What if you could hire your own employees, set your own schedule, and decide exactly how your support fits your life? That’s self-direction—a program that gives people with disabilities more choice and control over their services.
In Episode 10 of the Fello Thinking Differently podcast, Marc Weinstein, Fello’s Senior Director of Self-Directed Services, explores what self-direction offers: independence, freedom, and the rewarding challenges that come with it. The episode also features Lauren Sheeder, a Self-Directed Services participant with Fello, who shares how the model changed her life and her son’s.
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The Power of Self-Direction
Self-direction puts people with disabilities in charge. Think of them as the CEO of their own support services—interviewing and hiring employees, managing budgets, and deciding how their support works day to day.
“[With self-direction], you’re not worried about a program telling you that you can’t do that. ‘No, I’m the boss, and you’re going to make this happen,'” said Marc.
But self-direction isn’t just about managing services—it’s about opening opportunities for exploration and personal growth. Whether it’s catching a movie, going on a date, or taking a spontaneous day trip, participants have the freedom to make those choices—and the support to make it happen.
“[Self-direction] helps people live a spontaneous life like you and I want to have,” said Marc.
Self-direction means ownership. Participants set employee schedules, adjust priorities, and make both big and small decisions about their support. It takes effort—but most participants wouldn’t have it any other way.
“It’s work. It’s a lot of work. But it’s worth it,” said Lauren.
A Way of Living
For many people, self-direction isn’t just a service; it’s a shift in what’s possible.
“I can go to the YMCA. I can go swimming now. I couldn’t do that before because I didn’t have someone to assist me in changing clothes or getting in and out of the pool safely. It’s really important, and it’s been really good for me emotionally as well as my confidence,” said Lauren.
That independence creates space not just for personal growth, but also for a deeper connection to the community.
“For myself, I wouldn’t have imagined being able to be a part of some of the things I do now. I take part in my child’s school activities. I’m part of the PTA. He’s in the Cub Scouts—I’m part of committees for Cub Scouts. I get to go and do things with him with the support of my staff because otherwise I would really struggle,” said Lauren.
Self-direction expands what participation looks like: at home, in school, and across the community. Lauren discovered this firsthand—after seeing what the model did for her son, she decided to try it for herself.
“Since my son has started Self-Directed Services, there has been a huge improvement in safety concerns and behavior management,” said Lauren.
People First
For 20 years, Fello has offered Self-Directed Services, supporting thousands of people across Maryland. What began with hundreds of participants has grown into a model serving more than 3,500 people today.
“It’s really an evolution of services for people. They previously didn’t have a lot of say in what their lives looked like. This is just a movement towards self-determination,” said Marc.
At its core, self-direction reflects a simple belief: people know what they need.
Fello’s role is to support that by providing the structure and administrative support that allows each person to design services around their goals and priorities.
“For Fello, we’re rooted in people-centeredness. Whatever we do is for the person. They drive that. Self-direction takes it to the next level,” said Marc.
Take the Lead
There’s no one path to independence, and self-direction isn’t the right fit for everyone. But for those interested in having a greater choice and control, self-direction offers something powerful: the ability to live life your way.
“Self-direction has really been a benefit for myself and my child, and I know a lot of other individuals who are in self-direction, and it’s made a huge difference for them. So, if you’re able to put the work in or you have a team behind you to put the work in, it’s definitely worth it,” said Lauren.
Listen to the Full Conversation
Listen to Marc and Lauren talk about the potential of self-direction for people with disabilities. Tune into Episode 10 of Fello Thinking Differently today.
Listen Now: YouTube | Apple Podcasts | Spotify






