Intensive Alternative Family Treatment (IAFT®) is a specialized, in-home, family-based foster care option.



Therapeutic Foster Care is a temporary placement in a licensed therapeutic foster home for children/teens who have challenges in their ability to function within their own families, in school or in the community.



The Transitions to Community Living (TCL) provides eligible adults living with serious mental illnesses the opportunity to choose where they live, work and play in North Carolina. This initiative promotes recovery through providing long-term housing, community-based services, supported employment and community integration. The Transitions to Community Living initiative has its roots in the 1999 Supreme Court ruling relating to Title II of the Americans with Disabilities Act (ADA), also known as the Olmstead decision, which prohibited the unjustified segregation of individuals with disabilities. The U.S. Department of Justice (DOJ) found many individuals with SPMI in North Carolina were living in adult care homes and state psychiatric facilities – living situations that violated the requirements under the Olmstead decision.



CST services consist of community-based mental health and substance abuse rehabilitation services and necessary supports provided through a team approach to assist adults in achieving rehabilitative and recovery goals. It is intended for individuals with mental illness, substance abuse disorders, or both who have complex and extensive treatment needs. CST is designed to reduce presenting psychiatric or substance abuse symptoms and promote symptom stability, restore the individual’s community living and interpersonal skills, provide first responder intervention and deescalate the current crisis, and ensure linkage to community services and resources. CST is available 24/7.



ACT Teams include psychiatrists, nurses, social workers, substance abuse specialists, vocational specialists, certified peer support specialists, and other specialists who help adult individuals with severe and persistent mental illness (SPMI) live in their homes instead of institutions. They provide an array of community-based services, from delivering daily medications to helping individuals find and maintain safe and affordable housing. ACT is available 24/7. ACT is the most intensive available in the community. To find out if you qualify for this service, contact your LME-MCO.

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