People with disabilities often require personal
care assistance (PCA) to perform daily activities
and pursue life roles. PCA has historically been
institution-based, resulting in the segregation of
disabled people. Home-based PCA is an alternative
to institutional care. These services can be agency-
directed or consumer-directed. Disability rights
activists strongly advocate for consumer-directed
programs since personal control is key to a
satisfying life. This text describes the foundations
of consumer-direction and a study which tested the
postulate that having control of and...