Our Process

We know that ongoing person centered planning is constantly evolving. We have structured our process into three different phases, onboarding, case management, and future care/sustainability.  We assess existing supports, develop comprehensive care plans, and establish and maintain a reliable network of care, for today, tomorrow, and the future. 

HOW WE WELCOME OUR CLIENTS:

Onboarding and Assessment

New clients begin in our 3 month onboarding phase to ensure a successful long term relationship. Throughout our onboarding phase we: 

  • Meet with the client and their family

  • Get to know current circle of support

  • Identify gaps in support, structure, benefits, and services 

  • Conduct preliminary research based on client needs

  • Establish agreed upon short, intermediate, and long term goals

  • Create a curated care plan to be implemented by the Case Management (CM) team 

  • Support a transition to our Case Management team 

HOW WE WORK WITH OUR CLIENTS:

Case Management

The Case Manager and Case Management team get to know you, your values, and priorities closely.  As an ongoing partner, the Case Manager focuses on and facilitates the services outlined in the client’s care plan.  They provide a range of ongoing services from the menu of options below, taking into account that needs and priorities evolve. The CM team works alongside siblings, other family members and/or friends as the day-to-day professionals on the ground.

HOW WE MAINTAIN A MEANINGFUL FUTURE:

Future Care and Sustainability

Once we have established a foundation of support and services, we reassess and tailor a plan to address ongoing and future needs. Our Case Managers serve as personalized concierges overseeing the physical, emotional, and social wellbeing of the client while providing routine updates to the family and key members of the client’s team.