When it comes to long-term care and support services, one size doesn’t fit all. That’s where self-directed programs come in—a growing approach that puts the power of choice directly into the hands of individuals and families.
Whether you’re new to the concept or already involved in a self-directed program, understanding how it works can help you make more informed and confident decisions. Here's a closer look at what self-direction means and why it’s transforming care across the country.
Self-directed programs allow individuals—often those with disabilities, chronic conditions, or age-related needs—to manage their own care services. Rather than having an agency assign caregivers or dictate schedules, participants take the lead in hiring, training, and managing the people who support them.
These programs are most often funded through Medicaid and go by different names depending on the state
Participant Control: Individuals choose who provides their care—often a friend, family member, or trusted individual from their community.
Flexible Scheduling: Care is arranged around the participant’s lifestyle and needs, not preset agency shifts.
Customized Support: Services are tailored, allowing for more personalized care at home or in the community.
Dignity & Independence: Participants maintain control of their daily lives and routines, which fosters confidence and autonomy.
Self-direction offers unique job opportunities for caregivers who want flexibility and meaningful, one-on-one work. Caregivers are hired directly by the person receiving care (or their family) and typically work in a private home setting.
This model is great for:
Stay-at-home parents
College students
Retirees
Experienced CNAs and PCWs seeking flexible schedules
Self-directed programs are reshaping the future of care by honoring personal choice and empowering individuals to live with dignity, purpose, and independence. Whether you're a participant seeking the right caregiver or a caregiver looking for a rewarding position, self-direction offers a better way to connect.
At JobLink Healthcare, we specialize in supporting self-directed care across the U.S. We help individuals and families find reliable caregivers—and help applicants find the right fit.