As discussed in Module 1, there have been many changes in the services and supports available to individuals. In earlier years, the service-centered institutional model was the standard practice. The provider decided the services as well as the when, where, and who would provide them. The current method is a person-centered approach that uses home and community-based services. This change is a huge shift in the direction and approach for delivering services.
Person-centered practices
Minnesota is moving toward person-centered practices in all areas of service delivery. As a state, Minnesota strives to make sure everyone who receives long-term services and supports and mental health services can live, learn, work and enjoy life in the most integrated setting. The goal is for people to lead lives that are meaningful to them. To do this, we must have a person-centered support system that helps people:
- Build or maintain relationships with their families and friends
- Live as independently as possible
- Engage in productive activities, such as employment
- Participate in community life
Minnesota's support system
Our support system must reflect that we understand, respect and honor the things each person thinks are important.
Person-centered practices are essential to this effort. Person-centered practices are flexible and adaptable. They encourage informed choice and creativity. We use person-centered practices because they increase a person’s quality of life.
For more information on DHS person-centered practices go to the DHS Person-Centered Practices website.
Service Centered
![photo of older state institutional building](Graphics/M2_21_FF.jpg)
- Rules prevail
- Experts know best
- Provider decides what services are needed, when services are provided, where services are provided and who provides the service
Person Centered
![photo of a pile of people's hands stacked](Graphics/M2_21_hands.jpg)
- Together, the person receiving waiver services and the provider negotiate a schedule based on needs
- Services are at home, work or in the community
- Person receiving waiver services can choose, train, schedule and supervise staff