“…These programs are heterogeneous in regard to the size and scope of the budget, financing mechanisms, and oversight and administration activities (Croft et al, 2013). In all programs, however, participants work closely with specially-trained brokers and have the option of purchasing goods and/or services that are typically considered non-clinical, such as transportation, computers, dental services, employment supports, and other living expenses (Croft et al, 2013; Webber, Treacy, Carr, Clark, & Parker, 2014). Self-direction is part of the American health and behavioral health systems’ shift toward person-centered care, which calls for an increased emphasis on the role of the participant in the service delivery process (Institute of Medicine, 2001).…”