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: 1. Don't accept the Status Quo. Long-standing problems in healthcare and home care still need people willing to challenge the system. 2. Advocacy is a long-term investment. Meaningful change requires relationships, education, persistence, and a seat at the table. 3. Community matters. For many individuals with brain injuries or disabilities, care should include opportunities to participate, socialize, work, and feel connected. 4. Services should reflect the individual's needs and goals, not simply what is easiest for the provider to deliver. 5. Staying in a comfortable role can come at a personal and professional cost when the organization's values don't match your own. 6. Be careful with one-size-fits-all technology. Tech should support the work, not replace the specialized knowledge and human relationships that make care effective. 7. Bringing in professionals from different backgrounds can create new ideas, stronger programs, and better business decisions. 8. Helping people develop skills, employment opportunities, and a sense of identity can be just as important as providing direct care. 9. Operators need the right infrastructure, management, oversight, and quality assurance to deliver the services they advertise. 10. Growth is more meaningful when it creates independence, purpose, and better opportunities for the people being served. Timestamps: 00:00 - Introduction 03:23 - The lack of access to brain injury and disability services 04:02 - Connecticut's six- to eight-year Medicaid waiver wait list 04:36 - Comparing Connecticut's services with New York 04:55 - Why Supported Living Group invests in advocacy 10:04 - Jamie's biggest career mistake 10:39 - Jamie's experience as a brain injury survivor 12:38 - Why leaders should not be the smartest person in the room 13:32 - Developing neurodivergent employment programs 18:13 - Hiring people from outside the traditional home care industry 20:20 - Why AI and ERS systems can be overrated 21:05 - The importance of human connection 23:00 - How technology should support—not replace—care 25:00 - Reducing turnover through connection and purpose 27:46 - The mistake of giving up community-based locations 28:50 - The danger of overpromising statewide services 34:42 - Jamie's proudest recent accomplishment: Inspire Arts CT 35:07 - Creating vocational opportunities and micro-jobs 35:49 - Purpose beyond a disability label Quotes 1. "Currently, on paper they say it's a six-year wait list. It's more like an eight-year wait list." — Jamie Arber 2. "People don't know there's a problem until you're sitting down with them." — Jamie Arber 3. "They go from being a stroke survivor, a brain injury survivor, somebody on the spectrum, to being an individual who's an artist." — Jamie Arber Resources: 1. Supported Living Group: https://www.supportedlivinggroup.org/ 2. Jamie Arber on LinkedIn: https://www.linkedin.com/in/jamie-arber-b215a1242/ 3. Connect with David Knack on LinkedIn: https://www.linkedin.com/in/david-knack/ 4. Connect with Zingage on LinkedIn: https://www.linkedin.com/company/zingage/ 5. Powered by Zingage: https://zingage.com/ 6. Watch Episode on Zingage's YouTube: https://www.youtube.com/@Zingage
