INDEPENDENT CHOICES: A National Symposium on Consumer-Direction and Self-Determination for the Elderly and Persons with Disabilities. Consumer-Directed Long-Term-Care Services: Evolving Perspectives and Alliances


Young adults with physical disabilities, people of all ages with cognitive impairments, and older people with functional impairments share many of the same needs for services and adaptations. However, the professionals and advocates that have traditionally been aligned with each of these groups have different histories and styles of addressing those needs. They typically differ regarding what they mean when they refer to "consumer direction" and how consumer-directed services should be implemented. For purposes of this essay, consumer direction is defined as choice of services and provider as well as control over how services are provided.