Monarch Center for Autism Cleveland Ohio

Residential Placement Options

Below are descriptions of numerous residential placement options, designed to support individuals of varying levels of need.

Community Care Facilities for People with Disabilities

Facilities, usually located in residential neighborhoods, that provide 24-hour non-medical care for children, youth and adults with developmental disabilities, sensory impairments, physical disabilities, emotional problems or multiple disabilities who are in need of personal services, supervision, and/or assistance essential for self-protection or sustaining the activities of daily living. Community care facilities are licensed by the state/province 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.269

Foster Care for People with Disabilities

Agency-supervised private family homes that provide alternative family living arrangements for individuals with developmental disabilities, sensory impairments, physical disabilities, emotional problems or multiple disabilities who are unable to live with their original families.270

Intermediate Care Facilities for the Mentally Retarded (ICF-MR)

Institutions that primarily provide the diagnosis, treatment or rehabilitation of the mentally retarded or persons with related conditions. ICF-MRs provide a protected residential setting, ongoing evaluations, planning, 24-hour supervision, and coordination and integration of health or rehabilitative services to help each individual function at their greatest ability.271

Semi-Independent Living Residences for Disabled Adults

Programs that provide housing in a group setting for adults with developmental disabilities, sensory impairments, physical disabilities or multiple disabilities in facilities like apartment buildings, condominiums or agency-owned complexes which are 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 twenty-four 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.272

State Institutions for Developmentally Disabled Individuals

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.273

Supported Living Services for Adults with Disabilities

Programs for adults with developmental disabilities, sensory impairments, physical disabilities, emotional problems or multiple disabilities who do not require twenty four hour supervision that provide a highly individualized, coordinated system of services and supports which facilitates their ability to live in their own homes or apartments, to hire and supervise paid caregivers, to work in the community, to participate in community activities and to interact with nondisabled neighbors. A supported living agency may help the individual hire and supervise an attendant; develop a budget and pay bills on time; learn to shop and cook or hire someone to prepare meals for them; remember to take necessary medication; schedule medical appointments and get to the doctor’s office; advertise for and select a roommate; make their living space barrier-free; learn about relationships, sexuality and parenting; select recreational pursuits that are personally satisfying; and accomplish other similar activities of daily living.274


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