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Adult life · 21+ and beyond

Life After High School & College

Resources and support for autistic and special-needs adults and their families.

Diverse young adults featured in the approved CalAsh Life After High School and College artwork

Work, independence, adult services and everyday life after school ends. Choose the next step that fits you—after high school, trade school, college or graduate school, while working, or with substantial lifelong support. Autism does not set an educational or career ceiling.

NJ adult autism / IDD mental-health intake → · What changes at 18? →

PREPARING FOR ADULT LIFETransition to AdulthoodAge-based steps, IEP questions and a practical plan you can save on this device.Start planning →

I just graduated high school

Gather your IEP transition documents, work and volunteer history, accommodations that helped, and contact details for adult-service agencies. Ask the school who will help with the handoff and whether vocational rehabilitation, OPWDD in New York or DDD in New Jersey fits your goals and eligibility. Your next step can be college, trade training, work, supported employment, community programs or a mix.

Real places to start

  • NY ACCES-VR

    NY · vocational rehabilitation for eligible people whose disability affects work; counseling, training and placement are planned around an employment goal.

    Next step: Apply and meet a counselor to build an Individualized Plan for Employment.

  • OPWDD employment supports

    NY · for eligible people with developmental disabilities; Pathway to Employment, paid internship through ETP, and supported employment.

    Next step: Ask your care manager about eligibility and an employment provider.

  • NJ DDD transition

    NJ · adult I/DD services generally begin at 21; school services do not automatically become DDD services.

    Next step: Use the transition guide and contact the DDD transition help desk before graduation.

  • NJ DVRS

    NJ · eligible people with a disability that impedes employment; individualized career and training services.

    Next step: Contact your local DVRS office for intake and an Individualized Plan for Employment.

  • CUNY undergraduate application ↗

    NYC · public community and four-year colleges; admission and tuition rules vary.

    Next step: Compare certificate, associate and degree programs, request disability services information, and apply to eligible campuses.

  • SUNY community colleges ↗

    New York · associate degrees, certificates and shorter credentials at regional campuses.

    Next step: Find a nearby campus and check its program, admissions, accessibility services and current cost.

  • Bergen Community College ↗

    Bergen County · public college offering degree and selected certificate paths.

    Next step: Review admissions and student support before choosing a program.

  • Hudson County Community College ↗

    Hudson County · public associate and certificate paths; admissions and aid depend on individual status.

    Next step: Read the first-time-student steps and ask about accessibility accommodations.

  • Passaic County Community College ↗

    Passaic County · public community college with a first-time-student process.

    Next step: Compare programs and request admissions and accessibility guidance.

  • Essex County College ↗

    Essex County · public community college admissions.

    Next step: Ask admissions about program prerequisites, cost and disability services.

I just graduated college

Degree-holder career toolkit

Use the degree and experience you already have. Search degree-related entry roles, fellowships, internships, trainee programs, professional associations and alumni job boards. Compare salary, insurance, schedule and advancement, then track applications, interviews and references. A bachelor’s or advanced degree does not automatically make you ineligible for ACCES-VR or DVRS; the agencies assess disability-related employment barriers and individual goals.

Interview and disclosure

Ask for clear written instructions, a quieter or remote interview, or reasonable processing time when needed. Telling an employer you are autistic is a personal choice. To request an ADA accommodation, you generally must tell the employer enough about the disability-related need; you do not have to tell coworkers. See EEOC guidance and JAN examples.

At work and beyond

Possible supports include written tasks, predictable schedules, quieter space, noise reduction, task tools, communication preferences, flexible breaks, adjusted training or remote/hybrid work when compatible with the role. If underemployed, ask about a promotion plan, certification, mentorship, career change or graduate study. Plan for email, commuting, task switching, sensory load and burnout. Freelance or business income also warrants tax and benefits advice.

College graduate action checklist

  • Update resume and cover-letter examples
  • Update LinkedIn or portfolio
  • Contact college alumni/career services
  • Identify five to ten target employers
  • Explore civil-service careers
  • Apply for vocational support if needed
  • Review accommodation options
  • Request benefits counseling if receiving disability benefits
  • Join a professional organization
  • Practice interviews and mock interviews
  • Research salary ranges
  • Build a 30/60/90-day career plan

Explore government and civil-service vacancies or use your college’s current career and alumni portals. Use your degree, internship projects and strengths to choose a career direction. Ask about job-search support, interview accommodations, professional networking, graduate study or career advancement. A college credential does not disqualify someone from exploring disability-related employment supports when otherwise eligible.

Real places to start

  • CareerOneStop state job banks

    US · government-supported links to each state job bank; search degree-related roles by place.

    Next step: Search the NY or NJ bank, and separately contact your own college alumni office for access to its job board and mock interviews.

  • ACCES-VR

    NY · a degree does not by itself exclude an applicant; the disability-related employment barrier and individualized eligibility matter.

    Next step: Apply for help to secure, retain, advance in or regain work; bring degree, resume and desired roles.

  • NJ DVRS

    NJ · services can help obtain, maintain or advance in employment, including career counseling, supported employment and training when in the IPE.

    Next step: Contact DVRS for an eligibility review and career goal, even if already employed.

  • OPWDD / NJ DDD employment

    NY or NJ · for people eligible for the respective developmental-disability system; job coaching and career supports can continue after hiring.

    Next step: Ask the NY care manager or NJ support coordinator about employment services; NJ waiver participants generally first go through DVRS.

  • Government careers

    NYC, NYS, NJ and federal · professional, administrative, technical and trade roles with standard and disability hiring routes.

    Next step: Open the government careers guide below and filter actual vacancies by degree, title and location.

  • Excelsior Service Fellowship ↗

    NY · for qualifying recent law, graduate or professional school graduates; state agency assignments. Read the current application cycle and degree requirements.

  • Mentra neurodiversity employment network ↗

    US · a private job platform designed for neurodivergent jobseekers; listings and employer participation vary. Create a profile and review each posting’s qualifications.

  • Job Accommodation Network

    US · free accommodation guidance for applicants and employees.

    Next step: Compare interview, onboarding, sensory and executive-function ideas before requesting a specific change.

I finished school without a traditional diploma

Completing a transition program, earning an alternate credential or aging out can lead to work, training, community participation and a full adult life. College is one option, not the measure of success. Ask the school for a transition summary and confirm adult-service eligibility before school ends.

Places to start

  • ACCES-VR application ↗

    New York · public vocational rehabilitation · Eligibility is based on disability-related employment needs, not a traditional diploma.

    Next step: Apply for an employment goal, supported employment, training or job coaching; bring school and evaluation records.

  • OPWDD employment training and supports ↗

    New York · for OPWDD-eligible adults · Pathway to Employment, the Employment Training Program and supported employment offer different routes toward paid work.

    Next step: Ask a care manager which service fits the adult’s interests and support needs.

  • OPWDD Front Door ↗

    New York · public access point · Explains eligibility, care coordination, community habilitation, day options, housing and self-direction.

    Next step: Begin eligibility and identify a care coordination organization if not already connected.

  • NJ DDD school-to-adult transition ↗

    New Jersey · generally age 21+ for DDD services · Explains planning and the timing of adult developmental-disability services.

    Next step: Ask the school transition coordinator and DDD about eligibility well before exit.

  • NJ DVRS intake ↗

    New Jersey · public vocational rehabilitation · Employment assessment, an individualized employment plan, training or supported employment as appropriate.

    Next step: Contact the local DVRS office and bring documentation of employment barriers.

  • NJ DDD daily life and employment ↗

    New Jersey · DDD-eligible adults · Day habilitation, community-based supports and employment services can be combined around individual goals.

    Next step: Ask the support coordinator about options, provider choice and transportation.

I need help finding a meaningful day

Adults deserve choice, purpose, friendships, activity and community, whether or not conventional work is the immediate goal. A structured program can help, but it is not the only option. Build a week around the adult’s interests and support needs.

Places to start

  • OPWDD day and community services ↗

    New York · OPWDD eligibility required · Day habilitation, including community-based approaches, supports skills, relationships and participation.

    Next step: Ask the care manager about day options and visit providers before choosing.

  • OPWDD Community Habilitation ↗

    New York · Medicaid-funded for eligible people · Individualized support for cooking, shopping, travel, social participation and daily-living goals at home and in the community.

    Next step: Put personal goals in the Life Plan and ask the care manager about providers.

  • OPWDD Self-Direction ↗

    New York · for eligible participants · A way to shape some supports around individual goals and community life; budgets and service rules apply.

    Next step: Ask a care manager about orientation, brokerage and service eligibility.

  • NJ DDD Employment and Daily Life ↗

    New Jersey · DDD waiver participants · Day habilitation, community-based supports and individualized employment services are listed by DDD.

    Next step: Build goals with a support coordinator and compare authorized options.

  • NJ DDD Programs and Services ↗

    New Jersey · DDD eligibility and waiver rules apply · Shows supports for life skills, community inclusion, day activity and self-direction.

    Next step: Review the services with the planning team; confirm provider access and transport.

  • Volunteer New York! ↗

    Lower Hudson Valley · listings vary · Search community volunteering by place, interest and availability. Volunteering can complement, not replace, appropriate paid work.

    Next step: Contact a listing to ask about accessibility and support arrangements.

Looking for work, training or job coaching

In New York, ACCES-VR can assess eligibility for vocational counseling, education/training and employment support. OPWDD describes Pathway to Employment, the Employment Training Program and supported employment for eligible people. In New Jersey, DVRS offers vocational counseling, job placement, supported employment and job coaching; DDD employment services may follow the DVRS process for eligible waiver participants. Ask about the individual plan, provider and any waiting period.

Real places to start

  • Jobs NYC

    NYC · live city vacancies across professional, service and technical roles.

    Next step: Search by title, location and qualifications; read each posting for exam or 55-a details.

  • NYS Civil Service Jobseeker

    NY · state vacancies and civil-service routes, including professional opportunities.

    Next step: Search current openings and exam announcements.

  • My Career NJ / One-Stop

    NJ · public career tools and local career centers.

    Next step: Build a job search and contact a One-Stop Career Center for assistance.

  • USAJOBS

    Federal · current vacancies including professional and trainee roles.

    Next step: Create a profile and save searches; check eligibility and required documents in each announcement.

I have a job but need support

Describe the actual task or situation that is difficult: training, schedule, communication, sensory environment, transportation or keeping the job. Ask the employer about an accommodation and speak with your vocational counselor or support coordinator about job coaching or employment retention when eligible. Keep a record of what works.

Real places to start

  • ACCES-VR post-employment services

    NY · eligible former VR clients may receive limited services to maintain, regain or advance in work when disability-related barriers recur.

    Next step: Contact your counselor or district office and describe the exact job barrier.

  • OPWDD Supported Employment

    NY · eligible people may receive job coaching after hiring, including advancement support.

    Next step: Ask your care manager about a supported-employment provider.

  • NJ DVRS supported employment

    NJ · job coaching, placement and long-term follow-along may be part of an individualized plan.

    Next step: Call your DVRS counselor about retention or coaching services.

  • NJ DDD employment

    NJ · eligible waiver participants may access supported employment after DVRS referral.

    Next step: Ask the support coordinator to put the work goal in the service plan.

I want to advance my career

Consider new credentials, mentoring, promotion, changing fields or graduate study. New York ACCES-VR describes help to advance or regain employment for eligible applicants; New Jersey DVRS can help develop a career pathway. Your goals should be individualized, not limited to entry-level work.

Real places to start

  • ACCES-VR

    NY · advancement is an explicit vocational rehabilitation goal when disability-related barriers require support.

    Next step: Ask for an individualized advancement goal and needed services.

  • NJ DVRS

    NJ · services can help advance in employment, not just enter a first job.

    Next step: Discuss training, job retention or promotion barriers with DVRS.

  • NYS career mobility / vacancies

    NY · state employees and applicants can compare titles, exams and vacancies.

    Next step: Review qualifications for the next title or professional career exam.

  • JAN

    US · accommodation ideas for task switching, communication, sensory settings and work organization.

    Next step: Request concrete changes that address the barrier to promotion or retention.

Vocational and trade training

Compare certificates, apprenticeships, community-college programs and supported on-the-job training. Ask whether the program teaches the skill you want, provides accommodations and has a realistic path to employment. Discuss funding with ACCES-VR or DVRS before enrolling if you seek their support.

Real places to start

  • OPWDD Employment Training Program

    NY · eligible people with developmental disabilities may enter paid internships with support.

    Next step: Ask your care manager about ETP and participating providers.

  • ACCES-VR vocational services

    NY · training can be included when needed for the individualized employment goal; funding is not automatic.

    Next step: Discuss the program and cost with a counselor before enrolling.

  • NJ DVRS process

    NJ · training or schooling may be part of an Individualized Plan for Employment.

    Next step: Meet a DVRS counselor before committing to a paid program.

  • Apprenticeship.gov

    US · searchable registered apprenticeship opportunities, including paid work-based training.

    Next step: Search by occupation and location; verify each sponsor’s entry requirements.

Workplace accommodations

Identify the barrier and a practical change: written instructions, quieter space, predictable schedule, communication tools, flexible breaks or assistive technology. Ask your employer or vocational counselor how to request and evaluate an accommodation. You can ask for help without sharing every detail of your diagnosis with coworkers.

Real places to start

  • JAN autism guidance

    US · practical accommodation examples and free consultation.

    Next step: List the job task, barrier and proposed change; contact JAN for options.

  • EEOC employment guidance

    US · federal rights and medical-information limits.

    Next step: Read the interview and employment stages before choosing what to disclose.

  • NY ACCES-VR / NJ DVRS

    NY/NJ · vocational counselors may help evaluate job supports and assistive technology in an individualized plan.

    Next step: Ask your counselor for job-site or training support.

Adult Housing & Independent Living

Find a place to call home, with the support that fits your life.

Options include an apartment with supports, living with family, shared living, supervised apartments and higher-support residential settings. Compare rent, subsidy eligibility, staffing, transit, safety, relationships and the ability to make ordinary life choices. No one housing model fits everybody.

Real places to start

  • OPWDD Housing Supports

    NY · eligible people may explore supports in an apartment, supportive housing or staffed residential options.

    Next step: Ask your care manager to compare eligibility, subsidy, staffing and wait times.

  • NJ DDD programs and services

    NJ · eligible waiver participants can plan housing-related supports and community living through the service plan.

    Next step: Ask the support coordinator which services follow the person into a home and which housing costs remain theirs.

  • HUD Housing Choice Vouchers

    US · rental assistance through local public housing agencies, subject to eligibility and availability.

    Next step: Find the housing authority for the desired county and ask about open applications.

Adult doctors and therapists

Ask pediatric providers for a transition summary, medication list and referrals before care ends. Confirm age limits, insurance, accessibility, communication needs and whether a caregiver may participate with your consent. Bring a brief health profile to new appointments.

Real places to start

  • CalAsh medical directory

    NY/NJ service area · existing doctor and therapy listings.

    Next step: Filter location and confirm adult age range, insurance and communication accommodations directly.

  • CalAsh dental section

    NY/NJ service area · special-needs dental listings where documented.

    Next step: Ask about adult ages, insurance, sensory support and sedation only if needed.

  • NY Medicaid provider search

    NY · current plan/provider lookup for covered adult care.

    Next step: Search the actual plan directory and call the office before switching providers.

  • NJ FamilyCare

    NJ · public insurance program and plan information.

    Next step: Check eligibility and your plan’s provider directory for adult clinicians.

  • YAI Premier HealthCare ↗

    NYC · adult primary and specialty care, dentistry and behavioral health with experience serving people with I/DD. Check locations, insurance and availability; appointments: 212-273-6272.

  • YAI Center for Specialty Therapy ↗

    NYC · specialty therapy for people with autism and other developmental disabilities. Ask about adult services and insurance.

  • Rutgers New Jersey Family Practice Center ↗

    NJ · general adult primary care and behavioral medicine. It is not presented as an autism specialty clinic; ask directly about communication accommodations and insurance.

Friends, dating and adult social life

Build life around interests: sports, gyms, art, music, gaming, cooking, travel, community events, adult camps, social groups or dating and relationship programs. Ask whether a program is age-appropriate and whether communication, transportation or support needs can be accommodated. Friendships and choice matter alongside services.

Real places to start

  • OPWDD community supports

    NY · for eligible people, community habilitation, recreation and self-direction can support chosen activities.

    Next step: Ask your care manager which local providers and budgets fit the adult’s interests.

  • NJ DDD Community Inclusion

    NJ · eligible waiver participants can seek enrichment and recreation in their service plan.

    Next step: Ask the support coordinator about a community inclusion provider and age-appropriate activities.

  • CalAsh Activities & Outings

    NY/NJ service area · museums, sports, arts and family activities in the existing directory.

    Next step: Filter by place and interest; confirm adult access and costs.

  • Autistic Adults NYC ↗

    NYC tri-state · autistic-led adult community with in-person and online events. Check the current calendar and participation details.

  • YAI Open Studio ↗

    NYC five boroughs · art community for people with autism or other I/DD; currently virtual sessions. Documentation of I/DD is required; contact artsandculture@yai.org.

  • YAI You And I ↗

    Manhattan · social and dating skills for OPWDD-eligible adults 18+ living with family in Manhattan. Use YAI’s Get Started form.

  • YAI Broader Horizons ↗

    Nassau/Suffolk · group recreation for OPWDD-eligible adults 21+ living with family. Ask YAI about enrollment and current activities.

  • YAI Friday Night Live ↗

    Rockland · community outings for OPWDD-eligible adults ages 18–28 living with family. Submit YAI’s Get Started form.

  • Spectrum for Living ↗

    Bergen/Passaic NJ · adult I/DD day programs and recreation calendars. Call (201) 358-8000 to ask about eligibility, tours and costs.

Benefits and work

Earnings can affect SSI, SSDI and Medicaid differently. Get individualized benefits counseling before turning down a job or assuming benefits will end. Social Security’s Work Incentives Planning and Assistance program explains work incentives for eligible beneficiaries; NJ DVRS also offers benefits counseling.

Real places to start

  • Social Security WIPA

    US · individualized work-incentive counseling for eligible SSI/SSDI beneficiaries.

    Next step: Use Find Help to locate a WIPA counselor before estimating earnings effects.

  • NJ DVRS benefits counseling

    NJ · certified work-incentive coordinators for SSI/SSDI recipients working with DVRS.

    Next step: Ask your counselor to add benefits planning to the IPE.

  • SSA Work Incentives

    US · official information on SSI/SSDI work rules and reporting.

    Next step: Keep pay records and ask a counselor to review your exact benefits and Medicaid situation.

Transportation

Map the actual trips to work, school, health care and friends. Compare fixed-route transit, paratransit eligibility, travel training, rides from trusted people and accessible options in your area. Practice a backup route and check fares before committing to a program.

Real places to start

  • MTA Access-A-Ride

    NYC · ADA paratransit for eligible riders whose disability limits fixed-route use.

    Next step: Start the eligibility process and plan for an assessment.

  • NJ TRANSIT Access Link

    NJ · ADA paratransit within the NJ TRANSIT service area for eligible riders.

    Next step: Review eligibility and request an assessment.

  • NJ TRANSIT accessible service

    NJ · accessibility information for bus, rail and light rail.

    Next step: Plan the actual commute and check station accessibility.

Learning to drive

Ask a licensed instructor or driving rehabilitation specialist whether standard lessons or an individualized evaluation is appropriate. Consider attention, sensory needs, executive functioning, medication effects and adaptive equipment without assuming a person cannot drive because of a diagnosis.

Real places to start

  • NY DMV driver rehabilitation

    NY · explains specialist driving evaluations and adaptive instruction.

    Next step: Ask a clinician or local medical center for a driver rehabilitation specialist.

  • NY ACCES-VR

    NY · eligible employment plans can address transportation barriers; services depend on the IPE.

    Next step: Ask whether a driving evaluation or other commute support is relevant to the job goal.

  • NJ DVRS

    NJ · vocational rehabilitation can evaluate transportation needs tied to an employment goal.

    Next step: Raise commuting and any adaptive-driving question at intake.

Managing my own money

Practice banking, budgeting, bills, online safety and recognizing scams with supports that preserve choice. An ABLE account or benefits-aware savings strategy may be relevant, but ask a qualified adviser about eligibility and consequences.

Real places to start

  • CFPB Your Money, Your Goals

    US · free budgeting, bills, credit and disability-focused financial tools.

    Next step: Start with income tracking and a monthly bills plan.

  • SSA representative payee guidance

    US · when a payee is appointed, explains duties and account oversight.

    Next step: Review responsibilities and the person’s spending needs.

  • ABLE National Resource Center

    US · information on state ABLE plans and eligibility; plan rules vary.

    Next step: Compare plan fees, qualified expenses and benefit effects before opening.

Volunteering

Choose a cause and schedule that fit your interests. Volunteering can build community and skills, but it should not replace paid work when that is the goal. Ask about transportation, a point of contact and any needed accommodations.

Real places to start

  • Volunteer New York!

    Westchester, Rockland and Putnam · searchable local nonprofit opportunities.

    Next step: Filter the calendar by place, interest and accessibility; contact the host.

  • VolunteerMatch

    US · searchable nonprofit opportunities, including remote roles.

    Next step: Search by ZIP and cause; confirm schedule and accommodations.

  • AmeriCorps opportunities

    US · service roles with program-specific requirements and benefits.

    Next step: Search current opportunities and read the specific position terms.

Starting a business

Test the idea, costs and customer demand; choose supports for planning, bookkeeping and accessible work practices. Ask a vocational counselor whether self-employment support is available under your individualized plan, and get benefits advice before income changes.

Real places to start

  • SBA local assistance

    NY/NJ · find Small Business Development Centers and SCORE mentors.

    Next step: Enter ZIP to locate free or low-cost counseling and compare service terms.

  • ACCES-VR self-employment

    NY · self-employment may be an individualized vocational outcome for eligible applicants.

    Next step: Discuss the business plan and supports with a counselor before expenses.

  • NJ DDD employment services

    NJ · eligible waiver supported employment can include self-employment supports under plan rules.

    Next step: Ask DVRS and the DDD support coordinator which agency funds which stage.

  • SSA WIPA

    US · benefits counseling for eligible recipients considering business income.

    Next step: Get a personalized review of self-employment earnings and reporting.

Government & civil service careers

Public jobs include IT, cybersecurity, data, communications, finance, HR, procurement, social services, planning, public health, libraries, engineering, investigations, administration and skilled trades. Search a real vacancy first, check minimum qualifications and the application deadline, then select the standard exam route or a disability hiring route where eligible. These routes do not guarantee a job.

Apply through the right system

  • Jobs NYC ↗

    City vacancies, including professional and trainee roles. Search by title and read each posting’s qualifications and application method.

  • DCAS exams and testing accommodations ↗

    NYC standard exam path. Review the notice and request an accommodation through the exam process when needed.

  • NYC 55-a ↗

    Qualified people with certified disabilities may be appointed to certain eligible competitive-class positions without the normal exam if they meet job requirements. Follow DCAS certification and job-application instructions.

  • NYS Civil Service Jobseeker ↗

    Search state vacancies and exams, including professional titles. Match the listed qualifications before applying.

  • NYS 55-b/55-c ↗

    Separate state programs for eligible individuals and veterans with disabilities. Review certification and submit a candidate profile for consideration; positions remain competitive on qualifications.

  • Local NY 55-a ↗

    County, city, town and village civil-service employers may use eligible local 55-a positions. Contact the relevant local civil-service agency; the NYC and state programs are distinct.

  • NJ Civil Service job announcements ↗

    New Jersey state open competitive announcements and applications. Check deadlines, residency and title requirements.

  • NJ SAME program ↗

    State as a Model Employer initiative for people with disabilities. Review state recruitment and accommodations alongside current job announcements.

  • USAJOBS ↗

    Federal vacancies and saved searches. Filter by location, occupation and hiring path.

  • Federal Schedule A ↗

    An eligible disability hiring authority, alongside the regular competitive route. Read documentation requirements and each vacancy announcement.

  • New York local government jobs ↗

    Nassau, Suffolk, Westchester, Rockland, Putnam and Orange · local agencies publish separate exams and vacancies.

    Next step: Choose the county or municipal civil-service agency, check live postings and whether local 55-a applies.

Long-term planning with my family

Plan for housing, health care, money, relationships, support people and what happens if a caregiver becomes unavailable. Include the adult’s preferences and communication method. Build independent oversight and update the plan as life changes.

Real places to start

  • CalAsh future planning

    NY/NJ · existing family guide covers successor caregivers, housing, money and oversight.

    Next step: Begin a letter of intent and name backup people.

  • OPWDD housing supports

    NY · plan residential services and independent options for eligible people.

    Next step: Ask the care manager about current eligibility and planning timeline.

  • NJ DDD person-centered planning

    NJ · eligible people and support coordinators build goals and services into a plan.

    Next step: Include the adult’s preferences, relationships, housing and employment goals.

Programs and eligibility vary. Confirm current details with the linked agency or provider before making decisions.