April 4

A Comprehensive Guide to ISS (Individualized Skills and Socialization)


Individualized Skills and Socialization (ISS) is a new service that is set to replace day habilitation in the Home and Community-Based Services (HCS), Texas Home Living (TxHmL), and Deaf-blind with Multiple Disabilities (DBMD) waivers from March 1, 2023. This new service is designed to provide more person-centered care for individuals with disabilities. Unlike the traditional day habilitation model, which provides a structured program of activities and supports, ISS is focused on developing and enhancing individuals’ skills and abilities, promoting community integration and socialization, and increasing their access to the community. In this article, we will explore what ISS is and how it differs from day habilitation, as well as its potential benefits for individuals with disabilities.

​​Key Takeaways

  • Individualized Skills and Socialization (ISS) is a new service designed to provide more person-centered care for individuals with disabilities, and it will replace day habilitation in the HCS, TxHmL, and DBMD waivers from March 1, 2023.
  • Unlike day habilitation, which provides a structured program of activities and supports, ISS is focused on developing and enhancing individuals’ skills and abilities, promoting community integration and socialization, and increasing their access to the community.
  • ISS emphasizes skill-building and community integration, and its providers work with individuals and their families to develop a comprehensive plan of care that addresses all of their needs and preferences.
  • ISS can be delivered on an individual or small-group basis in the community or in the individual’s home, rather than in a facility.
  • The funding structure for ISS is designed to be more flexible and person-centered, which allows individuals and their families to have greater control over the services they receive.
  • ISS has the potential to improve outcomes and promote greater independence and quality of life for individuals with disabilities.

What Exactly Is ISS And How Does It Differ From Day Habilitation Services?

Individualized Skills and Socialization (ISS) is a new service that aims to provide a more person-centered approach to care for individuals with disabilities. ISS is set to replace day habilitation services under the Home and Community-Based Services (HCS), Texas Home Living (TxHmL), and Deaf-blind with Multiple Disabilities (DBMD) waivers effective March 1, 2023.

ISS is designed to provide individuals with disabilities the necessary skills and support to participate more fully in their communities. Unlike day habilitation services, which can often be rigid and inflexible, ISS allows for more personalized, tailored care. ISS providers will work with individuals to develop a personalized plan that is centered around their needs, preferences, and goals.

One of the key differences between ISS and day habilitation is that ISS emphasizes community integration. While day habilitation services may be primarily focused on providing care within a facility, ISS encourages individuals to participate in community-based activities. This may include going out into the community for social events, volunteering, or participating in recreational activities. By encouraging community integration, ISS aims to promote independence and self-determination for individuals with disabilities.

Another significant difference between ISS and day habilitation is the level of flexibility offered. Day habilitation services typically operate on a fixed schedule and may offer limited opportunities for customization or flexibility. In contrast, ISS is designed to be more flexible and adaptable to individuals’ needs. Providers are encouraged to be creative and resourceful in developing activities that meet the unique needs and interests of each individual they serve.

ISS also provides a greater level of choice and control for individuals with disabilities. Under day habilitation services, individuals may have limited say in their care plan and the activities they participate in. With ISS, individuals are encouraged to take an active role in developing their plan of care and have more control over the activities they participate in. This greater level of choice and control can lead to improved outcomes and greater satisfaction with care.

ISS aims to provide a more person-centered approach to care for individuals with disabilities, emphasizing community integration, flexibility, and choice. By offering a more personalized approach to care, ISS has the potential to improve outcomes and promote greater independence for individuals with disabilities.

What Are The Benefits Of Individualized Skills And Socialization?

One of the primary benefits of ISS is that it emphasizes community integration. Rather than providing care within a facility, ISS encourages individuals to participate in community-based activities. This can lead to a greater sense of belonging and connectedness for individuals with disabilities. By participating in community events and activities, individuals with disabilities can develop meaningful relationships with their peers and gain a sense of purpose and fulfillment.

ISS also provides individuals with disabilities with greater control and choice over their care. Under day habilitation services, individuals may have limited say in their care plan and the activities they participate in. With ISS, individuals are encouraged to take an active role in developing their plan of care and have more control over the activities they participate in. This can lead to improved outcomes and greater satisfaction with care.

Another benefit of ISS is that it is designed to be more flexible and adaptable to individuals’ needs. Providers are encouraged to be creative and resourceful in developing activities that meet the unique needs and interests of each individual they serve. This can lead to more personalized and meaningful experiences for individuals with disabilities.

ISS also offers opportunities for skill-building and development. Providers work with individuals to develop a personalized plan that is centered around their needs, preferences, and goals. This can include learning new skills, practicing existing skills, and developing socialization and communication skills. By providing individuals with opportunities for skill-building and development, ISS can improve outcomes and promote greater independence for individuals with disabilities.

Finally, ISS has the potential to improve the quality of life for individuals with disabilities. By emphasizing community integration, choice, and control, and personalized care, ISS can promote a greater sense of autonomy and independence for individuals with disabilities. This can lead to improved mental health and well-being, increased socialization and connectedness, and a greater sense of purpose and fulfillment.

How Can ISS Providers Help Individuals Develop Personalized Skill-building Plans?

One of the key features of ISS is the development of personalized skill-building plans for each individual served. These plans are designed to help individuals develop and practice new skills, as well as to enhance existing skills.

ISS providers play an important role in helping individuals develop these personalized skill-building plans. Providers work with individuals and their families to identify areas where they may need additional support or training. This could include areas such as personal care, socialization, communication, or vocational skills.

Once areas for skill-building have been identified, providers work with individuals to develop specific goals and objectives. These goals and objectives are designed to be achievable and measurable, so that progress can be tracked over time. Providers may use a variety of techniques and tools to help individuals develop and practice these skills, such as role-playing, modeling, or peer support.

ISS providers also work with individuals to identify opportunities for community integration and participation. By participating in community events and activities, individuals with disabilities can develop and practice a variety of skills. For example, community events may provide opportunities for individuals to practice socialization and communication skills, as well as vocational skills such as customer service or sales.

Another important aspect of developing personalized skill-building plans is ensuring that individuals have access to the resources they need to achieve their goals. Providers may work with individuals and their families to identify resources such as assistive technology, transportation, or specialized equipment. Providers may also work with other professionals such as therapists or vocational counselors to develop a comprehensive plan for skill-building and development.

Finally, ISS providers play an important role in tracking progress and adjusting plans as needed. Providers regularly monitor progress towards goals and objectives, and make adjustments to plans as needed. Providers may also work with individuals and their families to identify new areas for skill-building or to modify existing goals and objectives.

What Community Integration Opportunities Are Available Through ISS?

Community integration opportunities through ISS may include activities such as volunteering, attending social events, or participating in recreational activities. By participating in community events and activities, individuals with disabilities can develop and practice a variety of skills, including socialization, communication, and vocational skills. Community integration can also lead to a greater sense of belonging and connectedness for individuals with disabilities.

ISS providers may work with individuals to identify community integration opportunities that align with their goals and interests. For example, individuals may be interested in volunteering at a local animal shelter or participating in a community gardening program. Providers may also identify events or activities that align with an individual’s vocational goals, such as attending a job fair or participating in a job shadowing program.

Another important aspect of community integration through ISS is the development of natural supports. Natural supports are relationships that individuals develop within their communities, such as friendships, romantic relationships, or mentor relationships. Natural supports can be an important source of emotional and social support for individuals with disabilities. By participating in community events and activities, individuals with disabilities have the opportunity to develop natural supports and build meaningful relationships.

ISS providers also work with individuals to identify and overcome barriers to community integration. Barriers may include lack of transportation, social anxiety, or a lack of accessible facilities. Providers may work with individuals to develop strategies for overcoming these barriers, such as arranging for transportation or providing support and encouragement to attend social events.

Finally, ISS providers may work with community organizations and businesses to promote greater inclusion and accessibility for individuals with disabilities. Providers may offer training or consultation services to help community organizations and businesses become more inclusive and welcoming to individuals with disabilities.

How Does ISS Address The Need For Person-centered Care For People With Disabilities?

ISS addresses the need for person-centered care by focusing on the unique needs and preferences of each individual served. Providers work with individuals and their families to develop a personalized plan of care that is centered around their needs, preferences, and goals. This may include identifying areas where individuals need additional support or training, as well as developing strategies for overcoming barriers to community integration.

Another way that ISS addresses the need for person-centered care is by promoting greater choice and control for individuals with disabilities. Under day habilitation services, individuals may have limited say in their care plan and the activities they participate in. With ISS, individuals are encouraged to take an active role in developing their plan of care and have more control over the activities they participate in. This can lead to improved outcomes and greater satisfaction with care.

ISS also promotes greater communication and collaboration between individuals, their families, and their providers. Providers regularly communicate with individuals and their families to ensure that their plan of care remains current and relevant to their needs and preferences. Providers may also work with other professionals such as therapists or vocational counselors to develop a comprehensive plan for skill-building and development.

Finally, ISS providers are trained to be more flexible and adaptable to the unique needs and preferences of each individual they serve. Providers are encouraged to be creative and resourceful in developing activities that meet the unique needs and interests of each individual. This can lead to more personalized and meaningful experiences for individuals with disabilities.

How Can ISS Providers Promote Independence For Individuals With Disabilities?

First, ISS providers can work with individuals to identify areas where they need additional support or training. Providers may work with individuals to develop skills related to personal care, socialization, communication, or vocational skills. By providing individuals with the necessary skills and support, ISS providers can help individuals become more independent and self-sufficient.

Another way that ISS providers can promote independence is by emphasizing community integration. Community integration can provide individuals with disabilities with a sense of belonging and connectedness, as well as opportunities to develop and practice a variety of skills. By participating in community events and activities, individuals with disabilities can become more independent and self-reliant.

ISS providers can also promote independence by encouraging individuals to take an active role in their plan of care. Providers may work with individuals to develop specific goals and objectives that are centered around their needs, preferences, and goals. By involving individuals in the development of their plan of care, ISS providers can promote greater choice and control, which can lead to improved outcomes and greater satisfaction with care.

Another important aspect of promoting independence through ISS is providing individuals with access to the resources they need to achieve their goals. Providers may work with individuals and their families to identify resources such as assistive technology, transportation, or specialized equipment. Providers may also work with other professionals such as therapists or vocational counselors to develop a comprehensive plan for skill-building and development.

Finally, ISS providers can promote independence by helping individuals to develop natural supports. Natural supports are relationships that individuals develop within their communities, such as friendships, romantic relationships, or mentor relationships. Natural supports can be an important source of emotional and social support for individuals with disabilities. By participating in community events and activities, individuals with disabilities have the opportunity to develop natural supports and build meaningful relationships.

How Can ISS Providers Address The Unique Needs Of Individuals With Multiple Disabilities?

Individualized Skills and Socialization (ISS) is a new service that is designed to provide more person-centered care for individuals with disabilities. ISS providers have a responsibility to address the unique needs of individuals with multiple disabilities. Multiple disabilities refer to the presence of two or more disabilities in the same individual, such as a hearing impairment and a physical disability.

ISS providers can address the unique needs of individuals with multiple disabilities in several ways. First, providers can work with individuals and their families to develop a comprehensive plan of care that addresses all of their disabilities. This may involve working with other professionals such as therapists or assistive technology specialists to ensure that individuals have access to the resources they need to achieve their goals.

Another way that ISS providers can address the unique needs of individuals with multiple disabilities is by providing a variety of activities and experiences that are tailored to their needs. For example, providers may work with individuals to develop activities that are accessible to those with visual or hearing impairments, or that accommodate individuals with mobility impairments. Providers may also work with individuals to identify activities that align with their interests and abilities.

ISS providers can also address the unique needs of individuals with multiple disabilities by providing support and training related to personal care and daily living skills. This may involve providing support with activities such as bathing, dressing, or grooming, or providing training related to medication management or meal preparation. Providers may also work with individuals to develop strategies for overcoming barriers related to mobility or communication.

Another important aspect of addressing the unique needs of individuals with multiple disabilities is providing emotional and social support. Individuals with multiple disabilities may experience feelings of isolation or frustration related to their disabilities. Providers can help individuals to develop natural supports, such as friendships or mentor relationships, and provide emotional support to help individuals cope with the challenges they may face.

Finally, ISS providers can address the unique needs of individuals with multiple disabilities by engaging in ongoing training and education related to the care of individuals with multiple disabilities. Providers can participate in specialized training and education programs to gain a deeper understanding of the unique needs and challenges faced by individuals with multiple disabilities.

How Can ISS Providers Promote Socialization And Community Integration?

Individualized Skills and Socialization (ISS) is a new service that is designed to provide more person-centered care for individuals with disabilities. One of the key goals of ISS is to promote socialization and community integration for individuals with disabilities. Socialization and community integration can provide individuals with disabilities with a sense of belonging and connectedness, as well as opportunities to develop and practice a variety of skills.

ISS providers can promote socialization and community integration in several ways. First, providers can work with individuals to identify social and recreational activities that align with their interests and abilities. This may involve participating in community events or activities, such as sports teams or music groups, or developing social connections with peers in similar situations.

Another way that ISS providers can promote socialization and community integration is by emphasizing the importance of inclusive communities. Inclusive communities are communities that are welcoming and accommodating to individuals with disabilities, and provide opportunities for socialization and community involvement. Providers may work with individuals to identify inclusive communities in their area, such as community centers or religious organizations, and provide support and encouragement to participate in these communities.

ISS providers can also promote socialization and community integration by providing opportunities for skill-building and vocational training. By participating in vocational training or volunteer work, individuals with disabilities can develop important skills such as teamwork, communication, and problem-solving, while also building social connections with peers and mentors.

Another important aspect of promoting socialization and community integration is providing opportunities for individuals to develop natural supports. Natural supports are relationships that individuals develop within their communities, such as friendships, romantic relationships, or mentor relationships. Providers can work with individuals to identify opportunities to develop natural supports, such as participating in community events or activities, or connecting with mentors or role models.

Finally, ISS providers can promote socialization and community integration by engaging in ongoing training and education related to the care of individuals with disabilities. Providers can participate in specialized training and education programs to gain a deeper understanding of the unique challenges and opportunities related to promoting socialization and community integration for individuals with disabilities.

How Can ISS Providers Ensure That Individuals Have Access To Quality Care?

Individualized Skills and Socialization (ISS) is a new service that is designed to provide more person-centered care for individuals with disabilities. ISS providers have a responsibility to ensure that the care they provide is of high quality. Quality care is care that is safe, effective, patient-centered, timely, efficient, and equitable.

ISS providers can ensure that individuals have access to quality care in several ways. First, providers can work with individuals and their families to develop a comprehensive plan of care that addresses all of their needs and preferences. Providers may work with other professionals such as therapists or vocational counselors to ensure that individuals have access to the resources they need to achieve their goals.

Another way that ISS providers can ensure quality care is by implementing evidence-based practices. Evidence-based practices are practices that have been shown through research to be effective in improving outcomes for individuals with disabilities. Providers can stay up-to-date with the latest research and best practices in the field by participating in ongoing training and education programs.

ISS providers can also ensure quality care by promoting patient safety. Providers can implement strategies to prevent falls, infections, and other adverse events that may occur during care. Providers can also implement strategies to ensure that individuals receive the appropriate medications and treatments at the appropriate times.

Another important aspect of ensuring quality care is promoting patient-centered care. Patient-centered care is care that is respectful of and responsive to the preferences, needs, and values of the individual receiving care. Providers can work with individuals to identify their goals and preferences for care, and develop a plan of care that aligns with these goals and preferences. Providers can also involve individuals in decision-making related to their care, and seek their feedback and input on an ongoing basis.

ISS providers can also ensure quality care by engaging in continuous quality improvement. Continuous quality improvement is a process of ongoing evaluation and improvement of care. Providers can use data and feedback from individuals and their families to identify areas for improvement and implement changes to improve care.

Closing Thoughts

In conclusion, Individualized Skills and Socialization (ISS) is a new service that will replace day habilitation in the Home and Community-Based Services (HCS), Texas Home Living (TxHmL), and Deaf-blind with Multiple Disabilities (DBMD) waivers starting March 1, 2023. ISS differs from day habilitation in several ways, including its focus on person-centered care, skill-building, community integration, and socialization; its delivery on an individual or small-group basis in the community or in the individual’s home; and its more flexible funding structure. ISS has the potential to improve outcomes and promote greater independence and quality of life for individuals with disabilities.

About the Community Inclusion Program

At the Community Inclusion Program, we offer a range of services and programs that are designed to meet the unique needs of each individual we serve. These include day habilitation services, educational programs, social and recreational activities, and more. We also provide support and resources for families and caregivers, including respite care services, advocacy and training opportunities, and other forms of assistance.

Our team is comprised of compassionate and experienced professionals who are dedicated to improving the lives of the individuals we serve. We believe in the power of community inclusion and are committed to helping our program participants live as independently as possible in their communities. We are proud to be a part of the vibrant community in [location], and we look forward to continuing to make a positive impact on the lives of individuals with disabilities and their families for years to come.


About the Author

Mary Jenkins is a highly experienced advocate for individuals with IDD, having helped them live and thrive in their communities for over 25 years. In 2007, she founded Above and Beyond Caring, a Texas-based company providing HCS services in the Gulf Coast area. She now serves as the Director of the Community Inclusion Project, a nonprofit organization dedicated to ensuring access to the community for individuals with intellectual and developmental disabilities.

Passionate about her work, Mary believes that everyone deserves to be a valued member of society. Throughout her career, she has been a tireless advocate for individuals with IDD and is committed to helping them lead fuller, more meaningful lives.


You may also like