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Residential Services Programs

The Community Supports Program (CSP) is committed to supporting individuals in the family home and in accordance with individual choice.  Individuals may reside in their own home or reside with family. Home supports and other financial services may be provided based on the assessment of need.

Adult individuals who choose not to reside in their own home or reside with family, may be assessed for some of the other following residential options.

Board and Lodging Non-Relatives

An individual may choose to contract with a non-relative to reside in their home and have basic board and lodging (accommodations, meals, laundry, etc.) provided to them as well as additional support as identified through the clinical assessment of their needs by the appropriate healthcare professional. These adults have identified needs that warrant a supplementary board and lodging rate to live in these arrangements. 

The basic rate of board and lodging is available through the Department of Advanced Education and Skills (AES), while additional funding if eligible, is provided by the CSP. Individuals may access other services (e.g., funding for home support services, health supplies, equipment, oxygen or orthotics) based upon the outcome of a clinical assessment. 
Alternate Family Care
An Alternate Family Care (AFC) Home is a private residence that provides room and board, supervision and personal and social care to an unrelated adult with an intellectual disability. The program is designed to meet the needs of individuals who cannot live independently or chooses not to and can benefit from a family environment. 

When an adult with an intellectual disability can no longer reside with their natural family or with the family that he/she currently lives with, placement in the AFC Home is the first and preferred option. This option is a flexible living arrangement that enables an individual, with extensive support needs and/or challenging behaviors, to live in a family environment.

The goals of the AFC Program are:

  • To provide a natural family environment in which the individual can continue to develop and mature, in a stable and secure home, for as long as he/she desires or needs it
  • To make available, living environments that will prevent the use of other more restrictive arrangements
  • To ensure that through the provision of necessary support services, the individual will have the opportunity to realize his/her full potential

The individuals requiring care under the AFC Program range from those having a mild intellectual disability that are able to maintain a high level of independence, to those who have more significant intellectual and/or physical disabilities who require constant support.

Eastern Health is regularly looking for alternate families who:
  • are committed;
  • demonstrate an understanding and acceptance of persons with intellectual disabilities
  • recognize the individual’s right to choice, privacy and dignity;
  • provide a natural home environment;
  • are willing to become a team player; and
  • are willing to participate in recruitment, training and educational opportunities.
If you are interested in becoming an AFC provider, please call our intake office at (709) 752-4717 in the St. John’s and surrounding area or our toll free 1-877-378-8387. All potential care providers must undergo an AFC approval process.

For more information, please see Department of Health and Community Services Provincial Alternate Family Care Program, Operational Standards 2007.

Individual Living Arrangements 
Individual Living Arrangements (ILA) refers to a 24-hour staffed arrangement for individuals with an intellectual disability. This service is not intended to be long term and individuals are moved to less restrictive environments at the appropriate time. The responsibility for the operation and continuation of this type of living arrangement rests with the individual and/or their family. This residential option is meant to be a flexible program that can, within limits, meet the needs while encouraging independence and life skills development on an individual basis. 

These arrangements are cost-shared between the Department of Advanced Education and Skills (AES) and the CSP. Additional services may also be provided, based upon the outcome of a clinical needs assessment by the appropriate healthcare professional.

Co-operative Living Program
The co-operative living program is a flexible program where two or three residents reside in a house with 24-hour support.  The program is designed to address individual behaviors and teach life skills that would enable the individual to live in other less restrictive community settings. Co-operative living assists the individual to attain their fullest personal potential and achieve functional integration and acceptance into the community.
An individual shall be considered for admission to the Co-operative Living Program through a referral process. Referral begins with an eligibility screening performed by the CSP which looks at the individual’s clinical needs and then forwards this to the residential support board responsible for the co-operative living program. The board will decide on suitability for admission based on various factors. A referral does not guarantee admission. 
For more information please see contact information below or review the Department of Health and Community Services Provincial Co-operative Apartment Program, Operational Standards 2007
  • Please contact us if you have questions or inquires about the Residential Services Program.


Updated May 14, 2013