The final manual of a series on attendant care for severely disabled persons is intended to help persons with a disability to hire and manage personal care attendants (PCAs). Models--private and shared systems--are reviewed, and advantages and disadvantages of each noted. Suggestions for interviewing and hiring PCAs include guidelines for advertising and areas for training PCAs. Character types of PCAs as well as of people with disabilities are listed and situations are described to analyze behaviors with possible consequences. The importance of adequate back-up systems is stressed. A concluding section considers ways to terminate one's PCA. A functional assessment form and a short list of resources conclude the document. (CL)