
← Home Care Hindsight15 sep · 38 min
How I Stopped Accepting the Status Quo and Started Building Better Support Systems — Jamie Arber
Jamie Arber, Executive Director of Supported Living Group, shares how his organization supports individuals with brain injuries, autism, and other complex care needs across Connecticut.
He discusses the major gaps in access to Medicaid brain injury services, why home care operators need to think beyond traditional in-home care, and how advocacy, community-based programs, and specialized services can create better outcomes for the people they serve.
Jamie also reflects on the career mistake of staying too long in an organization that didn't align with his service philosophies, the risks of relying too heavily on technology, and how giving people purpose can transform both care delivery and business growth.
In this episode, you'll discover:
1. The Eight-Year Wait for Brain Injury Services: Why Connecticut's Medicaid Acquired Brain Injury Waiver program leaves individuals waiting years for the support they need.
2. Why Advocacy Matters in Home Care: How working with lobbyists, legislators, and industry associations can help providers influence funding, access, and policy decisions.
3. The Problem With Replacing Community-Based Care: Why moving brain injury services entirely into the home can create challenges for behavior, independence, and social connection.
4. Building Services Around Real Needs: How Supported Living Group developed neurodivergent employment programs, counseling, resume development, and interview preparation.
5. The Cost of Staying in the Wrong Organization: Jamie's biggest career mistake and why leaders need to work somewhere that aligns with their service philosophies.
6. Why AI and Technology Aren't Always the Answer: How highly specialized organizations can lose the value of human connection when they try to force generic systems into niche care environments.
7. Giving People a New Identity: How creative arts and vocational programs help individuals move beyond being defined by a disability and rediscover purpose.
Lesson Takeaways: