INDEPENDENT CHOICES: A National Symposium on Consumer-Direction and Self-Determination for the Elderly and Persons with Disabilities. Support Coordination in Florida: An Evolving Story


Just as the individuals we serve continue to change and improve their quality of life, the support coordination system in Florida continues to change and improve, evolving into a more person-centered system. It started approximately seven years ago, when Florida first embarked on the concept of independent support coordination. At that time, a traditional case management system existed that was professionally driven and focused on 'fixing" the person rather than building upon the person's talents, abilities, and personal preferences. in 1992, Florida's Medicaid Home and Community-Based Services waiver (HCBS waiver) programs for persons with developmental disabilities was approved for expansion. The person-centered approach to service delivery that was its goal began with the initiation of the independent support coordination design. This article will describe the original design of the system and how the system has evolved.