Residential facilities for older adults and/or people with disabilities who are unable to function in an independent living environment because they need assistance with toileting, bathing, dressing, medication management and administration, meals and housekeeping and other activities of daily living, but do not require nursing care on a regular basis. Living options range from state institutions for individuals with the most severe disabilities who require intensive services to settings that enable individuals with disabilities to live with their own families or in their own homes or apartments with supportive services from community-based supported living providers. Alternatives in between include health care facilities for people with a primary need for developmental services in combination with an intermittent need for skilled nursing care; community care facilities (residential care homes or group homes) for people who require varying levels of supervision and assistance in the activities of daily living; assisted living facilities; continuing care retirement communities; life care communities; foster family placements for adults who will benefit from interaction in a family environment; and semi-independent living facilities for individuals with disabilities who need minimal levels of support to live and work in the community. Some of these facilities are licensed by the state.

An alteration in thinking, mood or behavior or some combination of those that either creates distress or interferes with people's relationships or their ability function.

Adults who, because of their economic, environmental or family situation or a health problem or disability, are considered more likely than others to be affected by or become involved in self-destructive behavior, criminal activity, abuse, substance abuse, chronic unemployment, homelessness, unwanted pregnancy and other problems which threaten their health, safety and/or personal development.

Youth who, because of their economic, environmental or family situation, a health problem or disability or past behavior, are considered more likely than others to be affected by or become involved in child abuse or neglect, substance abuse, juvenile delinquency, gang behavior, adolescent pregnancy, truancy, unemployment and other problems which threaten their health, safety and/or personal development.