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I. BACKGROUND

With a 2012 settlement agreement between the State of North Carolina (NC) and

the US Department of Justice (DOJ), the State of North Carolina agreed to

develop and implement effective measures to prevent inappropriate

institutionalization of individuals with serious mental illness (SMI). The State also

agreed to provide adequate and appropriate public services and supports

identified through person-centered planning in the most integrated setting

appropriate to meet the needs of individuals with SMI, who are in or at risk of

entry to an adult care home (ACH).

This settlement agreement led to the Transitions to Community Living (TCL).

SAIH is one key public service available to support individuals eligible for TCL slots.

II. TCL Supported Housing Slots are offered to the

following eligible individuals

A. TCL Supported Housing Slots are offered to the following

eligible individuals

Individuals approved for TCL residing in an adult care home (ACH, but

can live independently in the community with assistance from the SAIH

program supports.

B. Individuals in Private Living Arrangement (PLA)

Individuals approved for TCL residing in a PLA who are seeking ACH

placement, but can be diverted from ACH placement if he or she can live

independently in the community with supports. PLA is a private home,

apartment, congregate housing, multi-unit housing with services, public or

subsidized housing, shared residence, or other similar living arrangement.

C. Individuals Discharged from State Psychiatric Hospitals

who are Homeless or Have Unstable Housing

Individuals approved for TCL who have been discharged from state

psychiatric hospitals and are living in a homeless or unstable housing

situation, but may be able to live independently in the community with

supports.

SA-5250 I-II.