Personal assistance
A comparison of some of the characteristics of two models of
personal assistance services
Independent Living model of personal assistance services
- No medical supervision required
- User manages own assistants, including hiring, training, paying and
firing
- User is a partner in determining the number of hours and types of
services
- Provides for a broad range of personal, homemaker, cognitive and communication
services as needed
- User direction
- Serves people of al ages and disabilities
- Social service benefit
Medical model of Home Health Services
- Physician plan of treatment/nurse supervision
- Agency hires, trains, pays and fires workers
- User has limited role to play in assessment and plan development
- Narrower range of services provided
- Services available to user according to hours set be agency
- Agency direction
- Serves people with acute conditions
- Health care benefit
Source:
World Institute on Disability,
510 16th St, Oakland, CA 94612, United States.
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