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Managers of I/DD provider organizations said that their capacity to deliver self-directed services for adults with intellectual/developmental disabilities (I/DD) was linked to four organizational competencies: positive leadership and staff attitudes toward self-direction, belief that all individuals can self-direct, written policies that support self-direction as the first option, and structures and practices to provide tools and support to people who are self-directing services. These organizational competencies were translated into policies in handbooks, written consumer service plans, and staff training and tools focused on facilitating self-directed services with the goal that consumers with . . .
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