Going out for the day takes a little extra time for 27-year-old Wesley Lemner. Complications at delivery left him with permanent brain damage.
In a back bedroom, Wesley’s mom, Margo, adjusts his cap as he gets ready for a trip outside.
As he heads for the door, Wes half brushes, half slaps his hair and head repeatedly.
Wesley is among about 450,000 recipients of In-Home Supportive Services, a joint federal, state and county program offering direct assistance to the disabled, the elderly and the infirm. Caregivers might help a recipient clean up after using the restroom, get dressed, prepare meals, run errands or change out oxygen tanks. Periodically evolving since its first iteration in the 1950s, IHSS is geared toward maintaining the independence of those needing help.