“Your Voice, Your Choice”

Voice = Choice

Your day. Your goals. Your way.
At Abilities Enrichment Center (AEC), we don’t ask, “What can you fit into our program?” We ask, “What would make today meaningful for you?” That’s the heart of our Voice = Choice approach. Every individual who comes to AEC has a say in how they spend their day — whether they communicate with words, gestures, behavior, devices, or through the people who know them best.

This isn’t a one-schedule-for-everyone day program. It’s a participant-led, choice-based, joy-forward place built for people with all levels of ability, including those with higher medical needs.

Why Voice = Choice matters
People engage more — and thrive more — when they help decide what happens in their day. Choice reduces anxiety, increases comfort, and opens the door to real enrichment. It’s true for all of us, and it’s especially true for individuals with developmental and intellectual disabilities.

  1. It starts before day one.
    • When someone is referred to AEC, we don’t just enroll them — we get to know them.
      • We talk with the family or guardian.
      • We talk with the individual’s SSA (Service and Support Administrator).
      • We review their ISP (Individual Service Plan), which outlines goals, care needs, and preferences.
        • The ISP tells us part of the story. Families and guardians fill in the rest.
  2. We build from their goals, not ours.
    • The ISP contains goals chosen for — and ideally by — the individual. It might be something big (“I want more community outings”) or something personal (“I want to learn to play the piano”). We treat those goals as direction, not paperwork.
      • If someone wants music → we look for music therapy, karaoke, instruments, or rhythm activities.
      • If someone wants movement → we offer adaptive fitness, Rec2Connect-style activities, walks, or greenhouse visits.
      • If someone wants to stay on-site → we make the center the destination that day.
  3. We calendar in advance — so they can choose in the moment.
    • Every month, AEC publishes a full activity calendar. It includes:
      • On-site options (crafts, games, sensory activities, music, pet therapy, movie room, ability-appropriate exercise)
      • Community outings (zoo, parks, Coe Lake, museums, ballgames, trips to Blossom Hill’s greenhouse and walking path)
      • Special/visiting programs (therapy dogs, Jacob’s Ladder, Rec2Connect, seasonal experiences)
        • The calendar gives structure — but it’s not a mandate. On any given day, individuals can choose from what’s offered.
  4. Every day includes a decision point.
    • Here’s the key part of Voice = Choice:
      • “Do you want to go out with the group today?”
      • “Or, do you want to stay here and do something inside?”
        • Both answers are right.
        • Some individuals love the van, the community, the movement. Others don’t — because of sensory needs, mobility, behavior triggers, or just personal preference. At AEC, that doesn’t exclude them from a good day. We create equally enriching options inside the center.
  5. We honor all ways of communicating.
    • Voice = Choice doesn’t only apply to verbal participants.
      • For verbal individuals, staff simply ask: “What do you want to do today?”
      • For non-verbal individuals, staff watch, learn, and adapt:
        • – We use what’s in the ISP.
        • – We listen to family/guardian guidance (“He doesn’t like long van rides.” “She loves music.”).
        • – We observe behavior and facial expression — because joy is visible.
        • – We adjust when something isn’t a fit. That’s not a failure; that’s data.
        • Example:
        • If someone is non-verbal and clearly distressed by transportation, we don’t force community integration. We offer center-based enrichment — sensory room, music, hands-on activity, or just a calm space — so they can still have success.
  6. We refine by trial, not assumption.
    • The first week at AEC is often about discovery. We try things. We see what lights them up. We see what dysregulates them. Then we build around what works. That’s how programming stays personalized — it’s alive, not fixed.
  • Choice is daily, not annual. It’s not “you chose day program, now you do what the day program says.” It’s “you chose to come here — now let’s choose what to do today.”
  • Care and enrichment live together. Because we were founded by Blossom Hill, we’re comfortable supporting individuals with higher medical acuity — tube feeds, mobility supports, sensory regulation — and still giving them a day that’s actually fun.
  • Families and SSAs stay in the loop. If we see a pattern (loves music, avoids outings, thrives in small groups), we tell you. That helps future ISP planning.
  • One person goes to the Guardians game.
  • One person stays back for pet therapy.
  • One person heads to the greenhouse for horticulture activities.
  • One person spends time in the sensory room with calming light, texture, and sound. All of them had an enriching day. All of them made a choice.
  • Individuals who have had “not a fit” experiences at other day programs
  • Individuals who fatigue easily or don’t tolerate long group outings
  • Individuals with higher medical needs who still deserve community and connection
  • Families and SSAs looking for a day program that actually follows the individual’s ISP goals


Abilities Enrichment Center in Middleburg Heights offers a choice-based, participant-led adult day program for adults with developmental and intellectual disabilities in Cuyahoga County and surrounding areas. Our Voice = Choice model allows individuals — verbal and non-verbal — to select daily activities based on their abilities, preferences, and ISP goals. AEC provides community outings, on-site therapies, sensory experiences, fitness, pet therapy, and adaptive recreation in a fully accessible 25,000-square-foot environment. Referrals are accepted from families, guardians, and County Board of DD Support Administrators.