The state I live in has Medicaid waivers that pay (with tax dollars) for people who have developmental disabilities to get home-based help. So basically we send a Direct Support Professional (DSP) to the person's home for a set number of hours each week, and they work on goals with that person. Goals can be things like learning to cook for themselves, working on their social skills, going out in the community to find hobbies, enrolling in classes, etc, etc, etc. We pay the DSP by the hour, and then Medicaid reimburses our company. So it's free for the person/family who needs our services. I'm pretty sure that most states in the US have waivers like this set up. It's called the Community Living Supports Waiver in my state. If you live in the US, you can just look up Medicaid waivers in your state, and it should pull up companies like the one I work for. Unfortunately, I've found that not a lot of people know about the waivers, including families and individuals who could really use them.