This tool kit is designed for the new executive director of a Center for Independent Living (CIL) and its purpose is to focus attention on the most important aspects of the job. Concrete action steps are provided in easy to use checklists, bullet points, and dos and don’ts organized to help the new ED. The 17 sections of the tool kit provide information on a range of topics including the definition of a CIL, budget and finance, engaging and supporting the board of directors, strategic planning, and many more.
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Congratulations on your new position as executive director of a Center for Independent Living (CIL)!
Several of us compiling this tool kit have been where you are and know that you are probably experiencing an overwhelming mix of conflicting emotions: excitement, curiosity, accomplishment, eagerness to get started, fear, anxiety, inadequacy, maybe even panic.
Not only do you have to deal with the complexities of running a nonprofit—financial management, personnel management, resource development, marketing, and public relations—you have to meet the unique standards for and challenges of directing a CIL. These include ensuring people with disabilities comprise a majority of the staff and board, assisting individuals with significant disabilities to set and meet goals, and bringing about systems change and equal access both within your CIL and in the larger community. A CIL deals with issues that people with disabilities face throughout the lifespan, from education and healthcare to housing and personal assistance and everything before, between, and beyond. That is a lot to wrap your head around.
The good news is that you don’t have to do this alone. As soon as you can, get connected with your Program Officer, ILRU, and—if you are in a Part B Center or a 723 state—with your Designated State Entity:
The purpose of this tool kit is to focus your attention on important aspects of your job that you need to know about early on and that might get lost in the daily conflicting demands for attention. Concrete action steps are provided in easy-to-use checklists, bullet points, and dos and don’ts organized to help you quickly find what you are looking for. For example, here are some Suggested Dos and Don’ts for New Executive Directors that our Technical Assistance (TA) team put together.
This tool kit is not intended to answer all of your questions. Contact us and the other resources listed above if you need more information.
We look forward to working with you and seeing you succeed!
[1] Section 723 of the Rehabilitation Act, as amended, authorizes grants to CILs in states in which state funding equals or exceeds federal funding.
The 1978 amendments to the Rehabilitation Act authorized the establishment of the Independent Living Program, which includes the Centers for Independent Living (CILs), with principles founded on a “philosophy of consumer control, peer support, self-help, self-determination, equal access, and individual and system advocacy, in order to maximize the leadership, empowerment, independence, and productivity of individuals with disabilities, and the integration and full inclusion of individuals with disabilities into the mainstream of American society….”
The following is the official definition of a CIL which is found in the Rehabilitation Act, as amended (the Act) and Part 1329 of the Independent Living Program regulations[1]:
Center for Independent Living means a consumer-controlled, community-based, cross-disability, nonresidential, private nonprofit agency for individuals with significant disabilities (regardless of age or income) that is designed and operated within a local community by individuals with disabilities; provides an array of IL services as defined in Section 7(18) of the Act, including, at a minimum, independent living core services as defined in this section; and complies with the standards set out in Section 725(b) and provides and complies with the assurances in section 725(c) of the Act and the regulations at §1329.5.
Let’s break that definition down into its important requirements.
The term “consumer control” means, with respect to a Center or eligible agency, that the Center or eligible agency vests power and authority in individuals with disabilities, including individuals who are or have been recipients of IL services, in terms of the management, staffing, decision making, operation, and provision of services. Consumer control with respect to an individual, means that the individual with a disability asserts control over his or her personal life choices, and in addition, has control over his or her independent living plan (ILP), making informed choices about content, goals and implementation.[2] [Emphasis added.]
CILs are unique in that they are led and operated by the people they serve—the disability community. Leaders of CILs don’t just learn about disability; they live it. More than 50% of the CIL’s staff positions and more than 50% of decision-making positions are filled by persons with disabilities, and more than 50% of the board of directors are persons with significant disabilities. Disabilities are self-disclosed—no medical diagnosis or proof is required—but it is essential that people with disabilities control the CIL and that individuals with disabilities control their own lives and planning.
Consumer control on the individual level means that a person with a disability seeking services from a CIL is assumed to be the “expert,” the person with the most knowledge about their condition, circumstances, abilities, experience, and desires.
Language in the definition of a CIL above relating to this and to consumer control includes:
…is designed and operated within a local community by individuals with disabilities.
A CIL should assess and respond to the needs of people with disabilities in their service area. CILs should be seen as part of the community, participating in community events and contributing ideas and expertise to the development of the community.
Statewide Independent Living Councils (SILCs) were created, not to supervise or monitor CILs, but to coordinate the assessment of needs of people with disabilities across all of the communities within the state. The primary method for doing this is the State Plan for Independent Living (SPIL), which is a blueprint developed every three years in collaboration with the CILs in the state to identify goals and objectives, unserved and underserved populations, geographic locations, and a method for evaluating the implementation of the SPIL.
From the state level to your local community, you should be able to see how the CILs are part of the community rather than part of a larger bureaucracy. For this reason, CILs may have a different approach or style from city to city as they reflect the needs of their local communities.
Cross-disability means, with respect to services provided by a Center, that a Center provides services to individuals with all different types of significant disabilities, including individuals with significant disabilities who are members of unserved or underserved populations by programs under Title VII. Eligibility for services shall be determined by the Center, and shall not be based on the presence of any one or more specific significant disabilities.[3]
CILs need to ensure that the environment and services are designed so that people with all types of disabilities — intellectual and developmental disabilities, psychiatric disabilities, sensory disabilities, invisible disabilities, multiple chemical sensitivities, etc. — can participate and benefit. Staff and board members should also reflect the diversity of disability. Policies, procedures, and budget should promote the provision of all types of accommodations, such as a fragrance-free policy; alternate formats for print; interpreters and other modalities for effective communication; etc.
Although accessible, affordable, integrated housing is a critical need, CILs do not provide housing. They are dedicated to assisting people to find their own housing. In other words, CILs empower people with disabilities to advocate for the services and supports they need to live in the community of their choice. If such services do not exist, the CIL—through systems advocacy—can work with consumers to effect change and garner publicly-funded programs.
Centers are expected to be part of the nonprofit sector in the community. That doesn’t mean that they can’t have earned income; it just means that they are not established for the purpose of making a profit or sharing profits with shareholders. Indeed, CILs are required to conduct resource development activities to leverage their funds, an activity from which the majority of other types of federal grantees are barred. Private means that CILs are not part of any governmental entity.
The Act also designates core services that every Center must provide, and other services that they may provide. Required core services include information and referral; individual and systems advocacy; peer support and peer counseling; independent living skills training; transition from nursing homes and other institutions to community-based living; transition of youth who have completed secondary education to postsecondary life; and diversion from institutional living (providing assistance to those who are at risk of entering institutions so that the individuals remain in the community).
As you can see, CILs are NOT just another worthy community agency providing services to unserved and underserved populations. CILs must reflect the core values and clearly have consumer control at all levels. This was a radical concept over 40 years ago and still is today. There are still only a few other agencies directed by those from the groups they serve. Consumer control is generally not part of most agencies providing services and support to individuals with disabilities.
Consumer control is about who makes the choices—it does not mean that those choices are unlimited. There are rules that CILs must follow in order to maintain their status as nonprofit organizations. There are restrictions on how federal and state funds can be expended. At times, tension may arise between consumer, staff and board priorities, and federal and state regulations. Abiding by those regulations and maintaining good standing as a nonprofit and a federal or state grantee benefits people with disabilities in our communities. In this way, we can continue to ensure that people with disabilities are at the table when those regulations are defined and that the choices become less limited.
[1] 45 CFR 1329.4
[2] Ibid.
[3] Ibid.
The Independent Living Program is based on a philosophy that sets forth a way of thinking and living. It is also a statutory program guided by Standards and Assurances. These Standards and Assurances show consumers, funders, legislators, communities, and other stakeholders that a CIL is accomplishing what it was created and funded to do. In Independent Living, there is no aspect of a CIL that is more important than integrating the IL philosophy into all CIL operations.
Independent Living Program Regulation 45 CFR §1329.5:
To be eligible to receive funds under this part (Independent Living Services and Centers for Independent Living), a Center must comply with the standards in section 725(b) and assurances in section 725(c) of Title VII of the Act.
The Center shall promote and practice the independent living philosophy of—
The Center shall provide IL services to individuals with a range of significant disabilities. The Center shall provide services on a cross-disability basis (for individuals with all different types of significant disabilities, including individuals with significant disabilities who are members of populations that are unserved or underserved by programs under Title VII of this Act).
The Center shall determine eligibility for IL services. The Center may not base eligibility on the presence of any one or more specific significant disabilities.
The Center shall facilitate the development and achievement of independent living goals selected by individuals with significant disabilities who seek such assistance by the Center.
The Center shall work to increase the availability and improve the quality of community options for independent living in order to facilitate the development and achievement of independent living goals by individuals with significant disabilities.
The Center shall provide independent living core services and, as appropriate, a combination of any other independent living services.
The Center shall conduct activities to increase the capacity of communities within the service area of the center to meet the needs of individuals with significant disabilities.
The Center shall conduct resource development activities to obtain funding from sources other than this chapter [Chapter 1 of Title VII of the Act].
The eligible agency shall provide at such time and in such manner as the Administrator may require, such satisfactory assurances as the Administrator may require, including satisfactory assurances that—
In order to do business with the U.S. government, you will need to be able to access a number of online systems. As a new executive director, you will need to make sure your name is registered in all the necessary accounts. Here are some sites or departments where you need to register.
Your board of directors should have already notified your CIL’s Program Officer (PO) at the Administration for Community Living, Office of Independent Living Programs (OILP) that you have been appointed as executive director. Sometimes boards don’t realize they have that responsibility, so make sure your PO has been notified in writing (email is acceptable). To find out who your PO is, go to https://acl.gov/programs/aging-and-disability-networks/centers-independent-living, scroll down about two-thirds of the way to the highlighted items, and click on the link for “Office of Independent Living Programs Contact List.” The states are listed for each region. If the Program Officer states they have not received this notice from the board, you will need to have your board chair contact the Program Officer to confirm your appointment in the position.
One of the systems you will need to register in and become familiar with right away is the Payment Management System (PMS), a centralized payment and cash management system where grant recipients draw down funds and file the Federal Financial Report (FFR). The PMS Program Support Center at https://pms.psc.gov/ has links for requesting access (creating an account) and changing access. There is also a link to the PMS User Guide. The ONE-DHHS Help Desk is available weekdays from 7 a.m. to 9 p.m. ET (except Federal Holidays) to respond to questions regarding the PMS application, assist users having difficulty navigating through PMS application system menus and processes, and reset PMS user passwords. Email them at PMSSupport@psc.hhs.gov or access more services (including Frequently Asked Questions) using the Self-Help Web Portal at PMS Help Desk | HHS PSC FMP Payment Management System (https://pms.psc.gov/support/help-desk.html).
If your Center for Independent Living receives a direct grant from Health and Human Services (HHS) through ACL, then someone in your organization draws down funds through the Payment Management System to be directly deposited in your CIL’s bank account. This process is getting a lot of attention from the OILP, so it’s essential to know what you can and cannot do.
The Office of Management and Budget requires applicants to provide a Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS) number when applying for federal grants or cooperative agreements. It is a unique, nine-digit identification number. The DUNS number is free and easy to obtain, and your CIL has one if you have been receiving federal funds. If you do not know what your CIL’s DUNS number is, you can look it up at https://www.dnb.com/duns-number/lookup.html.
In order to do business with the U.S. Government, your organization must create/maintain a user account in the System for Award Management (SAM) (https://www.sam.gov/).
You can use this site for FREE to:
To register in SAM, at a minimum, you will need the following information:
If your CIL receives or has applied for federal funds, it is likely that you have a SAM account. You may need to renew your registration (it needs to be renewed at least annually), but you do not need to create a new account.
You can quickly check your CIL’s registration status in SAM by entering a DUNS Number. The SAM Status Tracker will show you the current status of your CIL’s most recent record.
If your CIL has a SAM account and you are a new director, you may need to change your authorized Entity Administrator. When registering or renewing your registration, you must submit a notarized letter signed by the board appointing the authorized Entity Administrator.
For FREE help registering in SAM, contact the supporting Federal Service Desk (FSD) (https://fsd.gov). For information on the notarized letter, go to the FSD and click on “Top Help Topics” at the top of the page.
SAM is an official website of the U.S. government. There is no cost to use SAM. There are those that will offer to manage this for you for a hefty fee. That is not necessary.
As a grantee from ACL and HHS, you will need to have an account on GrantSolutions (https://home.grantsolutions.gov/home/) to upload annual documents accepting your Part C award, applying for continuation funding, and for certain portions of ACL’s compliance monitoring.
You can contact the GrantSolutions Help Desk at help@grantsolutions.gov or (866) 577-0771 if you have difficulty locating or uploading documents.
Remember, you can always contact your Program Officer directly with any questions related to your Part C grant.
The assurances in Section 725(c) of the Act require that CILs “use sound organizational and personnel assignment practices” and “practice sound fiscal management.” To meet these and the numerous other requirements of grant and nonprofit management, CILs need to develop written policies and procedures, starting with a well-thought-out set of bylaws. In addition to bylaws, most nonprofits also have fiscal and personnel policies that guide the day-to-day functions conducted by the ED and the staff. The CILs with the strongest management practices also have policies concerning disaster planning, strategic planning, board policies for meetings, grant applications or other resource development, and a variety of other matters. Certain additional policies can be incorporated into the fiscal policies (such as risk management processes) and the personnel policies (such as a code of ethics for staff). An efficient way of providing all CIL policies to board and staff is with a policy handbook. Policies provide structure that, when operational, assures reasonable oversight of the Center.
Do not adopt what you cannot follow. Any external audit of your CIL, including those by either your Designated State Entity or by the Office of Independent Living Programs, will examine not only your written policies, but also your implementation of them. Make sure that you fully implement any policy you adopt.
Before developing policies and procedures, your board must establish the processes the board and staff will use to fashion new policies and procedures or revise existing ones. Policies and procedures will require review and updating on a regular basis. Doing this routinely is preferred to only reviewing them when there a problem.
Bylaws—As a legally incorporated 501(c)(3) organization, your CIL will already have in place a set of bylaws. Bylaws are the rules and procedures that your CIL must follow to ensure legality and productivity. As with all policy documents, bylaws should be reviewed regularly and amended when necessary for your CIL’s efficient operations. There are many resources on the Internet that provide helpful tips on what should and shouldn’t be in a set of bylaws, including example templates you can work from.
Fiscal Policies—The IL-NET Sample Fiscal Policies and Procedures Handbook contains a complete set of example policies and procedures that your CIL can use as a template to develop your own. The example policies will need to be modified to fit your CIL’s specific circumstances, but they will provide you and your board with a framework to get started (https://www.ilru.org/il-net-sample-fiscal-policies-and-procedures-handbook).
Personnel Policies—Because personnel law varies so much from state to state, the IL-NET cannot provide specific guidance on what your CIL policies will need to include. You should consult a local authority, such as an attorney or a nonprofit management center, for information on specific personnel policy requirements in your state.
Typically, bylaws, fiscal policies, and personnel policies address the broad subjects in the lists. Items marked with an asterisk (*) are required by ACL.
These lists cover broad subject areas and are not intended to be detailed or exhaustive. Other policies and procedures—such as those related to service delivery and Consumer Information Files (https://www.ilru.org/topics/consumer-information-files)—are required and necessary but are beyond the scope of this tool kit. Please see the resources below for more in-depth information on policies and procedures. References to policies and procedures can also be found in Sections 5 (Budget and Finance), 8 (Intersection of Disability and Diversity), 9 (Engaging and Supporting the Board of Directors), 10 (Compliance and Independent Financial Statement Audits), 11 (Risk Management), 13 (Strategic Planning), 14 (Advocacy vs. Lobbying) and 16 (Staff Retention).
While necessary, policies are only worth the paper they are written on if they are not accompanied by procedures—detailed instructions on how to implement the policies. Procedures describe the steps that staff and board will take to carry out the intent of the policy. Procedures can define vague terms that sometimes appear in policies, such as “notify your supervisor in a timely and appropriate manner.” What is “timely”? Does that mean a week before (such as requesting leave), a day before, an hour before? What is “an appropriate manner”? Is that a phone call, an email, a face-to-face meeting, a form that needs to be filled out, all of the above?
Procedures make it possible for anyone coming into the organization to understand how things are done. If the bookkeeper or accountant is on vacation or called away suddenly, the steps for bank reconciliation or running payroll will be available and those important processes can still be carried out.
[1] Adapted from Heveron, J. F., McElwee, P. L., Petty, R., Jones, D. L., IL-NET Sample Fiscal Policies and Procedures Handbook: A Set of Policies and Procedures with Annotations for Use in Training for Centers for Independent Living. Houston: Independent Living Research Utilization, 2020.
Managing the finances of a CIL is one of the most challenging aspects of being an executive director (ED). Mistakes in this arena can have legal and monetary consequences. You need to understand the requirements and limitations of each funding stream that your CIL has. A support team of knowledgeable and trustworthy staff and board members is essential.
While a primer on accounting principles is beyond the scope of this tool kit, we do want to address a few topics that a new ED should keep in mind. And at your earliest opportunity, you should read two publications produced by the IL-NET: IL-NET Sample Fiscal Policies and Procedures Handbook: A Set of Policies and Procedures with Annotations for Use in Training for Centers for Independent Living and Financial Management for Centers for Independent Living. Information is listed below for how to access these training materials.
CIL Fiscal Policies and Procedures—The first key question you need to answer is the status of the CIL’s fiscal policies and procedures. If your CIL doesn’t have a set of policies, developing this document needs to be a priority for you and the board.
If there is an existing set of policies, when were they last reviewed and updated? Regulations and guidance from the federal government have changed over the past several years and you need to make sure your policies are consistent with legal requirements. The CIL’s procedures likely have changed as well, as staff get better at what they do. Policies and procedures need to be current, and they should focus primarily on four areas: approval and authority, physical security, proper documentation, and regular checks and balances to allow for early detection of fraud or human error. The sample policies handbook mentioned above will provide you with a step by step approach to developing policies and procedures. (See also Section 4.)
Finance Committee—Establish a board finance committee if your organization doesn’t already have one. Nonprofit organizations need committees to do the more detailed work of the board of directors. Some committees are optional and created at the discretion of the organization; however, a finance committee is essential. This committee has a key role in fiscal oversight of the CIL, including more detailed review of financial statements, budgets, and contracts, and giving a summary and opinion of their recommendations to the full board.
Determine and document fiduciary roles and responsibilities for board committees, the board, executive director, and accountant or bookkeeper regarding fiscal matters. Following are lists of typical roles.[1]
In Nonprofit Management 101, David Greco, President and CEO of Social Sector Partners, writes, “A budget is an organizational plan that helps to allocate resources, provide a road map, allow the nonprofit to monitor progress, and set and clarify goals.”[7]
The CIL needs an annual budget that identifies all the sources of revenue and expense that the organization will utilize during its upcoming fiscal year. It is also useful to have a budget for each funding stream or program to ensure that funds are being allocated properly.
The annual budget includes two basic elements:
In addition to these two broad categories, the annual budget identifies three sections:
Costs in the annual budget for the nonprofit typically include five major categories:
For more detail on these categories and other budgeting considerations, please refer to Financial Management for Centers for Independent Living.
Uniform Administrative Requirements 45 CFR 75.521 Appendix IX Indirect Cost Identification and Assignment and Rate Determination for Nonprofit Organizations establishes the principles for determining costs of grants, contracts, and other agreements with the federal government. The guidance addresses allocation of direct costs—those that can be identified specifically with a specific funding source; and indirect costs—those that have been incurred for common or joint objectives and cannot be readily identified with a particular final cost objective. Examples of indirect costs are leadership and administrative salaries, board expenses, common space expenses, legal and insurance costs, and facility maintenance.
Currently, HHS requires all Part C-funded CILs with more than one cost objective, regardless of size, to submit an indirect cost rate proposal to describe how costs are allocated, and to obtain an approved indirect cost rate unless they can allocate everything directly to each of their cost objectives (and can prove it, which is difficult). As ED, you may want to discuss this with your ACL/OILP Program Officer. Use this resource(https://www.ilru.org/training/how-prepare-indirect-cost-rate-proposal) to develop an indirect cost rate proposal.
An indirect cost rate is a means for determining the proportion of indirect or shared costs each program should bear. It is expressed as a ratio: indirect cost pool/direct costs. Indirect Cost Rate Proposals must be approved by the “cognizant agency” prior to implementation. In the case of Centers for Independent Living, this agency is HHS.
All Part C CILs should be doing resource development, which becomes a distinct cost objective. For that reason, even small CILs probably have at least two cost objectives; consequently, ALL Part-C CILs are required to obtain an indirect cost rate unless they qualify for and elect the 10% de minimis rate. De minimis rate is an opportunity for organizations that do not have a current indirect cost rate agreement to receive an indirect cost rate of 10 percent of modified total direct costs.
The indirect cost rate is critical to the fiscal well-being of your CIL. Take the time to understand how your CIL developed its indirect cost rate, and get technical assistance as needed. Don’t just assume that the methodology and calculations are correct. It is a complicated issue, but well worth your time and effort to ensure your CIL has an appropriate and approved rate. The three webinars in the Resources for a Deeper Dive should be helpful in getting you started.
Grant funding can only be used for the purposes and the time period for which it was granted. In other words, those funds are restricted.
All of the programs of a CIL contribute to the same big picture goal of increasing independence and community options for people with disabilities, and when you are immersed in day-to-day competing priorities and trying to help real people solve real problems, it may seem reasonable to use money from that program’s budget to meet a shortfall in this program’s budget, because after all we are all working toward the same goal. Do not do this. Absolutely, do not do this.
Using restricted funds to pay for something other than the use for which they were designated can cause you, your board, and your CIL a lot of legal and financial headaches and heartaches from which it may not be easy to recover.
[1] Adapted from Heveron, J. F., McElwee, P. L., Petty, R., Jones, D. L., IL-NET Sample Fiscal Policies and Procedures Handbook: A Set of Policies and Procedures with Annotations for Use in Training for Centers for Independent Living. Houston: Independent Living Research Utilization, 2020.
[2] Many organizations have the treasurer or board officer co-sign checks or co-sign checks above a specified amount determined by the board.
[3] The Accountant/Bookkeeper may be a staff member or an outside contractor. The roles and functions are the same in either case.
[4] Most nonprofits engage an outside CPA firm to prepare these filings.
[5] As required by regulations or determined by the board, a separate outside CPA firm may be engaged to perform audits or reviews of the organization’s financial statements.
[6] The firm that prepares filings or conducts other ongoing work for the CIL should not be the firm that conducts an annual audit.
[7] Rodriguez Heyman, D. and Brenner, L. (Eds.). Nonprofit Management 101: A Complete and Practical Guide for Leaders and Professionals, Second Edition. Hoboken, NJ: John Wiley & Sons, Inc., 2019, p. 219.
The Administration for Community Living (ACL) was created by the U.S. Department of Health and Human Services (HHS) in 2012. ACL brings together the efforts and achievements of the Administration on Aging (AoA) and the Administration on Disabilities (AoD), and others, to serve as the Federal agency responsible for increasing access to community supports, while focusing attention and resources on the unique needs of older Americans and people with disabilities across the lifespan.
The ACL’s Office of Independent Living Programs (OILP) administers and awards the federal funds for CILs and SILCs. All references in the Act to the “Independent Living Administration” and “administrator” are fulfilled by the ACL/OILP. As part of the ongoing responsibility to ensure the proper stewardship of federal funds, ACL/OILP provides oversight and monitoring for CILs and SILCs which includes:
ACL/OILP has identified Program Officers (PO) for each CIL and for all the SILCs/DSEs (Designated State Entities). The PO is also the individual who will review your Program Performance Report annually. This report is submitted for the prior fiscal year and is due no later than December 31 following year-end. If there are changes needed to this report, you will hear from your PO.
The Standards and Assurances for CILs provide the framework for keeping your CIL on track with both legal compliance and operational excellence. They serve as the basis for the monitoring tool that the OILP uses to determine whether CILs receiving federal funds are in compliance with the law and with the terms of their funding award.
Your CIL can use the same tool to evaluate yourselves as you strive for excellence in compliance with regulations and adherence to your own plans and policies.
Before we talk about the tool and process, let’s talk about why striving for excellence is important. And remember, excellence is not the same thing as perfection. Perfection is an unreachable goal. Excellence is absolutely achievable.
Excellence is the state of possessing good qualities to an outstanding degree. Quality can mean different things to different people, but the definition usually includes some or all of the following[1]:
Focusing on quality enables a CIL to answer these questions:
The ability to answer these questions demonstrates that you are having the impact you want to have on your communities—people with disabilities having options and making choices about how and where they want to live and contribute to their communities. Being able to give a resounding “Yes!” answer to these questions demonstrates excellence.
CILs are part of a movement. Movements seek to change the world. Weak, ineffectual, or dishonest Centers contribute to society’s negative perceptions about people with disabilities. Mediocre CILs will not facilitate change in their community. You must define and demonstrate quality to change the world.
Federal oversight of CIL grantees includes four broad components:
The OILP uses a three-tier system to evaluate and monitor CIL grantees:
The Compliance and Outcome Monitoring Protocol (COMP) is the guide used to conduct CIL oversight and monitoring. The protocol and CIL Evaluation Tool are resources for OILP staff, CILs, and non-federal reviewers. The COMP guide and companion tools can be found on ACL’s IL COMP web page listed below.
The purpose of the COMP is to improve program performance.
Even if you aren’t informed of a formal review, you can use the evaluation tools and other COMP materials to conduct a self-evaluation and identify any areas where you feel improvement is needed NOW.
Compliance is the foundation for building and measuring quality.
As you and other staff and board members conduct a self-review using ACL’s tools:
[1] https://www.qualitydigest.com/magazine/2001/nov/article/definition-quality.html
Disability and diversity are two words that CILs know well. One of the basic definitions of a CIL is that it is cross-disability and inclusive. But, disability is only one of the identity groups with which individuals identify. CILs are required to conduct aggressive outreach to unserved or underserved populations, especially minority groups and urban and rural populations.[1] Every three years, the State Plan for Independent Living in each state must identify unserved and underserved populations and set goals and objectives for outreach to those populations.
To reach the full community of persons with disabilities, CILs must address the overlapping or intersecting social identities of the CIL’s stakeholders. Race, disability, gender—all identities—do not and cannot exist separately from each other.
According to the Centers for Disease Control (2018), one in four (25%) Black people experience disability, three in ten (33%) American Indian/Alaskan Natives, one in five (20%) White people, one in six (16.66%) Latinx, one in six (16.66%) Native Hawaiian/Pacific Islanders, and one in ten (10%) Asians.[2] Movement Advancement Project estimates that between three and five million people in the LGBT community have disabilities.[3]
There is a growing body of evidence that people with disabilities who are also members of other marginalized groups experience a multiplier effect on the barriers they face to achieving independence and self-determination. The HHS Advisory Committee on Minority Health reported in 2011 that, “As people with disabilities and people of racial/ethnic minority status face health and healthcare disparities that put them at a disadvantage in their quality of life compared to their counterparts, the health and wellness of these populations are public policy concerns that warrant increased attention and action. It is particularly important to raise awareness about the dual burden of inequities that minorities with disabilities face.”[4]
LGBTQ youth with disabilities report high rates of harassment and are more likely to be bullied or harassed than students without disabilities.[5] Research finds that LGBT[6] people are more likely to have a mental health disorder in their lifetimes, including mood disorders such as depression, anxiety, and substance use disorders.[7]
CILs must be intentional in the way they organize themselves and conduct business. The board of directors, administration, staff, and volunteers must be reflective of the CIL’s community. Organizational infrastructure must provide the necessary framework to effectively address disability, diversity, and intersectionality.
Fortunately, CILs have been making progress in their services, programs, and outreach for racially, ethnically, culturally, and linguistically diverse groups. In the 2017-2019 “Disability, Diversity, and Intersectionality” project, ILRU identified a number of practices that CILs have implemented that have given them more traction with the diverse groups represented in their communities. Some of these practices are listed below.
[1] Title VII, Section 725 (c)(10)
[3] Movement Advancement Project. July 2019. LGBT People with Disabilities. https://www.lgbtmap.org/lgbt-people-disabilities.
[4] http://minorityhealth.hhs.gov/assets/pdf/checked/1/acmhhealthdisparitiesreport.pdf
[5] Kosciw, J. G., Greytak, E. A., Zongrone, A. D., Clark, C. M. & Truong, N. L. (2018). The 2017 National School Climate Survey: The experiences of lesbian, gay, bisexual, transgender, and queer youth in our nation’s schools. New York: GLSEN.
[6] The variations in the initials LGBT and LGBTQ reflect the usage in the references cited here. It is recommended that for overall CIL purposes (policies, materials, etc.) that LGBTQIA+ be used to reflect the broad range of individuals to be considered and involved.
[7] See, for example, Medley, G. et al. (2016). Sexual Orientation and Estimates of Adult Substance Use and Mental Health: Results from the 2015 National Survey on Drug Use and Health. NSDUH Data Review; Russell, S. T. and Fish, J. N. (2016). Mental Health in Lesbian, Gay, Bisexual, and Transgender (LGBT) Youth. Annual Review of Clinical Psychology 12:465-487.
[8] Title VII, Section 725 (c)(11)
How well your board of directors functions will have a big impact on your ability to do your job as executive director. You need to know up front that working with your board will take a great deal of your time. If you don’t dedicate the time and attention necessary to support your board to do its job effectively, it may well affect your job satisfaction and longevity in your position.[1] Board members are volunteers with limited time. They serve for a specified period of time (depending on your bylaws) and then they rotate off. A systematic process for recruitment, orientation, and training of new board members will enrich and expand the recruitment pools targeted and is required by ACL. Once onboard, new members need to be engaged, informed, and supported.
Board members are human beings. They may forget things, make mistakes, miss meetings, or fail to complete tasks. However, there are ways to enhance the performance and improve the relationship with your board. It starts with you as the ED being proactive.
CIL boards are different from most other nonprofit boards because they must be consumer controlled. The majority of the members must be people with significant disabilities. This requirement has distinct challenges in recruitment: finding people who identify as a person with a significant disability, who also have the time and interest to attend meetings, and have expertise to share. The individual is not required to disclose the nature of their disability, only to certify that they do have a significant disability. And you and the board together must ensure that all meetings, buildings, geographic locations, and materials are accessible to every member.
If you get into a tug of war with the board about who’s in charge, your lives will be more frustrating than they need to be and the CIL will lose. Make sure that you as ED know the difference between governance/oversight and management/administration. Then you can help the board to stay on track. When there’s a mismatch of understanding, mismanagement and micromanagement can easily follow. Yes, the board is ultimately responsible for the CIL, but it is you who manages the day-to-day functions. Here is a handy list you can share with board members and reference yourself.
[1] Bell, J. et al. (2006) Daring to Lead 2006: A National Study of Nonprofit Executive Leadership, CompassPoint Nonprofit Services and The Meyer Foundation, pg. 9.
The type of audit your CIL needs depends on the amount of federal funds the Center spends.
CILs that spend at least $750,000 in federal funds in a year are required to have a single audit of all federal funds, or compliance audit. These include:
Auditors must test whether the organization complied with the terms of federal awards, and whether they have proper controls over that compliance, such as training of staff and internal verification. Compliance includes whether individuals being served are eligible for that service, whether services are performed during the time frame required by the grant, and whether cash management requirements are in place and followed. Single audits must be submitted to the Federal Audit Clearinghouse along with a data collection form, Form SF-SAC. (See 45 CFR 74.512.)
CILs that spend less than $750,000 in federal funds in a year can secure a less expensive financial statement audit, which assures your funders that your financial statements are an accurate portrayal of your finances. This includes an auditor’s report called an Opinion Letter. The Opinion Letter issued by the CPA to the board states an “opinion” as to whether the financial statements fairly report the organization’s activities (income and expenses) and cash flows for the year, and assets, liabilities, and net assets at year-end based on generally accepted accounting principles (GAAP). A letter that positively states this is referred to as an unmodified or a “clean opinion.” If there are “material issues” that indicate compliance issues or GAAP standards that are not followed, then a “qualified” report or disclaimer of opinion stating the issues found is reported. This is a serious matter that will require board and management attention to the points identified in the audit. These may be resolved in a relatively short time or may require a more “systemic” approach to rectifying the cited concerns.
If a CIL does not spend $750,000 in federal funds, a compliance audit cannot be paid for with federal funds. However, a financial statement audit can be paid for with such funds if the CIL secures prior approval and if the expense is properly allocated across cost objectives or funding sources.
Most audits will also include a management letter (auditors call it a “required communications letter”) that offers suggestions by the auditor, which are intended to strengthen the fiscal practices of the organization.
By law, an independent audit can only be conducted by an outside CPA or CPA firm. The audit should occur as soon as possible after the close of your fiscal year. The auditor will also typically file your IRS Form 990 on your behalf. You should have it done annually, and it is required in order to keep your 501(c)3 status with the IRS. If you lose that status, you lose eligibility to receive Title VII funds.
It is important to recognize that an audit committee or the board selects and contracts with the CPA for the audit, not the executive director. You can collect bids and provide them to the board for their decision, but it should be explicit and clear that the board retains the auditor. The auditor should report any findings directly to the board when the audit is complete. Once the auditor is selected, it is a good practice to receive a written proposal from the CPA in an engagement letter, which is accepted and signed by the president and/or treasurer of the board.
You will want to review past audits as you get a handle on financial matters. Here is a quick overview of audited financial statements and what to look for when reading them.
This is addressed to the board and is dated when the audit was completed and accepted by management. This report has headings, and one of the headings is “opinion.” If what follows is anything other than the standard language “in our opinion the financial statements described above present fairly ....,” you have cause for concern, and you should investigate what led to that modified opinion.
Understanding Financial Responsibilities of Nonprofit Boards, 3rd Edition(https://boardsource.org/product/financial-responsibilities-nonprofit-boards-third-edition/). BoardSource is one of the most highly regarded sources of support for nonprofit boards. Available for purchase for $29.00.
[1] John F Heveron, Jr., Principal, Heveron and Company CPAs, Rochester NY.
Every organization has a responsibility to analyze and respond to any known risks. This is a key board role as they fulfil their duty of care to the organization. The first step is to identify areas of risk. Here is a sample work sheet to get you started.
Once you identify risks you will need to decide what to do to reduce or mitigate the risk to your organization. Some of the mitigation measures may include written policies to guide you as you navigate risk. Other measures might include training staff, yourself included, on how to respond in situations that contain risk.
The majority of your CIL budget is spent on staff. This is where you invest the most money, year after year. Here are some questions to ask regarding risks related to staff:
Next, identify things you can do to reduce the risks. For example, regarding work-related injuries, some insurance companies recommend immediate drug testing after an accident to determine if the person was under the influence. This is a mitigating measure, or a measure that reduces your risk. What policies, procedures, and training do you have in place for staff and managers related to the risks you’ve identified? Are there new things you need to put in place to reduce risks?
Don’t forget the important final piece – what do you plan to put into place to monitor that your risk management plan is adhered to going forward?
From time to time you hear about theft within nonprofit organizations. Usually, the organization did not have sufficient internal controls to prevent or catch the situation, and sometimes the thief gets by with it for years. Here are eight practices that will discourage theft, or will catch the thief in the act.
Take a look at your policies and practices. The board members and management staff are stewards of public funds, and you need to preserve the public trust as well as your organization’s future. Make sure you are doing what you can to prevent the misuse of your assets and preserve your organization.
Insurance coverage is an important piece of the risk management process.
Educate yourself on the options and make sure your risk management addresses the foreseeable issues.
In your CIL’s annual PPR, you will be asked to report on your consumers’ satisfaction or dissatisfaction with the CIL’s services. For example:
Learning the answers to these questions not only meets the requirements of ACL, it accomplishes something for the CIL that is more meaningful. It provides you with a method to build a successful relationship between the CIL and consumers and other stakeholders. You, the staff, and the board of directors may believe that the CIL is doing an excellent job, and that may be true, but the only way to know how consumers feel is to ask them. If consumers are not giving feedback on the quality and workability of the CIL’s services and interactions, the CIL is not truly consumer controlled.
Here are some key elements of consumer feedback to keep in mind:
Consumer satisfaction results may also be an important part of the collection of information by the SILC as they determine the independent living needs of people with disabilities in your state and evaluate the effectiveness of the State Plan for Independent Living in meeting its objectives. The states where CILs and the SILC come together to develop a unified approach to collecting consumer feedback usually have an easier time publishing reports that educate legislators, funders, and the general public about the value of the Independent Living Program.
Using Consumer Satisfaction Information for Planning, (https://www.ilru.org/training/using-consumer-satisfaction-information-for-planning). On-demand webinar (2013) presented by CIL and SILC representatives from Missouri and West Virginia.
CILs frequently encounter challenging situations, including federal, state, or local budget cuts or delays; cash flow difficulties; contract setbacks; trouble recruiting new board members; retaining or downsizing staff; and emerging priorities and crisis situations requiring fast actions. Immediate problems may consume a great deal of your time. Having a coherent vision, mission, and long-term strategic plan to guide the CIL will go a long way toward effective management of these situations.
People are often reluctant to engage in strategic planning because they think it may take too long, be too difficult, or they don’t know where to start. However, engaging in strategic planning will create a roadmap to more efficiently allocate time and resources, achieve consensus, stay on target, create systems change, and evaluate performance.
Strategic planning is also required. ACL/OILP will want to see an annual and a three-year work plan that include the following:
Strategic planning can move the board and staff toward achieving prioritized goals and create an opportunity to refresh values, vision, and mission.
Vision – A vision statement provides a compelling description of what the world will look like after you’ve completed your mission. Your vision statement should be concise and concrete. It should inspire commitment and action. Examples:
Mission – Your mission states your purpose. Your goals and objectives should move your CIL closer to achieving this mission. Examples:
Strategic planning provides the opportunity to assess where the CIL is in accomplishing its mission and achieving its vision. Each work plan should move you closer to the community, society, and world you want to live in.
Strategic planning itself requires forethought and effort. Here are some tips from three SILC directors who have collaborated with their states’ CILs for planning. The approaches are all applicable to strategic planning in individual CILs, as well.
Ann McDaniel, West Virginia SILC ED, and Brad Williams, New York SILC ED, have experienced success in strategic planning with these key steps:
Mellie Santora, Arizona SILC Innovation Director, has developed a number of other useful strategic planning tips shown below.
Move your CIL beyond the required three-year plans and create a culture that staff, board, and consumers want to participate in and support.
[1] Abercrombie, R., Harries, E. & Wharton, R. (June, 2015). Systems Change: A guide to what it is and how to do it. LankellyChase Foundation. Retrieved from https://lankellychase.org.uk/resources/publications/systems-change-a-guide-to-what-it-is-and-how-to-do
[2] Kylander, N. & Stone, C. (2012). The role of brand in the nonprofit sector. Stanford Social Innovation Review. Retrieved from https://ssir.org/articles/entry/the_role_of_brand_in_the_nonprofit_sector#
Advocacy is not only a core service of CILs, it is also the driving force in the Independent Living and Disability Rights movements.
The very core of a CIL is a mission to enact social change related to people with disabilities. If we are going to continue to see change for the better in our society, we must speak out about injustice. Advocacy must be a key component of your CIL. It is our history, our birthright if you will. CILs came into being because of the discrimination and injustice in this country against people with disabilities.
However, the line between advocacy and lobbying can be thin and hard to walk. Here are some things to keep in mind.
Let’s start with what you must do instead of what you can’t do with federal dollars.
As you probably know, advocacy is defined in three parts—self-advocacy, advocacy on behalf of another, and systems advocacy. Here is the definition from the regulations found at 45 CFR 1329.4.
Advocacy means pleading an individual’s cause or speaking or writing in support of an individual. To the extent permitted by State law or the rules of the agency before which an individual is appearing, a non-lawyer may engage in advocacy on behalf of another individual. Advocacy may—
While advocacy is a core service required of all CILs, you have some flexibility in how you accomplish it, and it can be done without lobbying.
The strategy used to pass the Americans with Disabilities Act (ADA) included town hall style meetings where people from every state had a chance to express the discrimination they faced day to day. People wrote “discrimination diaries” and shared them in testimony at the state level and before Congress. The nation-wide, blatant discrimination became so obvious that the nation knew it had to pass a law to guarantee the civil rights of people with disabilities.
Those town hall meetings were not lobbying. Advocacy can include public education, policy research, position papers or statements on issues, get out the vote efforts, coalition participation or building, litigation, and boycotts, along with direct action such as that led so ably by ADAPT at the local and national levels. All of these things are allowable for Centers as part of the required service of advocacy, and it is permissible to pay for the time and cost of doing this through the federal funds in your grant.
CAUTION: Advocacy can also include lobbying, both direct and grass roots, but these activities cannot be paid for with federal funds.
The CILs’ primary funder, HHS, addresses lobbying on their website:
The Department of Health and Human Services (HHS) fully supports federal restrictions on lobbying using federal funds by HHS grant recipients. In general, recipients of federal funds are not allowed to use said federal funding to lobby federal, state, or local officials or their staff to receive additional funding or influence legislation. The citations below provide a statutory/regulatory background as well as Department-wide restrictions and links to the implementing legislation, regulation, or guidance. If you have further questions, please contact the Chief Grants Management Official within the appropriate awarding agency.
As a general matter, these lobbying restrictions preclude recipients from:
“Spending federal funds” includes spending time or other resources such as indirect costs and direct travel or other expenses. You must keep track of these separately if you lobby, and make sure you aren’t paying that or the related indirect costs with federal funds.
“Lobbying” is also defined by the Internal Revenue Service, which has authority over your CIL’s nonprofit tax-exempt status:
Direct lobbying refers to attempts to influence a legislative body through communication with a member or employee of a legislative body, or with a government official who participates in formulating legislation. Grass roots lobbying refers to attempts to influence legislation by attempting to affect the opinion of the public with respect to the legislation and encouraging the audience to take action with respect to the legislation. In either case, the communications must refer to and reflect a view on the legislation.
In other words, if you are seeking to influence a vote on legislation, you are lobbying, whether you personally ask for a yes or no vote or if you urge others to convince their representatives to vote yes or no. If you choose to lobby, there are several things you need to sign or file. 45 CFR Part 93, Appendix A, contains a Certification Regarding Lobbying that you must keep on file. Annually, the IRS form 990 asks you about lobbying. You are allowed to do this, remember, but have to show it isn’t your major activity. If you lobby, say so on your 990 (including Schedule C, https://www.irs.gov/pub/irs-pdf/f990sc.pdf).
You also must clearly identify the time spent in lobbying, including travel time, on your time sheet or personnel activity report. If you, the ED, don’t use a time sheet, you must still complete a record of this time. (The requirement is that you complete an after-the-fact accounting of your time and sign it.) Then the time and indirect costs related to the time must be paid for separately and not from federal grants or pass-through dollars. Typically, fund raising dollars or income from projects not tied to the federal grant are used for this purpose.
Below is a sample lobbying activity policy from Able SC, a CIL based in Columbia, South Carolina, shared by Executive Director Kimberly Tissot.
Lobbying Activity Policy: Able SC fully supports the federal restrictions on lobbying using federal funds. Able SC staff are prohibited from lobbying during work hours or in an official capacity unless the Executive Director provides permission. In such rare situations, you will be required to document your lobbying activities in CIL Suites under “Community Activities” and document your lobbying time on your timesheet using the “lobbying” funding source with a brief description of your activities. Below you will find an example of lobbying activities:
The mission of a CIL involves social change—literally transforming your community. That’s a huge task for one organization to accomplish alone. The often-quoted African proverb reminds us, “If you want to go quickly, go alone. If you want to go far, go together.”
You can go farther and accomplish more when you collaborate with organizations espousing similar goals and values—including those that are not disability focused—sharing information, resources, and decision-making in order to achieve a common goal. Reaching out to other organizations and combining efforts will build your CIL’s presence, connections, and influence and enhance your ability to impact internal objectives (such as resource development, diversity, inclusion, and cultural humility) as well as external objectives (such as educating service providers and decision-makers, expanding community options for people with disabilities).
Successful collaboration does not happen by accident. Effective collaboration requires work and commitment. A study of collaborations involving state departments and private social services agencies in Ohio[1] identified seven factors (adapted below) that contribute to a working collaboration:
Johnson, et al. (2003), noted that when members of a collaborative group viewed the other agencies through an organizational culture lens, they were less likely to characterize their rules, values, structures, and communication patterns as “wrong.” You are more likely to be able to influence those values and structures as a friend and collaborator than as an enemy. Be clear about what you cannot compromise and focus on the goal. Your CIL can broaden the perspective of organizations that focus on a single disability by demonstrating Independent Living’s cross-disability orientation and emphasizing common ground. But don’t limit your networks and partnerships to other disability organizations. CILs need partnerships with businesses, housing developers, transportation providers, colleges/universities, and schools to expand opportunities and options for people with disabilities. Goals of social justice and civil rights organizations often overlap with the goals of CILs, and we can work together to address inequalities and systemic discrimination.
[1] Johnson, L., Zorn, D., Tam, B. K. Y., Lamontagne, M. & Johnson, S. (2003). Stakeholders' Views of Factors That Impact Successful Interagency Collaboration. Exceptional Children, 69(2).
As a new ED, you may have inherited a team of dedicated, hard-working, passionate people, or you may have a number of vacancies to fill. When you have people who are a good fit for your organizational culture and contribute to the organizational mission, you want to keep them. Retaining high quality employees can be a challenge for nonprofits like CILs. Nonprofits experience a higher turnover rate (19%) compared to the 12% average turnover rate of other industries.[1] So, what do you do?
Before we discuss what you can do to help keep your team onboard, let’s look at the factors that make people stay.[2]
This should give you an idea of what is important to your staff, whether it’s someone who is already with the organization or a new hire. Think about how your organization is doing in terms of these factors.
As a first step, create opportunities for staff to provide honest feedback to help you better assess your organization. This could be done through an anonymous survey, a staff meeting or staff retreat, feedback cards, or a mix of strategies. Consider asking the following questions:
Every company has a culture. The only question is whether or not you decide what it is. ~Jason Cohen, WPEngine[3]
As an ED, you must be intentional about establishing, nurturing, and maintaining your CIL’s culture.
Classy’s managing editor Elizabeth Chung notes that culture represents your team’s “collective understanding” of how your Center operates, your core values and beliefs. Every person in your Center—ED, board, staff, volunteers—needs to know what your CIL does and does not stand for. Chung states, “When your staff and supporters understand your organization’s core values, they’ll feel empowered to make the right decisions and you can trust them to accurately represent your nonprofit.”[4]
In this tool kit—and in IL-NET training and technical assistance in general—we spend a lot of time and space talking about the Independent Living Philosophy, which embodies our core values of consumer control, cross-disability, diversity, empowerment, inclusion, and leadership. The reason for this is that the IL Philosophy is at the heart of who we are. The IL Philosophy should be embedded in everything about your CIL, from job descriptions, to interview questions, to how your offices are arranged and decorated, to how decisions are made, to how you treat consumers and each other.
One way to ensure that everyone involved understands what your CIL is about is to develop a mission statement. Visit the Bridgespan Group's website (https://www.bridgespan.org/insights/library/nonprofit-management-tools-and-trends/mission-and-vision-statements) for tips related to creating mission statements and involving stakeholders. You, your board, and your staff should be able to recite the mission statement, even if someone woke you up in the middle of the night and asked you to state it. By understanding how your mission statement aligns with the CIL’s core values, you will all be able to make decisions that align with your mission and values.
Remember, if you as a leader do not proactively work to create an organizational culture, one will develop without you, and it might not be the culture in which you want to work. “If you want to build a culture that inspires people to dedicate their lives to your mission, you’ll need to take the time and effort to push it in the desired direction. These efforts will have a lasting impact on your employees, supporters, and overall success as an organization.”[5]
Now that you have created a culture that exemplifies your CIL’s values, the next step is to address the factors that keep employees engaged and passionate about the mission.
[1] Branson, T. (n.d.). Retrieved from https://www.exacthire.com/blog/workforce-management/nonprofit-employee-retention/.
[2] https://www.thebalancesmb.com/why-people-want-to-work-for-nonprofits-2502377
[3] Chung, E. Why Defining Your Nonprofit’s Culture Will Be the Most Important Thing You Do This Year,
https://www.classy.org/blog/why-defining-your-nonprofits-culture-will-be-the-most-important-thing-you-do-this-year/
[4] Ibid.
[5] Chung, E. Why Defining Your Nonprofit’s Culture Will Be the Most Important Thing You Do This Year,
https://www.classy.org/blog/why-defining-your-nonprofits-culture-will-be-the-most-important-thing-you-do-this-year/.
These are stressful and uncertain times for us all. Even in the best of times, being a nonprofit executive director can be hectic and demanding. Living with these daily challenges makes it particularly important to show yourself compassion, kindness, and patience. Self-care is vital for your health and well-being.
If you are a person with a disability or health condition, you may experience even more stressors in your role as the ED of a CIL. Dealing with your own personal needs, as well as overseeing the services and challenges of your community’s citizens with significant disabilities, may mean that you are dealing with disability “issues” 24/7—access, housing, transportation, health care, prejudice and discrimination, etc.
In any event, if you don’t pay attention to your own needs, you won’t be able to provide quality support to others. Improving your own mental and physical health can increase self-esteem, adjust your mood, and enhance productivity. You will also be modeling good work-life balance for your staff. The following tips can help you cultivate a calm, healthy, balanced demeanor.
We tell our staff and consumers to take care of themselves and to ask for help if they need it, but often we ignore our own advice. If you are feeling overwhelmed, seek out a counselor, mentor, or medical professional. Show by example that there is no stigma attached to talking with a mental health professional, someone outside of the situation who can bring a different perspective.
Speaking of getting another perspective, remember that technical assistance and peer support are available to you from the IL-NET National Training and Technical Assistance Center for Independent Living. You don’t have to wait until you’re overwhelmed. Contact Paula McElwee at paulamcelwee.ilru@gmail.com, and introduce yourself if you haven’t already met her. Paula works with a team of technical assistance consultants who are there to help you.