Alternative Family Living

What is Alternative Family Living?

In North Carolina, AFL is a residential support model under the NC Innovations Waiver, where individuals with intellectual and developmental disabilities (ID/DD) live with a family (licensed or unlicensed) that’s trained to provide personalized care. It’s designed to be person-centered, meaning the individual’s preferences, goals, and strengths guide the support they receive.

What Makes AFL Unique

• Family-Based Environment: Instead of institutional care, individuals live in a home setting with caregivers who treat them like family.

• Individualized Support: Services are tailored to the person’s needs — from daily living skills to emotional support.

• Community Integration: Residents participate in everyday activities like school, work, volunteering, and recreation.

• Flexibility: AFL homes can be licensed or unlicensed, depending on the provider and the individual’s needs.

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Benefits for Individuals

• Greater independence through skill-building and choice-making

• Stronger relationships with caregivers and community members

• Improved quality of life through inclusion and stability

• Reduced isolation by being part of a family and community

​Licensed: 2 or more I/DD individuals living in the home with a family

Unlicensed: 1 I/DD individual residing in the home with a family

Service Funded by: Medicaid (Innovations)

Areas Served: 

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• Asheboro

• Asheville

• Burlington

• Cary

• Chapel Hill

• Charlotte

• Concord

• Durham

• Fayetteville

• Gastonia

• Greensboro

• Greenville

• High Point 

• Jacksonville

• Kannapolis

• Raleigh 

• Rocky Mount

• Wilmington

• Wilson

• Winston-Salem

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*Support surrounding areas

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Are you in need of alternative family living services?

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Please email info@lifesgoodstayhere.com to inquire.