My middle son has Down Syndrome, is nonverbal, and is a flight risk. He has therapists that come throughout the week to provide services but I need someone who can be here after school. He is not toilet trained so he will need assistance with changing and will need someone to prepare meals for him. My oldest son is self sufficient but will need help with meals (making sure he doesn't burn the house down). My son with special needs is 9, he will need help with any homework sent home, and will need plenty of movement throughout the day. Some days he will have services done outside the house.