach these goals.

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Staff:  how to recruit, hire, supervise, fire, and train.

Sometimes they're Personal Care Attendants (PCAs). Sometimes they're Direct Service Professionals (DSPs). Sometimes they're Providers. No matter what you call them, the staff who you hire can give you the support and assistance you need to lead a fulfilling and self-determined life.

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Safety and risk

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Being an employer:

Your employment structure (co-employer, employer of record, fiscal agent & fiscal intermediaries); rights and responsibilities of being an employer; worker’s compensation insurance.

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Getting help:

Independent advice and support to help you direct your own services (e.g., support broker, personal agent, flexible case managers)

  • Support Broker Job Description:  Sample job descriptions from Dane County, WI and Ohio (adapted from Dane County, WI)

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Managing your health and directing your health care services and supports.

  • Transition Health Care Tips (Kentucky) - Although these tips were originally developed for transition-aged youth, they are helpful for everyone.
  • Finding and Using Adult Health Care (Kentucky) - Although this handout was originally developed for transition-aged youth, it's helpful for everyone.
  • Womenshealth.gov - This site has lots of information on health and health care for women with disabilities.

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SDS, Jobs & careers

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A home of your own

  • My Own Keys (Pennsylvania): Stories about people who have moved into their own homes.
  • When The Law Says It’s Okay To Bend The Rules Reasonable Accommodations– A publication clarifying the regulations related to housing for people with disabilities.  Although this is specific to Pennsylvania, much of the information is based on federal law.
  • Movin' Out, Inc. is a housing organization providing information and assistance, housing counseling, and gap financing for purchase and rehabilitation to Wisconsin households with a member who has a permanent disability.
  • Fact Sheet: Person Centered Planning and Home Ownership (Indiana). This fact sheet discusses how person centered planning may be a useful tool for some people with disabilities in conjunction with community home ownership education and counseling services.

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Last updated on July 15, 2008 by Community Outreach Wisconsin Webmaster