Advancing Best Practices For Organizational Transformation
SHIFT is the nationally recognized leader in advancing Technology First and Employment First standards and best practices across the long-term services and supports field.

Start with the person. Everything follows.
Person First
Person-centered practice is the foundation — supporting people to pursue their own goals, choices, and independence.
Technology First
Enabling technology is considered as one of the first options in planning, decreasing dependence and promoting autonomy.
Employment First
Competitive, integrated employment is the preferred outcome — a pathway to inclusion and economic self-sufficiency.
Education & Accreditation
Technology First
NADSP-accredited certifications and education for advancing enabling technology.
Learn MoreEmployment First
Certifications and education for advancing competitive integrated employment.
Learn MoreOrganizational Accreditation
Recognized accreditation aligned with proven standards and best practices.
Learn MoreSHIFT's Impact
Who We Serve
SHIFT partners with organizations across the long-term services and supports field — state systems, provider organizations, managed care organizations, and support coordination — to build the knowledge, skills, and capacity needed to advance Technology First and Employment First outcomes.
What People Are Saying
“SHIFT gave our team the shared language and confidence to make technology a natural part of how we support people.”
“The accreditation process was a true partnership — practical, rigorous, and focused on real outcomes.”
