Living Arrangements
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Introduction
One of the potentially biggest steps of transitioning to adulthood is the change in where the young adult lives. The planning
behind this decision should happen throughout the teenage years to give the young adult the skills and preparation necessary
to make this change. Families and young adults should remember that the decision will be based on many different and changing
factors.
Some young adults will stay at home, some will move into college housing, some will live with friends or relatives; and some
may move into assisted living or group home facilities. Some young adults will move to an apartment or house on their own
without roommates. The factors that may influence the decision may include:
- physical and cognitive abilities;
- independent living skills;
- family finances and financial aid;
- family and caregiver abilities;
- and Young adult and family comfort with different living arrangements.
Young adults who have difficulties with managing money, managing time, cooking, cleaning, and arranging transportation should
consider living at home with relatives until they develop these skills, regardless of their ability or disability. Families
with young adults that have intellectual disabilities and behavioral problems that place other family members at risk from
harm may want to consider assisted living or group home facilities. Young adults who are going to attend college or work may
want to consider shared living arrangements such as college dorms or shared apartments as starting points. For any young adult
a support system should be identified to help in times of emergencies, or when the young adult just needs some help or company.
Regardless of the living arrangement, families and young adults are encouraged to consider the variety of daytime activities
that are available. Transportation, income, insurance, and other factors should be considered when choosing the living arrangement,
and daytime activities. For example, living at home may be cheaper than living in a college dorm but may have additional costs
for transportation expenses and effort. Some daytime activities include:
- full-time or part-time employment;
- college, vocational schools, or other training programs;
- day programs offered by local non-profit organizations;
- volunteer programs offered by for-profit or non-profit organizations;
- Recreational activities offered by community organizations.
Living with Parents/Family
Most young adults will live with their parents, guardians, family, or relatives for some period of time after their 18th birthday
or when they complete high school. Young adults are usually still learning the skills they need to live independently or are
unable to afford their own apartment or house. Young adults who attend college may continue to live with their parents and
commute to college. Young adults can live with parents during breaks, or return to living with parents after college and before
starting full-time employment.
On the other end of the continuum, young adults with intellectual disabilities or some physical impairment may continue to
live with their parents where they have access to caregivers that are familiar with their needs. Finding accessible housing
or financing private caregivers is often a challenge for young adults.
In evaluating the decision to live with parents or relatives, the family should evaluate:
- the young adult's disability and independence skills;
- the family members' skills and ability to care for the young adult;
- the young adult's ability to find employment;
- the young adult's ability to secure transportation for employment, health care, recreation, and other activities;
- the young adult's ability to pay for housing and other expenses;
- the total costs of housing, utilities, food, transportation, recreation, and other expenses for the various living options;
- and the young adult’s eligibility for services that provide care and support and how the different living situations may support or jeopardize eligibility.
Residential Services
Individuals with special needs may be eligible for services in their homes based on Medicaid programs or Waivers. The waivers are designed to allow the individual the ability to live at home, in a supportive environment, at a lower cost
than living in an assisted living facility. The services available depend on the specific disability and other factors. Individuals
with special needs may begin accessing residential services when they still live with their parents. Young adults with access
to residential services may be able to live independently or with others in an apartment or house.
Before making a decision about living arrangements, families and young adults should find out what services may or may not
be available for the living arrangements that they are considering. While a young adult may want to be more independent and
live far away from his or her parents, the financial situation and limits on services may be of greater importance. Families
should also explore creative solutions such as finding out if a separate space on the family’s property, such as a garage
apartment, would allow the young adult greater independence without jeopardizing care or services. When considering a garage
apartment, mother-in-law, or other types of apartments on the family property, the family should contact the city to determine
if local building codes will allow those types of dwellings.
Assisted Living
Young adults that need care and support that families are unable to provide may consider assisted living facilities. For example,
young adults that require twenty-four-hour care or that have behaviors that place family members at risk may benefit from
an assisted living environment. These facilities can provide skilled care and structured activities for young adult residents.
The availability of facilities may be limited in rural areas and visiting hours for families may vary. Families should visit
the facility and talk with the administration about the specific needs of the young adult and the services that the facility
offers. Families should also discuss this option with their health insurance provider since assisted living facilities are
usually one of the more expensive options.
Assisted living supports cover a wide range, from dependent-based facilities to a more independent environment where individuals
are encouraged to develop necessary skills to become homeowners. Some things to consider are:
- Level of care
- Types of disabilities served at the facility
- Private or government financing
- Compliance with regulatory agencies
- Social, educational, and recreation activities offered
- Type, level, and licensing of professional staff
- Ability of the individuals to leave the facility for social or employment opportunities
- Location in the community or distance from family and relatives
- The general feel of the facility (like a hospital or a home)
State disability agencies can provide information about options in your state and community. For more information: see see
all Independent Living services providers (62) in our database in our database.
Group Homes
Young adults may choose to live in a group home with other adults with disabilities in a supervised and supported environment.
Group homes, usually a house in a residential neighborhood, offer a family-type environment. Usually staff will provide training
in independence skills and the residents share in the work of the household, like a family working together. The residents
may be employed outside of the home or participate in other community activities during the daytime. A group home may be a
way for young adults to transition from living at home to a more independent living environment in the future or may be a
more permanent living situation.
Families, including the young adult, should fully explore any potential group home for rules and group dynamics that fit well
with the young adult with disabilities. Just like every family has its own rules and every house has its differences, families
should ask about:
- household chores
- options for employment
- transportation options
- options for personal care/support
- curfews
- accessible rooms
- emergency plans
- staffing levels
- daily routines
Section 8 Housing
Today, people with disabilities have many options for owning their own home, but it may take time, persistence, and patience
to realize this goal. Many of the available resources have long waiting lists for housing services.
Young adults with disabilities may be eligible for the Housing Choice Voucher Program, one program under Section 8 of the
Housing Act of 1937. The vouchers can be used for rental or applied toward a home purchase. The young adult will need to find
a place to live and the voucher would be applied toward the rent, provided directly to the landlord with the remainder of
the rent and deposits paid by the young adult. Income and other rules may apply and there are usually waiting lists for the
program. Young adults should contact their local Housing Authority for details and to apply. For individuals or families in
the program, they must keep the apartment or home in good condition and notify the Housing Authority of any changes in the
family's situation, such as the number of people living in the apartment and income.
Other resources to facilitate home ownership include: community development agencies; resources for making a home accessible;
financial assistance, and savings programs. For more information see all see all State Institutions for Individuals with Disabilities services providers (47) in our database and see all Housing, Other services providers (88) in our database.
Resources
Information & Support
For Parents and Patients
National Council on Independent Living (NCIL)
Provides information and advocacy for independent living with links to locate state councils and local centers.
HUD.GOV
U.S. Department of Housing and Urban Development
Accessibility and Universal Design
US Department of Education, Office of Accessibility and Universal Design.
Youth/Young Adult Transition Needs Assessment (
91 KB)
A worksheet to help the youth or young adult determine strengths and needs to help prepare for transition to adulthood; from
the Utah Family Voices Health Information & Support Center.
Services
Adult Residential Care Homes
See all Adult Residential Care Homes services providers (29) in our database.
State Institutions for Individuals with Disabilities
See all State Institutions for Individuals with Disabilities services providers (47) in our database.
For other services related to this condition, browse our Services categories or search our database.