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Housing Considerations: Peer Perspective Key Takeaways

August 31st, 2026  | Equipment  | News  | Peer Perspective Series  | Resources

 

Housing comes up constantly in conversations across the HIE community; how to organize the space you already have, when to renovate, when to move, and how to plan for a future you can't fully predict. So Hope for HIE brought three HIE parents together to talk through how they've actually navigated it.

MSW intern Kimberly Taylor hosted the session, with parent panelists Motti Eisenbach (also a Peer Support Mentor), Quanteria Williams-Porche, and Sarah Bell sharing what housing and home modification have looked like for their families. All three panelists are in the US. As Kimberly noted at the start, what's available varies by location; so their experiences are a starting point, not a universal roadmap.

We're sharing the key notes from the Peer Perspective Panel, along with a link to the full video on YouTube.


There's No Single Right Setup

Each family's home looks different, because each child's needs are different.

  • Motti's daughter, Temima, needed an environment built around temperature regulation, medical equipment storage, and caregiver privacy. The family converted their basement, added a mini split and humidity control, and built a color-coded, clearly labeled system so any nurse coming in could easily find what they needed.
  • Quanteria's son, Alexander, needed bathroom modifications as he got older and transfers became harder to manage safely.
  • Sarah's son, Emerson, needed a home that could accommodate a wheelchair, a ceiling lift, and equipment that kept growing alongside him, which eventually meant leaving a rental that simply couldn't be adapted further.

As Motti put it, families are relying on each other, because "we don't know what we don't know." There's no template for navigating how to make spaces accessible in the way your specific child needs.


Modifications Take Longer Than You'd Expect, Start Early

A recurring theme between the panelists was that the paperwork and approval process for home modifications is slow, even when the need is clear.

Quanteria's waiver-funded bathroom remodel took roughly a year from first request to completion, including getting quotes from multiple contractors, therapist sign-offs, and state review. Sarah's family began the process for a ceiling lift, bathroom remodel, and garage lift system months before they even closed on their house. The ceiling lift, ironically the lowest-cost item, generated the most pushback.

The advice the panelists gave was to begin the process before you think you need it. Equipment and needs change fast, and a child's current size is not a reason to wait.


Waiver Programs Can Help and They Still Require Real Advocacy

Both Quanteria and Sarah went through county or state waiver programs to help fund home modifications. Both described a system that could move slowly and unevenly, and pointed to specific people along the way (a case worker, a contractor) who stepped in with information or product knowledge that made a real difference.

Quanteria named the pattern directly: navigating these systems means encountering real gaps, alongside people who genuinely try to help. Families are often the ones pulling together bids, coordinating therapist documentation, and tracking down someone who understands what their child's home actually needs to look like.


Organization is Part of the Caregiving System, Not an Extra Task

For families managing medical equipment, storage isn't just about tidiness; it's about safety and speed in an emergency.

Across all three families, a few practices came up:

  • Clearly labeled supplies and a separated backup inventory
  • A posted, regularly updated sheet of medications, care schedules, and emergency information
  • A packed "go bag" with emergency medications, backup tubing, and supplies, checked on a set schedule
  • Equipment grouped by function (bedside cart vs. respiratory equipment vs. daily-use supplies)

Sarah summed up a feeling several families share: home organization isn't a one-time project. As a child grows and equipment changes, the system keeps evolving with them.


Emergency Planning Shapes Bigger Decisions

For families with children who use ventilators or have significant medical needs, proximity to care and backup power aren't afterthoughts. They factor into where a family chooses to live at all.

  • Sarah's family set a hard limit of 20 minutes from their children's hospital, and specifically confirmed that local emergency services included paramedic-level, not just EMT-level, support.
  • Motti's family invested in portable battery power for medical equipment and proactively contacted their power company and fire department to flag their address in case of an outage.
  • Quanteria's family stayed in an urban area specifically to remain close to hospital care.

Advice From Families Further Down the Road

When asked what they'd tell a family just starting to realize their home needs to change, the panelists offered a few things worth holding onto:

  • Take your time, and lean on other people's experience. Nurses, therapists, and other parents each know something you don't yet. Piece it together in a way that makes sense for your family.
  • Find your community. All three panelists pointed to peer support, including Hope for HIE's online support groups, as a source of both practical information and reassurance that they weren't alone in the questions they were asking.
  • Plan ahead without letting it take over today. Several families described holding both at once: thinking ahead about what might be needed later, while still handling what's in front of them right now.

Thank you to Motti, Quanteria, and Sarah for so generously sharing your personal experiences and insights in this Peer Perspective panel. Your voices bring connection, understanding, and real hope to families navigating HIE and housing considerations together.

To watch the full Peer Perspective Panel or to read our key takeaways at a glance, click the buttons below!

 

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