Understanding Different Types of Group Homes

May 26, 20255 min read
a modern, well-furnished group home interior showcases a diverse group of residents engaging in communal activities, highlighting the supportive and inclusive environment tailored for various needs.

Understanding Different Types of Group Homes

As families and caregivers search for long-term care options that go beyond traditional nursing homes or assisted living facilities, group homes have become a popular solution for people of all ages and needs. These homes provide a community-centered approach to care, prioritizing quality of life, accessibility, and a sense of belonging.

Whether you're caring for an aging parent, a loved one with disabilities, or someone recovering from substance abuse, understanding the types of group homes available can help you make the best choice for your family's needs.

What Is a Group Home?

A group home is a residential setting where individuals live together with support from trained staff. These homes offer residential care for seniors, individuals with developmental disabilities, mental illness, or other health challenges. Unlike assisted living or nursing homes, group homes are often smaller, more personal, and focused on community integration.

They typically include services like:

  • Medication management

  • Help with activities of daily living (ADLs)

  • Transportation to appointments

  • Access to therapy, nutrition, and housekeeping

  • Social programs and recreational activities

  • Coordination with physicians and care facilities

Types of Group Homes

Here’s a breakdown of the most common types of group homes, along with the services they offer.

1. Senior Group Homes

Also known as adult family homes or group homes for the elderly, these small residential care homes cater to older adults who need supervision but not full medical care.

  • Residents receive help with hygiene, medication, meals, and companionship.

  • These homes offer a more intimate environment than large assisted living communities.

  • Ideal for seniors with conditions like dementia, Alzheimer’s disease, or reduced mobility.

Common searches include: “group home for elderly near me”, “private homes for elderly care”, or “elderly retirement home.”

2. Group Homes for Adults with Disabilities

Designed to promote independence and dignity, these homes support adults with developmental, intellectual, or physical disabilities.

  • Services include supported living, supported employment, behavior support, and residential programs tailored to the individual.

  • Many are licensed and funded through Medicaid, state programs, or the Commission on Accreditation of Rehabilitation Facilities (CARF).

Terms like “assisted living for adults with disabilities near me” or “residential living for adults with disabilities” are often used when searching for these homes.

3. Mental Health Group Homes

These residential services support individuals living with mental health disorders, including schizophrenia, bipolar disorder, and PTSD.

  • Homes offer structured routines, medication support, assertive community treatment, and access to counseling or psychiatric services.

  • Some may offer specialized programs for veterans, funded by the VA or other federal programs.

Search terms might include: “assisted living for mentally disabled adults” or “assisted living for schizophrenia near me.”

4. Substance Abuse Recovery Homes

Also known as transitional homes or recovery group homes, these support individuals healing from addiction or substance abuse.

  • Services often include therapy, job assistance, community support, and a safe, structured environment.

  • These homes help prevent relapse and support reintegration into society.

Programs may be faith-based, peer-run, or part of broader rehabilitation networks.

5. Youth Group Homes and Foster Care Settings

These residential homes for youth serve minors in the foster care system, those exiting homelessness, or troubled youth.

  • Support includes counseling, education, employment training, and stability.

  • Homes are often state-licensed and operated by group home agencies near me or nonprofits.

Who Regulates Group Homes?

Most group home care is regulated at the state level. Licensing, inspections, staffing ratios, and services offered must comply with standards from the Department of Health, state Medicaid offices, or local human services departments.

Some homes also adhere to standards from national organizations like CARF or follow guidance from AARP, Medicare, and health insurance providers.

Benefits of Group Homes

  • Smaller room counts and close caregiver relationships

  • Emphasis on community, socialization, and a home-like feel

  • Often more affordable than institutional care

  • Support for everything from physical therapy and hygiene to education and transport

Group homes are ideal for people who need residential care but still want a sense of independent living and connection.

Things to Consider

  • Cost and funding: Many programs accept Medicaid, insurance, or private payment.

  • Accessibility: Homes should accommodate mobility needs and offer support with ADLs.

  • Location: Proximity to family, work, or community hubs is key.

  • Staff and Services: Ask about training, payroll practices, and response to emergencies.

  • Licensing and Oversight: Verify the home’s credentials and reputation.

How Tarheel Senior Placement Can Help

Navigating the many residential care options available in North Carolina can feel overwhelming. That’s where Tarheel Senior Placement comes in. Our team of senior living specialists helps families find the right program, home, or respite care facility for their loved one—at no cost to you.

Whether you're exploring a group home for seniors near me, a residential assisted living community, or adult care homes, our team provides:

  • Personalized guidance

  • Up-to-date information on available homes

  • Help with insurance and Medicaid questions

  • Coordination with caregivers and facilities

Final Thoughts

Understanding the different types of group homes is the first step to finding safe, respectful, and supportive housing for yourself or someone you love. From residential homes for the elderly to homes supporting those with disabilities or addiction, there's a solution out there that fits.

With support from organizations like Tarheel Senior Placement, you don’t have to go it alone. Let our team help you find peace of mind—and a place to truly call home.

Need help navigating care options? Contact Tarheel Senior Placement for expert advice and free placement support throughout North Carolina.

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