Service Tree

The Service Tree lists all services in "branched" groups, starting with the very general and moving to the very specific. Click on the name of any group name to see the sub-groups available within it. Click on a service code to see its details and the providers who offer that service.

Adult Foster Homes

Agency-supervised private family homes that provide alternative family living arrangement for older adults or adults with disabilities who need supervision and personal care (but generally not nursing care) and who do not live with their families. The arrangement provides an opportunity for the individual to become a participating member of the family and the community in which the family resides, and to share in the interaction and responsibilities of being a part of a family. Foster care for older adults and/or people with disabilities may not be available in all states; and some jurisdictions may permit the provision of rehabilitation services, nursing care and other medical services. Some adult foster homes may specialize in providing care for adults with developmental disabilities, Alzheimer's disease, mental health issues or other specific conditions. Licensing requirements vary considerably from area to area.

Adult Residential Care Homes

Residential homes or facilities that offer personal care and individual attention for older adults, people with disabilities and other populations whose limitations prevent them from living alone. Adult residential care homes (which are also known as board and care homes, residential board and care homes, personal care homes or residential care facilities for the elderly) generally provide a room (which may be shared), meals and supervision; and may specialize in populations with specific needs such as people with Alzheimer's disease or those with developmental disabilities. Services vary from facility to facility but may include dietary and housekeeping services, monitoring of prescription medication, social and recreational opportunities, incontinence care and assistance with toileting, bathing, grooming, dressing, mobility and other activities of daily living. Some homes provide secured surroundings for confused elderly adults who may wander while others are unable to accept individuals who are incontinent or who have severe problems with memory loss. There is considerable variation among these homes in terms of size, resident mix, daily charges and services. Most but not all adult residential care homes or facilities are licensed by the state in which they are located.

Assisted Living Facilities

Residential facilities specially constructed or converted to combine housing and supportive services in a "homelike" environment with the goal of maximizing the individual functioning and autonomy of residents. Assisted living facilities generally have private apartment-style accommodations with walk in showers, wide doors for wheelchair access, emergency pull cord systems and other special amenities; and offer the individualized array of personal care services which will allow each resident to function as independently as possible. Services vary from facility to facility, but usually include three meals a day with special diets, as required; housekeeping and linen services; personal laundry; social and recreational activities; transportation to medical appointments, stores and community services; money management assistance; assistance with toileting, bathing, grooming, dressing, mobility and other activities of daily living; medication management and administration; therapy and pharmacy services; and wellness and exercise programs. Assisted living facilities may be licensed by the state or may not require a license depending on the area in which they are located.

Continuing Care Retirement Communities

Residential facilities, usually licensed by the state, which combine all three levels of care (independent living, assisted living and nursing home care) in a single setting. CCRCs offer older adults long-term contracts which guarantee a place to live and access to specified personal and health care services. Residences may be apartments, townhouses, duplexes, clusters or single family homes and offer differing arrays of service, usually including a common dining room, exercise and activity areas, outdoor recreation and swimming pools. New residents are expected to move into the community when they are healthy and able to maintain an independent lifestyle, and may be asked to pay a sizable entry fee plus monthly maintenance fees, may have the option of a month to month rental arrangement or may purchase and develop equity in the property. Depending on the contract, specified health services may be covered by the entry fee, may be included in the maintenance fees or may be paid for at the time of need. The monthly fee also covers meals, housekeeping, linen and personal laundry, utilities and other basic services.

Group Residences for Adults With Disabilities

Agency-owned or operated facilities that provide an alternative living environment for adults with developmental disabilities, sensory impairments, physical disabilities, emotional disabilities, multiple disabilities or chronic illnesses such as AIDS who are in need of personal services, supervision and/or assistance essential for self-protection or sustaining the activities of daily living and consequently are unable to live with their own families or in a more independent setting. Group residences for adults with disabilities may be licensed by the state and may be distinguished according to the level of service residents require. Service levels depend on the self-care skills residents possess, their limitations in the areas of physical coordination and mobility, and the presence and extent of behavior problems including disruptive or self-injurious behavior.

Intermediate Care Facilities for Individuals With Developmental Disabilities

Residential health care facilities that provide developmental services including training and support in life skills such as mobility, socialization, employment and recreation as well as skilled nursing services for children and adults with developmental disabilities (or a developmental disability and one or more secondary impairments) who require a level of medical care, support and supervision not available in group homes or other community care settings or through supported living arrangements, but who do not need full-time intensive medical care or support. Included are Intermediate Care Facilities/DD for people who have a primary need for developmental services and a recurring but intermittent need for skilled nursing services; Intermediate Care Facilities/DD-Habilitative for people who have a primary need for developmental services and an ongoing, predictable but intermittent need for skilled nursing services; and Intermediate Care Facilities/DD-Nursing for people who have a primary need for developmental services and a continuous need for skilled nursing services to monitor medication or medical conditions. These facilities are licensed by the state which also certifies that federal guidelines have been met.

Semi-Independent Living Residences for Adults With Disabilities

Programs that provide housing in a group setting for adults with developmental disabilities, sensory impairments, physical disabilities, emotional disabilities or multiple disabilities in facilities like small homes, apartment buildings, condominiums or agency-owned complexes which may be staffed to provide functional skills training and on-site supportive services. Residents generally have basic self-help skills or take responsibility for employing and supervising aides to assist them in meeting their personal needs. Staff may be available on a 24-hour basis or only occasionally depending on the specific needs of residents. Included are short-term transitional programs for people who are preparing for supported or totally independent living as well as long-term programs for people who may want to be permanent residents.

State Institutions for Individuals With Developmental Disabilities

Public institutions operated by the state which provide intensive training and supervision for individuals with developmental disabilities (or a developmental disability and one or more secondary impairments) whose behavior in the community has led to involvement with the criminal justice system or who have serious medical problems, severe behavior challenges or other needs that currently cannot be met by available community resources. Residents are committed through the judicial system or referred by an appropriate agency, and receive a full range of residential, educational, medical, mental health, behavior management and other supportive services to help them develop the personal, social, vocational and recreational skills they need to increase their independence and enable them to live successfully in the community, whenever possible.

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