In the state of Oregon, support services brokerages are committed to assisting adults with developmental disabilities to coordinate the supports they need to live self-determined lives and to connect with their community. Brokerages employ personal agents (PA's) who provide case management services to adults living and working in the community.
What is a Brokerage?
Support services brokerages are entities contracted by the State of Oregon to help adults with intellectual and developmental disabilities to choose, arrange, and monitor the supports they need to live on their own or in their family homes within the community.
Brokerages provide in-home and community-based case management services, conduct adult needs assessments (ANA), create individualized support plans (ISP) and strategies, and access and coordinate private and public resources within the community to support an individual’s ability to live within their community and work toward their goals.
Brokerages can connect people with a variety of paid and natural supports. Paid supports include:
- Certified provider organizations provide services and monitor the quality of supports.
- Personal support workers provide direct support in activities of daily living (ADL). To hire a PSW, an individual will need to choose someone to fulfill the responsibility of being the employer of the provider(s) hired to provide direct support. For more information about hiring providers, click here.
All support services brokerages are governed by either a board of directors or advisory committee comprised of individuals with a developmental disability, and/or their family members, as well as community members.
The State of Oregon and Community Pathways are committed to serving people with developmental disabilities where they are currently at in their lives.
What are Brokerage Support Services?
Brokerage support services are case management services arranged and monitored by a personal agent (PA) through a brokerage agency. The PA's role is to assist adults with developmental disabilities to access and manage supports that help them live, socialize, and work in the community.
The specific type of supports and services an individual receives depends on their adult needs assessment (ANA), an assessment tool that determines their level of need, and Medicaid funding. Some individuals seek assistance to get a TriMet Honored Citizen's pass, while others need help with accessing services that support individuals with disabilities in finding employment and housing.
For a list of services, click here.
For more information about the role of a personal agent, click here.
Why were Brokerages started?
Brokerages were contracted by the State of Oregon following the closure of state-run institutions. With the closure of these institutions, there grew a need for additional support among families with members who were experiencing a developmental disability and wanted to live more independent and integrated lives within the community.
In 2000, a group of families took the State of Oregon to court because they deemed the community-based supports and services available at the time of institution closures to be inadequate. The settlement reached is called the Staley Agreement. It expanded home- and community-based case management support for children and adults experiencing a developmental disability.
Support services brokerages help thousands of Oregonians access information and resources that help them to have more options and opportunities as adults living and working in the community. Brokerages help inform individuals, and their families, about their rights and options as adults, which allows individuals to make better decisions about how they live their lives and take responsibility for their choices.
Brokerage Vs. county case management: is there a difference?
Support Services Brokerage
- Brokerages are private, and usually smaller, agencies.
- Many, including Community Pathways, are nonprofits.
- Brokerages focus only on serving adults experiencing developmental disabilities who live in their own home or in the home of their family or friends in the community.
- Personal agent (PA) case loads tend to be smaller, usually a maximum of 45:1.
- You may ask to change your PA if and when you need a change.
County Developmental Disabilities Program (CDDP)
- Local CDDP offices are responsible for determining eligibility for developmental disability services and oversee abuse investigations.
- Service coordinators (SC) serve both children and adults in a wide range of services, including but not limited to: group homes, foster care, in-home, etc.
Guiding Principles for both Brokerages and CDDP:
- Brokerages and CDDP's are known as case management entities (CME).
- Both entities base their case management services on the principles of self-determination.
- Personal agents (PA) and service coordinators (SC) meet with the individuals on their caseloads at least once a year to complete an adult needs assessment (ANA) to determine their needs, and create an individualized support plan (ISP) to outline how providers can best support their needs and goals.
- You may ask to change your CME (whether a brokerage or CDDP) at any time by asking your PA or SC for a change. Choice is important and Community Pathways values the freedom to seek change when needed.
- If you are 18 or about to turn 18 and currently receiving child or adult services through CDDP, you may choose to receive your services from a brokerage. You may also continue receiving case management services, as an adult, from CDDP. If you would like to transfer your services to a brokerage, you will need to speak to your service coordinator. You may also contact any of the CME's, including Community Pathways, to ask questions or seek information. To get more information about Community Pathways, connect with our executive director, Jennifer Santiago, by calling (503) 935-5243.