Partners in Personal Assistance (PPA) is an innovative nonprofit organization that provides in-home and community-based personal assistant services. PPA offers an empowering solution for people with disabilities and elders who want to exercise independence and self determination in directing their personal care. Based on a model of self-determination and cooperation, PPA's innovative approach to personal assistance achieves a level of integration, empowerment, and equality that benefits both Consumer Partners (Consumers) and Personal Assistants (PAs). People with disabilities are able to establish more stable lives due to high-quality assistance, and personal assistants are able to make a meaningful difference in their clients' lives while earning an decent income. Consumers and PAs interview each other to decide if they want to work together. Each one has a choice in whether to collaborate as a team and set their schedule together. While disability limits personal autonomy, managing one's own care builds ability and self-worth. This empowerment is not constrained to the healthcare situation but can touch all aspects of our clients' lives.