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NC Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Abuse Services

Supported Housing

Housing Options

Meeting the housing needs for persons with disabilities requires a range of strategies. It is our goal to support individuals with disabilities to be able to live in the least restrictive setting with access to appropriate supports and services.

Supportive housing options can range from individual apartments scattered throughout the community (scattered-site) or in a single building or apartment complex (single-site) where all or some of the housing units are available to people who have disabilities and/or a history of homelessness.  Because supportive housing combines housing and services for people with extremely low-incomes who have disabilities, it requires more complex funding than other types of affordable housing.

Important characteristics of supportive housing:

  • The housing is permanent and individuals, that is, tenants, sign leases and pay rent.
  • Each tenant may stay as long as he or she pays rent and complies with the terms of the lease or rental agreement.
  • The housing is affordable and requires no more than 30 percent of household income.
  • Separation of Housing and Services in that participation in a menu of specific support services is readily available, but not required to get or keep housing.

Supportive housing helps reduce homelessness, promotes independence for people with disabilities, may improve an individual’s health, and may help individuals retain employment.  Most supportive housing programs combine:

  • Capital funding used by providers to purchase, rehabilitate, or build new permanent supportive housing.
  • Operating or rent subsidies to pay the difference between the rent a tenant
    can afford and the actual monthly housing cost.
  • Supportive services that help tenants maintain stability and can be offered at the home, a clinic, or by a mobile service team.  Ideally, tenant participation in services is voluntary and not a requirement for people to keep housing.

An important focus of the NC DHHS Division of Mental Health, Developmental Disabilities and Substance Abuse Services is assuring service providers throughout the public mental health, developmental disabilities, and substance abuse services system have knowledge of the different housing and supportive services options. Providers must assess housing situations and address housing needs through the person-centered plans. 

The NC DHHS Division of Mental Health, Developmental Disabilities and Substance Abuse Services has developed a Bed Availability Database where searches can be done across the State showing permanent housing resource options and availability such as; Supportive Housing apartments, Alternative Family Living housing, Mental Health Group Homes, and Family Care Homes.  Service Providers and the general public can view the Bed Availability Database on the Division’s website at:

A Place to Call Home: A Simple Housing Planner for People with Disabilities Using the Housing Choice Voucher is also a good resource.

Search for Housing

There are several resources available to support your search for housing, and some of them are: and have user friendly websites where supported housing logosearches can be done across the state showing resources such as Section 8, subsidized, public and multi-unit assisted living housing.

The NC DHHS Division of Aging and Adult Services maintains an online housing inventory targeting their population on their website.

U.S. Dept. of Housing and Urban Development: Affordable Apartments Search

U.S. Dept. of Agriculture Rural Development: Multi-Family Housing Rentals

Transitions to Community Living Initiative (DOJ Settlement Agreement)

The State of North Carolina entered into a settlement agreement with the United States Department of Justice (USDOJ) on August 23, 2012. The purpose of this agreement is to assure that persons with mental illness are allowed to reside in their communities in the least restrictive settings of their choice. The Department began implementing the agreement through the Transition to Community Living Initiative.

The NC DHHS has a webpage with information on the implementation of the Transitions to Community Living Initiative (US DOJ Settlement) to support individuals with mental illness in integrated community settings at:

Housing Resource Information:

NC Housing Finance Agency – Reasonable Accommodations Guide

NC Housing Coalition – Housing County Resource Guides

NC Housing Coalition – Affordable Housing Primer

NC Department of Housing and Urban Development – Contact Information for Public Housing Agencies and Authorities

Department of Correction – County Resource Guide

The Arc of North Carolina – Housing Resources

Oxford Houses of NC – NC State Oxford Houses Information


North Carolina Coalition to End Homelessness

National Coalition for Homeless Veterans – Help for Homeless VeteransResource

Governor’s Institute on Alcohol and Substance Abuse – Homeless Provider
Technical Assistance Center

Substance Abuse and Mental Health Services Administration – Homelessness Resource Center

The goal of the PATH Program is to reduce or eliminate homelessness for individuals with a serious mental illness or co-occurring mental illness and substance use disorder who are homeless or at risk of homelessness.  Some useful links for stakeholders and service providers are:

Understanding Housing Right

Other Helpful Resources

State Facilities

The NC Division of State Operated Healthcare Facilities (DSOHF) oversees and manages 14 state operated healthcare facilities that treat adults and children with mental illness, developmental disabilities and substance use disorders.  The DSOHF partners with regional advocacy groups, local management entities, provider systems the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services as well as other stakeholders.

Licensed Community Resources

Rules for MH/DD/SA Facilities and Services

NC Division of Health Service Regulation, Mental Health Licensure and Certification Section has lists of facilities licensed by the Mental Health Licensure and Certification section. An easy to read PDF lists the facilities in alphabetical order by county.

Intermediate Care Facilities for Persons with Mental Retardation or Developmental Disabilities (ICF/MR/DD)
List of Institutions licensed under state law to provide health related care and services to individuals who have mental retardation or developmental disabilities, but do not require the degree of care or treatment that a hospital or skilled nursing facility (SNF) provides. 

Adult Care Homes and Homes for the Aged
Lists of Assisted Living residence in which 24-hour scheduled and unscheduled personal care services are provided to two or more residents. 

Family Care Homes Licensed by the State of NC:
Adult care homes that provide care for two to six unrelated residents are commonly called family care homes. 

Community Resources

NC Department of Health and Human Services, Division of Aging and Adult Services

NC Department of Commerce, Division of Community Assistance

NC Housing Finance Agency    

Technical Assistance Collaborative

Technical Assistance Collaborative: Resource Center on Supportive Housing

US Department of Housing and Urban Development

US Department of Agriculture, Rural Development

Reports / Documents

Adult Care Home – Resident Discharge Teams Guidance Procedures and House Bill 677:

  • Session Law 2011-272 (House Bill 677) was signed into law and makes substantive changes to discharge procedures for adult care home residents.  Specifically it provides adult care homes with greater flexibility in the transfer and discharge of residents; enacts appeal rights for adult care home residents and adult care homes with respect to discharge decisions; and creates adult care home resident discharge teams within every county which contains an adult care home licensed under Chapter 131D of the General Statutes.  Session Law 2011-272 can be found at: 

The Division of Aging and Adult Services (DAAS) and the Division of Mental Health, Developmental Disabilities and Substance Abuse Services (MH/DD/SAS) have collaborated to develop the procedures for implementation of House Bill 677.   Please see the Adult Care Home Resident Discharge Team Dear Director letter for information regarding the ACH-RDT procedure manual, and the direct link to the ACH-RDT procedure manual is at:

Additional information concerning the ACH-RDT can be access from the DAAS webpage at:

 Report to The Joint Legislative Oversight Committee on Mental Health, Developmental Disabilities and Substance Abuse Services: Supportive Housing as an Alternative to Psychiatric Hospitalization was released on March 15, 2011 and can be accessed at: Ready NC Connect NC