If you are a parent caring for a child or adult with intellectual or developmental disabilities, you already know what most people don’t: caregiving is full-time, year-round, and unlike any other job in the world. There are no clock-out times. There are nights without sleep. There are mornings that begin again before the previous day has fully ended. And through it all, there is profound love — the kind that holds you up even when your body and mind are exhausted. You also know something else: you cannot pour from an empty cup. The well-being of the person you care for is tied directly to your own well-being. When you are rested, supported, and cared for, you can show up for them more fully. When you are running on fumes, everyone suffers. This is why relief care — sometimes called respite care — exists. And this is why every parent- caregiver in Oregon deserves to know it’s available, what it looks like, and how to access it. What Is Relief Care? Relief care, in the context of Oregon disability services, is short-term care provided by someone other than the primary caregiver. It allows the parent or family caregiver to step away — for an afternoon, a weekend, an evening out, an appointment, a workshop, a nap, a date night, or simply a few hours of quiet — while their loved one continues to receive safe, qualified support. Relief care can happen in many forms: • A trained Direct Support Professional (DSP) comes to your home for a few hours so you can run errands or rest • Your loved one attends a Day Support Activities (DSA) program during the day so you can work, recover, or do something for yourself • Overnight care is provided so you can sleep through the night, attend a wedding out of town, or take a much-needed vacation • A family member or friend is paid through the system to provide regular relief The goal of relief care is simple: to keep families strong, sustainable, and intact over the long haul. Caregiving is a marathon, not a sprint, and relief care is one of the most important ways the system supports families to keep going. Why Relief Care Is So Important The data on caregiver health is sobering. Studies consistently show that long-term family caregivers experience higher rates of: • Chronic stress and burnout • Depression and anxiety • Sleep deprivation • Physical health problems including back pain, immune dysfunction, and cardiovascular disease • Social isolation • Financial strain And these effects compound over years and decades. A parent caring for a child with significant disabilities for 20 or 30 years carries an enormous weight — physically, emotionally, and financially. Without breaks, the cost adds up. Relief care isn’t a luxury. It’s a necessity for sustainable caregiving. Families who use relief care regularly tend to report better mental health, stronger marriages, more present parenting for siblings, and a greater ability to keep their loved one at home rather than in a more restrictive setting. Said differently: relief care helps keep families together. How Relief Care Is Funded in Oregon In Oregon, relief care for individuals with intellectual and developmental disabilities is funded primarily through Medicaid — specifically through the K Plan (Community First Choice State Plan) and the 1915(c) waivers that support adults and children with I/DD. These programs pay for a range of in-home and community-based services, including: • In-Home Attendant Care (which can include relief care hours) • Day Support Activities • Employment supports • Skills training • And, in many cases, dedicated relief care hours within an Individual Support Plan The exact amount of relief care available depends on the individual’s annual budget, which is set through the Oregon Needs Assessment (ONA), and the priorities outlined in the Individual Support Plan (ISP). Some families have a specific allocation for relief; others fold relief into their broader attendant care hours. If you’re not sure how much relief care your loved one is approved for, your Services Coordinator (through your county CDDP) or Personal Agent (through a brokerage) is the right person to ask. They can walk you through your current ISP, help you advocate for additional hours if needed, and connect you with providers. Who Provides Relief Care? In Oregon, relief care is provided by qualified Direct Support Professionals — typically trained, background-checked, and employed by an agency that handles the complexities of payroll, workers’ compensation, training, and oversight. There are also models where families hire individuals directly, but increasingly, more families are choosing direct-employment agencies (where DSPs are W-2 employees of the agency, not contractors). The benefits of this model include: • The agency handles taxes, payroll, workers’ comp, and HR • DSPs receive training, supervision, and support • There is built-in backup if a regular caregiver is sick or unavailable • Liability and oversight are professionally managed • Continuity is more reliable, because the agency is invested in matching and retention At North Star Oregon, we use a direct-employment model precisely because we believe it produces better outcomes for both the individuals we support and the families who depend on us. What If a Family Member Wants to Be the Caregiver? Here’s a piece of news that surprises many families: in Oregon, parents and other family members can be paid to provide care for their own children or adult family members in many situations. This includes both regular attendant care hours and, in some cases, relief care hours when another qualified caregiver is unavailable. The ability to be paid for caregiving is significant for families where one parent has had to stop working or reduce hours to provide care. It transforms what was unpaid labor into a livable income, while also allowing the family to keep their loved one at home rather than in a more institutional setting. There are rules and structures to follow — caregivers must be hired through an agency or appropriate channel, must meet training and background check requirements, and must document hours worked. But for many families, this option has been life-changing. In a shared-home setting, North Star Oregon employs parent-caregivers as W-2 staff, which provides the legal, tax, and benefit protections of formal employment while honoring the unique role parents play in their children’s lives. Tips for Making the Most of Relief Care If you’re new to using relief care, here are a few things that experienced families have learned along the way: Start small. Your first time leaving your loved one with a new caregiver may feel impossible. Start with a one- or two-hour outing close to home before working up to longer breaks. Find the right match. A good DSP-to-individual fit makes all the difference. Don’t be afraid to give feedback to your provider if a match isn’t working — a quality agency will work to find someone who’s right. Build a routine. Consistency helps everyone. Same caregiver, same day, same time each week tends to work better than scattered, unpredictable coverage. Use the time intentionally. It’s tempting to use relief hours for chores and errands, and sometimes that’s exactly right. But also schedule time for things that fill you up — coffee with a friend, a walk in the park, a movie, a long bath, a nap. Whatever recharges you. Don’t feel guilty. This is a hard one. Many parent-caregivers carry deep guilt about taking time away. Remember: you are not abandoning your loved one. You are sustaining the very care they depend on. Rest is part of the work. Document and communicate. Keep a simple log of routines, preferences, and important details that help a new caregiver get up to speed quickly. The smoother the handoff, the more you can relax. Ask for what you need. If your current relief care hours aren’t enough, talk to your Services Coordinator. Needs change over time, and ISPs can be updated. A Word About Sustainability We meet many families who have been pushing through caregiving for years without ever taking a real break. Sometimes they didn’t know relief care was available. Sometimes they felt guilty asking. Sometimes they tried once, had a bad experience, and never tried again. If that’s you, please hear this: it’s not too late, and you are not alone. The system exists to support you. Good providers exist. Your loved one will be okay. And you — you matter. Your health matters. Your rest matters. Your joy matters. The most loving thing you can do for your family is take care of yourself well enough to stay in this for the long haul. How North Star Oregon Can Help At North Star Oregon, we provide In-Home Attendant Care and Day Support Activities across the Willamette Valley, including dedicated relief care hours that give parent-caregivers the breaks they need. Our W-2 employed Direct Support Professionals are trained, background- checked, and matched thoughtfully to each individual we support. Whether you need a few hours of relief each week, regular DSA programming so you can return to work, or overnight care so you can finally take a vacation, we’d love to help you build a plan that works for your family. Take the First Step If you’re a parent-caregiver in Oregon and you’ve been running on empty, let this be your sign. Reach out to North Star Oregon to learn more about relief care, in-home attendant care, and day support activities. We’re here to walk alongside your family. Visit northstaroregon.com or contact us today — and please, take the break you deserve.

For many families in Oregon, the years between ages 18 and 21 bring one of the biggest transitions in their child's life — the move from school-based supports to the adult disability services system. After more than a decade of IEP meetings, classroom routines, and the predictable rhythm of the school year, the road ahead can feel uncertain. The structures change. The acronyms change. The people you've trusted for years are no longer part of your weekly life. If your son or daughter is approaching this transition, take a deep breath. You are not behind, and you are not alone. With the right preparation and the right partners, the transition from school to adult services can become an exciting next chapter, full of new opportunities for growth, connection, and independence. This guide walks Oregon families through what to expect, what to plan for, and how to make the most of the transition years. When Does the Transition Begin? In Oregon, transition planning is required to begin by age 16 as part of your child's IEP — but most families benefit from starting the conversation even earlier. The reason is simple: the adult system works very differently from the school system, and there is much to learn. In school, services are an entitlement. Once a student qualifies, supports are planned and delivered automatically through the district. In the adult world, services are eligibility-based and self-directed. Families need to apply, choose providers, and actively coordinate care. The shift from "the school handles it" to "we drive it" can be jarring without preparation. A good rule of thumb: by age 14, start learning the language. By age 16, begin formal planning. By age 18, have an adult services intake completed. By age 21, the school exit should feel like a handoff — not a cliff. Step 1: Connect with Your Local CDDP or Brokerage Adult disability services in Oregon are coordinated through two types of agencies depending on the level of support an individual needs: Community Developmental Disability Programs (CDDPs) serve individuals who need comprehensive support and are typically county-based. They handle eligibility determination, service coordination, and case management for both children and adults with intellectual and developmental disabilities. Support Service Brokerages serve adults (18+) who live in their own home or family home and need less intensive supports. Brokerages help individuals direct their own services and manage their support budgets. If your child is already receiving services through a CDDP as a minor, you likely have a Services Coordinator who will continue to work with you through the transition. If not, contact your county's CDDP to request an intake. The earlier this happens, the more options you'll have when planning begins in earnest. Step 2: Understand the Funding — K Plan and Waivers Adult services in Oregon are primarily funded through Medicaid, specifically the Community First Choice State Plan (also known as the K Plan) and the 1915(c) waivers. These programs pay for in-home attendant care, day support activities, employment supports, residential services, and more. To access these benefits, an individual must: Be enrolled in the Oregon Health Plan (Medicaid) Be determined eligible for I/DD services through the local CDDP Have a current Individual Support Plan (ISP) that identifies needed services Be assigned an annual budget through the Oregon Needs Assessment (ONA) The transition years are the perfect time to make sure all of this paperwork is in order. Medicaid eligibility for individuals with disabilities does not automatically follow them into adulthood — at age 18, many young adults must reapply as their own household, even if they still live with parents. Missing this step can cause gaps in coverage right when they're needed most. Step 3: Build the Adult ISP The Individual Support Plan, or ISP, is the heart of adult disability services in Oregon. It replaces the IEP as the central planning document for your son or daughter's life. Where the IEP focused on educational goals, the ISP focuses on the whole person — what they want their life to look like, where they want to spend their days, who they want to be around, and what support they need to make it happen. The ISP is built through a person-centered planning process led by the Services Coordinator, with input from the individual, family members, providers, and anyone else the individual wants involved. The plan typically covers: Daily routines and preferences Goals for community participation, employment, and skill development Specific services authorized (in-home attendant care hours, day support, employment, etc.) Health and safety considerations Risk assessments and emergency plans Families often find the first ISP meeting overwhelming. Our advice: come prepared with a vision. Even a simple list of "things our family member loves," "things they want to try," and "things they need help with" can transform the meeting from a checklist exercise into a meaningful planning conversation. Step 4: Choose the Right Service Providers Once your loved one is eligible and the ISP is in place, it's time to choose the providers who will deliver those services. This is one of the most important decisions families will make, and it deserves real time and thought. For young adults aging out of school, two types of services tend to be most relevant in the early years: In-Home Attendant Care provides one-on-one support in the home and community. This service helps with personal care, daily living skills, supervision, and community participation. For families where a parent has been the primary caregiver, attendant care can also be a way to formally compensate that work — Oregon allows parent-caregivers to be hired as direct-employment staff in many situations. Day Support Activities (DSA) provide structured, community-based programming during the day. Think of it as the adult-life equivalent of a school day — but designed around interests, skills, and community inclusion rather than academics. Good DSA programs offer art, recreation, volunteering, fitness, social outings, and skill-building tailored to each participant. When you're evaluating providers, ask: Are your staff direct W-2 employees, or contractors? (W-2 models tend to mean better training, accountability, and continuity.) How do you involve individuals and families in planning activities? What does a typical day look like in your DSA program? How do you handle behavior support, medical needs, and emergencies? What is your staff turnover rate? Can we visit and observe before enrolling? Trust your instincts. The best provider is the one whose values, communication style, and program design match what your family member actually needs. Step 5: Plan for Life Beyond Services Services are a crucial piece of the puzzle, but they are not the whole picture. The transition years are also a chance to think bigger about adult life: Health care: Has your loved one transitioned from a pediatrician to an adult primary care provider? Are specialists in place? Legal matters: Do you need to consider guardianship, supported decision-making, or a power of attorney? An attorney experienced in disability law can help you choose the least restrictive option. Financial planning: Look into ABLE accounts, Special Needs Trusts, and Social Security benefits like SSI. These tools can protect eligibility while building financial security. Housing: Where will your loved one live in five years? Ten? Even if the answer is "with us, for now," it's worth starting the conversation about long-term options. Connection: What does community look like for them? Friends, faith communities, hobby groups, teams — these matter as much as any formal service. You Don't Have to Figure This Out Alone The transition from school to adult services is one of the most significant moments in a family's journey, and it's also one of the most well-supported when you know where to look. Services Coordinators, brokerage personal agents, advocacy organizations, and experienced providers are all part of the network that exists to help families navigate this season. At North Star Oregon, we walk alongside families across the Willamette Valley as their loved ones step into adult life. Whether you need in-home attendant care, day support activities in Albany, Corvallis, Eugene, Springfield, Salem, or Tangent, or simply a friendly conversation about what comes next, we're here to help. Ready to Talk About What's Next? If your son or daughter is approaching the transition years — or already past them and looking for the right adult services partner — we'd love to connect. Reach out to North Star Oregon to learn more about our In-Home Attendant Care and Day Support Activities programs, and how we can support your family's next chapter.