Nu cred că avem un echivalent pentru sintagma asta, am găsit pe net ce înseamnă:
Consumer Directed (Self-Directed) Personal Assistance Services (CDPAS)

In the Consumer Directed Personal Assistance Program, people who require personal care assistance assume a number of the responsibilities generally handled by traditional home health agencies. The person becomes the attendant’s direct supervisor and handles recruitment, screening, hiring, training, scheduling, supervising and disciplining the attendants up to and including termination.
People who are interested in Self-Directed Personal Assistance Services must be able to direct their own personal assistance services or must have a family member, friend, or designated representative who is willing to assume the responsibilities of the self-directing participant.
https://cdrnys.org/services/cdpas/

Deci practic persoana cu handicap este cea care gestionează (sau administrează, dacă preferi termenul acesta) prestarea serviciilor de asistență de care beneficiază.