Self-Direction in Action: Participant Stories

People with lived experience are in the best position to talk about the freedom and independence self-direction has brought to their lives. The stories shared here provide just a glimpse into the empowering impacts of self-direction and the individuals leading the movement.

Young woman named Maria holding art work. A man is using a camera to film a video of her.

Maria

Though initially hesitant about "being her own boss," she found her voice, hired caregivers who truly supported her needs, and regained her community connections.

Ray sitting in a recliner by the window

Irma and Ray

The Consumer-Directed Community Support Program allowed Irma and Ray's daughter Donna to be their paid caregiver.

Travis waiving while on a bi-ski. Unknown person is guiding the sled.

Travis

An avid music collector and outdoor enthusiast, Travis faced challenges accessing transportation and community activities. Through self-direction, he's now able to pursue his passions!

Picture of Kevin who is wearing a hat and has his wheelchair parked in the grass

Kevin

When asked what he would do without self-direction, Kevin replied, “I’m at a loss for words. I’m really not sure.”

Ralph sitting in wheelchair and Kara is standing next to them. They are wearing matching outfits with flowers

Ralph and Kara

After a traumatic motorcycle accident in 2021 and multiple challenging facility stays, Ralph found his path home through self-direction. With his partner Kara, they have transformed their home into a place of healing and progress.

John is standing next to his ice cream stand with a red umbrella

John

At age 22, John and his parents sought to replace the exceptional services he had received at school. The solution, a combination of self-directed and traditional programs.

a group of people posing for a photo

Ari

As an adult, Ari lived in a group home 100 miles away from his family. Finally, at the age of 25, he was able to move home to Wolf Point, Montana located on the Fort Peck reservation.

Marissa is a smiling young person with brown braided hair

Kim and Marissa

Marissa is in a self-direction program but, prior to COVID-19, was unable to hire her mother as a paid worker.

a black and white photo of Tommy in uniform wearing a hat

Tommy

A World War II Veteran battles Lewy Body Dementia at home. Tommy was the first family enrolled in the VD-HCBC program in Central Texas.

Robert a young man using a wheelchair

Pam and Robert

Pamela chose to raise Robert in an inclusive environment as opposed to an institutional setting.

Rosie accepts an award and hugs a man who has presented the prize

Rosie

Rosie’s advocacy has led to positive change in technology, patient safety, and healthcare practices. Rosie continues to live a self-determined life and uses her own journey and has served as a catalyst to bring people up.

Ryan

Ryan lives an independent life, driving a modified vehicle and working at Granite State Independent Living Center.

Tim presenting at a webinar

Stories of Self-Direction Presentation

View a session from the 2023 Self-Direction Virtual Conference Series where Tim, Mel, Nate, and Kathy shared how self-direction changed their lives and advice for others thinking about enrolling.

A 35 year old man named Ron playing drums using only 1 arm

Ron

For the last 25 years, Ron has used self-directed supports. He lives in an accessible apartment connected to his parents' home with multiple support staff. View a session from the 2025 Self-Direction Virtual Conference where a panel discussed maintaining fidelity of staff training and sustaining relationship networks.