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  • Writer's pictureCurtis Stanley

Shifting from Safety to Self-Determination in HCBS

Hello Friends!


A significant shift is occurring in the HCBS Community - moving from a primary focus on safety to a more balanced approach that includes self-determination. This reflects a deeper understanding of the needs and rights of individuals receiving care and supports.


Today we're exploring this shift, its implications, and how HCBS providers can adapt to this change while ensuring the well-being of their clients.


Understanding the Shift:


Historically, HCBS programs have been heavily centered on ensuring the safety and health of individuals in their care. While these elements remain crucial, there is a growing recognition that empowering individuals to make choices about their own lives is equally important.


The Importance of Self-Determination:


Self-determination in HCBS acknowledges that individuals, regardless of their age or disability, have the right to control their lives.


This approach has been linked to improved quality of life, increased satisfaction with care, and even better health outcomes.


It respects the individual's autonomy and personal preferences, leading to services that are more tailored and effective.


Balancing Safety & Self-Determination:


The key challenge for HCBS providers is balancing safety with self-determination. This balance requires a nuanced approach that:


  1. Assesses Individual Needs: Understanding each individual’s unique situation and preferences.

  2. Manages Risk: Identifying potential risks and finding ways to mitigate them without overly restricting the individual's choices.

  3. Educates and Supports: Helping individuals understand their options and the potential consequences of their choices.


Implementing the Shift in HCBS:


For HCBS providers, implementing this shift involves several steps:

  • Developing Person-Centered Care Plans: Ensuring care plans are developed with, not for, the individual, incorporating their preferences and goals.

  • Building a Supportive Environment: Creating an environment where individuals feel comfortable expressing their preferences and making choices.

  • Empowering Through Technology: Utilizing technology to enhance independence and choice for individuals in HCBS.


By embracing this shift, providers can offer services that not only ensure the safety and health of their clients but also respect their right to make choices about their own lives.

This approach can lead to more meaningful and satisfying care experiences for both individuals and caregivers alike.


Speaking of technology, Cura OS is one of the few platforms built specifically to make this shift easier for HCBS Providers.


If you'd like more information, reply back with: Send me info!


Have a great week!

Curtis & Your Cura Team

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