People with disabilities want to direct their care and, for the most part, are able to do so. This direction, or control, applies to when, where and what assistance is given as well as how it is given. Familiar with their bodies and routines, people with disabilities know the best way tasks should be done. Many people even prefer to train their own attendants because they feel this helps ensure the services they receive meet their needs, and not those outlined in a training manual. Some agencies allow people to find their own attendants and then the agency hires that attendant to serve that person.
Some agencies have the people using attendant services sign their attendants' time sheets.
While safety and liability are often concerns of providers, these concerns have ridden rough-shod over the disabled person's right to a life. To people with disabilities, such tasks are simply activities of daily living. It is just a different routine than those of people who are not disabled. In addition it is not a temporary situation, but a routine which will last a lifetime. This is not to say that people with disabilities do not get sick from time to time, and may need more assistance including medical assistance, at these times, but that is a different situation from day to day living.