SDI · SDTA
A guide to participant-directed services

Who you can hire

A friend, a neighbor, a relative: who can be your paid worker, service by service.

Participant-directed services: for some regional center services, you choose who provides them, such as a worker you hire or a class or camp in your community. A company called a financial management service (FMS) pays them. Start of this guide

The basics

You can hire a friend, a neighbor, a relative or anyone else who can do the job. The person does not have to be a regional center provider. They must:

  • Be 18 or older.
  • Be able to work legally in the United States.
  • Have the skills the service calls for, and know your routines and needs.

Before they start, your financial management service (FMS) collects their paperwork. Ask your FMS what checks and training are needed, such as a background check or CPR and first aid.

Service by service

Who can be the paid worker, by service
ServiceWho can be the paid worker
RespiteSomeone with the skills. Not the family member who is in charge of the worker and is getting the break. For a parent or a spouse, ask your regional center first.
Day careA person or a day care program you choose. Not the parent, because day care is care while the parent works.
NursingA licensed nurse. A family member who is a nurse can be paid, unless the nursing is meant to give that same family member a break.
TransportationA family member, the adult who gets the services, or a driver you choose. The driver needs a valid California license and insurance.
Community-based trainingSomeone with the skills. Not a parent or a conservator (a person a court has appointed). For another relative, ask your regional center.
Supported employmentSomeone with the skills, including a family member or friend.
Personal assistance and independent livingSomeone with the skills. For a parent or a spouse, ask your regional center first.
Coaching before the Self-Determination ProgramA qualified person or business you choose. Ask your service coordinator who qualifies.

Can I hire a parent or a spouse?

It depends on the service and on your situation. Ask your regional center before you plan on it.