Skip to main content


Employment Services

ECF CHOICES Employment Services

Employment and Community First CHOICES (ECF) is a TennCare employment program that helps Tennesseans of all ages who have an intellectual or developmental disability gain employment and achieve independence. The program will meet people where they are on their career path, as well as help them reach their community and independent living goals. Another aspect of the program is offering support for families who are caring for a person with a disability. You can review qualifications and apply for ECF CHOICES to see if it would be an option.

PDI Services and CHOICES Working Together

Combining our employment services with the CHOICES program gives individuals the most opportunities for job related services and local, in-person support.

Job Exploration

If you are just considering employment, our job exploration services provide the opportunity to explore areas of interest and skills through activities such as volunteer work and job searches.

Employment Services and Supports:

  • Exploration
  • Discovery
  • Situational Observation and Assessment
  • Job Development Plan
  • Self-Employment Plan
  • Job Development Start Up
  • Self-Employment Start Up
  • Job Coaching Integrated Comp Employment
  • Job Coaching for Self-Employment
  • Co-Worker Supports
  • Supported Employment – Small Group
  • Career Advancement
  • Supported Employment – Small Group Mobile Work Crew
  • Integrated Employment Path Services

Long-Term Services and Support Areas:

  • Independent Living Skills Training
  • Personal Assistance
  • Community Living Supports
  • Community Living Support – Family Model
  • Supportive Home Care
  • Respite
  • Community Integrated Support Services
  • Community Transportation

Region I Counties:

  • Montgomery
  • Stewart
  • Robertson
  • Cheatham
  • Henry
  • Benton
  • Weakley
  • Carroll

Region II Counties:

  • Maury
  • Marshall
  • Giles
  • Hickman

Learn More

To learn more about ECF, please contact us or visit the official ECF website.