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PRINCIPLES OF SELF-DETERMINATION*

FREEDOM

The opportunity to choose where and with whom one lives as well as how one organizes all important aspects of one's life with freely chosen assistance as needed

AUTHORITY

The ability to control some targeted amount of public dollars

SUPPORT

The ability to organize that support in ways that are unique to the individual

RESPONSIBILITY

The obligation to use public dollars wisely and to contribute to one's community

CONFIRMATION

The recognition that individuals with disabilities themselves must be a major part of the redesign of the human service system of long term care

 

* The basic principle and values of self-determination and self-direction were established with the initial Robert Wood Johnson Foundation grants in the mid-1990's and have been reinforced at federal and state levels through the President's New Freedom Initiative, the Home and Community Based Waivers and the CMS System Change grants.

January 2010