The Adult Individual Services Option at Monadnock Developmental Services (MDS ISO) helps adults with disabilities to access supports and services based on an individual's life plan. Our goal is to create rich learning environments for both staff and individuals receiving services by building on the relationship between learning and self-determination. This includes positive behavior change through Gentle Teaching — a process that recognizes the vital role of bonding and friendship in healthy human growth and development. Our services support each individual's efforts to achieve autonomy and empowerment through self-determination.

MDS ISO assists adults with disabilities to:

  • Choose and contract with support staff and companions;

  • Access and maintain homes of their choice;

  • Choose day services options out of the home;

  • Explore and engage in recreational and leisure activities;

  • Explore employment opportunities and job support;

  • Build community integration through competitive employment, organizational affiliations and thoughtful relationship-building;

  • Build and maintain budgets;

  • Access medical and therapeutic support;

  • Explore and engage in educational endeavors;

Quality services are assured through:

  • Regular, supervised staff and team meetings;

  • One-on-one supervision for direct support professionals and companions;

  • Compliance with state regulations;

  • Medication training to all staff who administer medications;

  • Nurse consultants/trainers available 24 hours a day, seven days a week;

  • ISO program managers available 24 hours a day, seven days a week;

  • Oversight of residential state certification;

  • Procedures for 24-hour emergency medical services;

  • On-going training for all staff;

  • Evaluation and professional development planning for direct support professionals;

  • Fee-for-service arrangements offering individuals the option to contract for supports on an as-needed basis.

For information, contact your service coordinator or This email address is being protected from spambots. You need JavaScript enabled to view it. at 603-352-1304 or 800-469-6082.