Providing Help and Care Since 2003

Waiver Services

Supportive In Home Services:

In-Home Support services are residential services that take place in the individual’s home, family home, or community settings and typically supplement the primary care provided by the individual, family or other unpaid caregiver. Services are designed to ensure the health, safety and welfare of the individual and work on building skills.  All Areas.

Community Coaching:

Community Coaching  services are designed for individuals who need one to one support in order to build a specific skill or set of skills to address a particular barrier(s) preventing a person from participating in activities of Community Engagement.  Richmond area only.

Community Engagement:

Community Engagement Services are provided in groups of no more than one staff to three individuals. Community Engagement fosters the ability of the individual to acquire, retain, or improve skills necessary to build positive social behavior, interpersonal competence, greater independence, employability and personal choice necessary to access typical activities in community life such as those chosen by the general population.  These may include community education or training, retirement, and volunteer activities. Richmond area only.

Mental Health
Skill Building

Floyd area only.

  • Provides training in or reinforcement of functional skills and appropriate behavior related to health, safety, activities of daily living and access to community resources;
  • Supports medication management and related issues;
  • Monitors health both mental and physical;
  • Monitors nutrition and physical condition

540-585-4078 Floyd Area

177 Gracie Lane, Floyd, VA 24091

804-823-3940 Richmond Area

8096-A Elm Dr. Mechanicsville, VA 23111

How To Access Services


Thank you for considering Strengthening Our System Inc. Please review the next steps of the referral process.


Step One

Fill out referral form (click here to download the form)

Who Can Make a Referral?

  • Family Members              
  • Support Coordinators
  • Individual Needing Support

Please fill out the form with as much information as possible and either email or fax to the closest office location.


Step Two

A representative from the program will contact you to review information and schedule a time to meet together. At that time we will gather additional information about service needs, scheduling, and preferences so that we can best serve you.


Step Three

The team will work on completing/reviewing assessments, creating a plan for support and schedule, reviewing staff options, and sending information for authorization of service.


 from a couple of our direct support professionals (DSP)

“I had a calling to work with people; I love to see them smile when they see me . I go home feeling good that I took care of someone that’s really in need…… This is not my quote but I read it and it’s meaningful to me… when you are a DSP you know that every day you will touch a life or life will touch yours. Author unknown.

Leasa Hickman

“It’s hard to put into words how I feel about my “job” because it doesn’t feel like a job most days. When I head to my clients house I am not filled with dread like most jobs people have. I wonder what kind of day he has had and what kind of evening it will be.  I always have a plan but know if it has not been a good day we will let him lead what we do. That’s one of my favorite parts, no matter what kind of day he had at school I will make that day a little better simply by being there. Time is precious and that is what we do together is enjoy using our time to uplift his spirits while we teach each other life lessons. I may be helping him learn to express his feelings while he is teaching me that the patience to listen with my heart is just as important as words. I may be helping him learn to stay seated in the car but he is teaching me to enjoy each ride in the car. Not all days are fun- some days are hard and that is when I feel the most useful. It is easy to get through the good days. We need support through the hard ones and that’s what I am for.   As a DSP I feel that I get more than I give. 

Carolyn Hicks

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