This report evaluates a self-directed personal service (SDPS) program operated through the larger Enable Program for people with disabilities in Onondaga County, New York. First, it contrasts characteristics of traditional personal assistance services (such as low pay, agency-determined, limited types/levels of support, and program management through agencies) with characteristics of consumer-driven personal assistance services (including reasonable pay, person-determined, provision of whatever support is needed, and variety of program management options). Next, it describes potential personal assistance services in the areas of personal care, household, community, cognition, communication, mobility, infant and child care, and security and safety-enhancing services. The SDPS program allows people with disabilities to determine who provides assistance, what types of assistance are provided, and where and when the assistance is needed. Interviews with 16 SDPS participants found participants were: satisfied with the SDPS program; generally able to obtain the assistance they desired from the program; and dissatisfied with other services. Issues are identified, including support for people living in agency-controlled settings, program growth, provision of adequate pay and benefits to personal assistants, funding/management options, and availability to a diversity of people. (CR)