Recommendations for Achieving System-Wide, Sustainable Self-Determination and Self-Direction in the Commonwealth of Massachusetts

This policy development paper was written as part of the C-PASS demonstration project. The paper offers an overview and definition of self-determination plus three overall recommendations that are critical to making self-direction a reality. The challenge of moving self-direction from a relatively small scale to the foundation upon which all services to people with disabilities and older persons are built remains but the MASS-CPASS initiative, along with others, will help create that path.