Elimination of Unnecessary 1:1 Staffing


Explore a wide variety of resources aimed at reducing the need for intensive staffing and supporting people in developing more independence in the community.


During 2011, the Southeast Pennsylvania Positive Practices Committee (PPC) launched an initiative, The Year of the Elimination of Unnecessary 1:1 Staff, bringing together stakeholders who were interested in developing strategies to limit the use of 1:1 staff to necessary situations. More than 350 people participated in the initial sessions, and workgroups were formed to sustain the initiative throughout the following year. Much was learned and some changes began taking place.

One Year Later

The PPC called the community back together during June of 2012 to review what had been happening and to continue the momentum of best meeting people’s needs while eliminating unnecessary staffing. Nearly 150 people participated in these meetings.


Success Stories

Stories of people for whom unnecessary staffing has been eliminated are shared in this section. It is hoped that these success stories will provide ideas and inspiration for teams in best meeting people’s needs and dreams. The first story is Joanne’s Story. More will follow in the future.

Joanne Picture 3 Small

I met Joanne at her apartment on a sunny day in April with her supports coordinator, a friend from the County and a friend and supporter from Growth Horizons. I knew that in the past, if Joanne didn’t feel comfortable with a visitor, she might send him or her away.

Read More



A Catalog of Resources

Intellectually disabled womThroughout the initiative, resources have been gathered to support stakeholders in meeting needs and eliminating unnecessary staffing. This Catalog of Resources is a collection of information and tools identified through these efforts. It is not exhaustive and it is anticipated that this catalog will expand over time.

The Catalog is organized in five sections including:

  • Background;
  • Resources to Support People with Behavioral Health Needs;
  • Resources to Support People with Physical Health Needs;
  • Resources to Support People Who Are Aging; and
  • Technology and Alternatives.

You can download the complete Catalog of Resources or each section independently: