For 20+ years, clinical counseling services have been cultivated, from crisis intervention to long-term case management. The unique needs of individuals are appreciated, from diverse backgrounds, at all times of life and stages of development. Education and anticipatory guidance for clients and families promotes independence, self-care, physical and behavioral wellness, risk mitigation, goal directed behavior to nourish a sense of purpose. Various healthcare systems, insurance plans, and the continuum of care in the SD County have been navigated. Others are helped to establish healthy boundaries and self-advocacy with care providers, as well as in personal relationships. Based on reported and assessed needs, short and long term care plans have been established, to address personal, behavioral, and environmental problems which predispose illness or interfere with obtaining maximum benefits from medical care. The life skills coaching provided, to clients and their families throughout the progression of service delivery, fosters peace of mind, self-esteem, fiscal management, and disability activism to ultimately improve self-sufficiency, safety, dignity and quality of life.