John receives services through Missouri's Self-Directed
program as offered by the Division of Developmental
Disabilities. This program has opened many opportunities for
John and has improved the quality of life for the entire
Through this program, John and
his family now are involved in selecting the individuals who
will work with him and the activities in which he
participates. John and his family are also involved in the
training of staff which both satisfies state requirements and
is uniquely designed to fit his personal needs. Staff is paid
through a fiscal intermediary. John and his family are
responsible for assuring that hours reported by staff are
accurate and that a daily summary of activities is maintained.
This program allows John and
his family to make all decisions regarding his daily
activities. John decides what he will do on a given day. While
there are assurances for the family, John decides when and
where he will eat and makes his own menu decisions. He chooses
what he will do on a given day.
On a typical day, John will
prepare his own breakfast. He will complete such chores as
making his bed and feeding his pets. He and his Personal
Assistant then go to exercise. On most days he and staff will
go to the local YMCA where he independently uses the various
machines. On other days he will choose to walk in the park or
at the local school track.
Most days he will return home
for lunch, but often he and staff will go somewhere different
to eat. Once or twice a month John will invite other people to
meet him at a local restaurant (normally Pizza Hut, one of his
favorites) for lunch. John will often pay for lunch-normally
using gift cards he has received during the holidays or for
In the afternoon, John enjoys
relaxing. He will sometimes play Nintendo on his own. On other
days, he and his staff person will watch a movie or play
games. John has become very adept at playing a number of board
and card games.
During the summer months, John
enjoys horseback riding at Dream Catchers, the local equine
therapy program. Again, he made great progress through the
assistance of program personnel with encouragement from his
staff and family. He quickly went from being afraid of horses
to now riding independently.
John works part-time at the local Wal-Mart where he stocks and
straightens shelves, or returns un-purchased items to the
shelf. He very much enjoys his job and never misses work on
the days he is assigned. Either staff or his family provides
transportation to and from work.
In the evenings, John enjoys
playing cards and board games with his family. They go out to
eat as a family once or twice a week. John is involved in
selecting where they will go and makes his own menu decisions.
He also has a girl friend who he met at summer camp. She lives
in another city, and John's parents and her parents assure
that they get together once a month for dinner or other
activity, including visiting one another's family homes.
John very much enjoys his
independence. He and staff work on domestic skills which will
allow him to be successful when he eventually has a home of
his own. He wants "his own place" someday and is
beginning to look at "for sale" signs as he travels
about the community. In the meantime, he is very happy doing
the things he enjoys and directing staff on how they can
accommodate his desires.