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Reimagining Support for Residential IDD Programs

Learn how First Step recovered a week of staff capacity per person and gave every individual more time on their own with BoundaryCare.

First Step's Outcomes

218 hours

combined staffing hours saved per month

36

saved per person, per month

78,360

Annual staffing capacity savings

4.35

return on investment

What happens when you stop relying on passive supervision?

In residential IDD care, risk doesn’t follow a schedule. Seizures, falls, and behavioral escalations can happen anytime, which is why constant supervision has always felt like the responsible answer. But there are costs that come with constant supervision. Costs like scheduling pressure, staff capacity, and human autonomy. First Step, an Arkansas non-profit serving 1,900 individuals, wanted to know if there was another way. Enter BoundaryCare.

First Step Case Study BoundaryCare

What's Inside?

  • The staffing reality behind constant supervision
  • The five ways BoundaryCare shifts how IDD support is delivered
  • First Step’s operational ROI
  • Real-world stories of individuals who gained independence
  • How to calculate ROI for your own program
  • How to make a low-risk, high-payoff investment with BoundaryCare no matter where you are in your journey
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What BoundaryCare gave us was another option. We didn’t have to rely on constant supervision in the same way, and that opened things up for both the resident and the staff member. BoundaryCare allows us to use our staff more intentionally. Instead of being in one place for long periods, they can move between people and focus where the need is higher.

Kathy Patterson, HCBS Coordinator, First Step
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“The capacity is already there in most programs. It’s just tied up in passive supervision. When you give that time back, the impact shows up in staffing flexibility, reduced overtime, and the ability to support more individuals with the same team.”

Paul Carpenter, Co-Founder, BoundaryCare

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