The Effect of Choice

For many in the disability community, rehabilitation counseling is increasingly tied to reimbursement systems through which persons with disabilities are able to optimize their value to society in collaborative and facilitative ways. Counseling can help the client consider many choices, not just those using a one size fits all approach. As an example, the recent growth of state run Medicaid Home and Community-Based Waivers offers persons with disabilities expanded availability to personal assistance services (PAS). Counselors can help clients review the best approach to facilitating pathways towards independence for waiver participants. Additionally, counselors can assist their clients in further enhancing their knowledge and employable skills once they have moved from institutions or skilled nursing homes to less restrictive settings.