Saving Wrentham and Hogan Alliance

09/17/2026

📢 New Blog Post: The High Cost of Not Teaching Toileting
Families and frontline staff have been saying it for years: it costs a lot of money not to teach toileting.

Our newest blog post breaks down why this matters.

When basic skill‑building disappears from schools, day programs, and group homes, the result is predictable:

Lifelong dependence on diapers

Higher staffing needs

Increased behavioral incidents

Greater health risks

Soaring Medicaid costs

All while evidence‑based methods like Azrin & Foxx—proven effective for individuals with severe and profound IDD—go unused.

This isn’t just a clinical failure.
It’s a governance failure with massive financial consequences.

Read the full post here:
🔗 https://savingwrenthamandhogan.org/the-high-cost-of-not-teaching-toileting/

Please share. The public needs to understand how policy decisions directly affect independence, dignity, and the long‑term sustainability of care for our most vulnerable residents.

09/17/2026

Rapid Response to Medical Change

Principle of Good Care:
Any sign of decline must trigger immediate evaluation — not “wait and see.”

High‑acuity individuals cannot afford delays.

09/16/2026

Clinical Documentation That Reflects Reality

Principle of Good Care:
Documentation must be accurate, timely, and clinically meaningful — not copy‑and‑paste content.

Good documentation protects individuals and guides care.

09/16/2026

The story we tell about disability policy reform is true. It's just not the whole story.

This 20-minute presentation traces how Home and Community-Based Services grew from a moral uprising into a $146 billion Medicaid architecture — and what disappeared along the way for individuals with the most significant disabilities.

If you have a family member with IDD, work in disability services, or follow Medicaid policy, this is worth your time.

Everyone knows the disability rights movement transformed American ...

09/15/2026

Daily Structure and Predictability

Principle of Good Care:
High‑acuity individuals thrive with consistent routines, predictable environments, and clear expectations.

Structure reduces anxiety and increases safety.

09/14/2026

Individualized Risk Planning

Principle of Good Care:
Risk plans must be specific, actionable, and updated when circumstances change.

A “one‑size‑fits‑all” risk plan is no plan at all.

09/13/2026

Adequate Supervision Ratios

Principle of Good Care:
Supervision must match assessed need — including 1:1 or 2:1 when required.

Generic staffing patterns cannot meet individualized supervision needs.

09/12/2026

Staffing Stability

Principle of Good Care:

High‑acuity individuals cannot be safe in environments with constant turnover or rotating unfamiliar staff.

Stability is a safety requirement, not a luxury.

09/11/2026

Behavioral Supports Grounded in Clinical Assessment

Principle of Good Care:

Behavior plans must be based on real functional assessments — not generic strategies or provider templates.

Behavior is communication. It deserves clinical understanding.