Housing and Home & Community Based Services

"From Savvy Caregivers classes to support groups for people with Alzheimer's like my mom and caregivers like me, Alzheimer's Resource of Alaska is my lifeline. The staff genuinely cares about me and my mother and they do everything they can to support us and to prepare us for what's to come."


The Trust's Housing and Home & Community Based Services focus area concentrates on ensuring beneficiaries have access to a continuum of services and supports that maximize independence in their home and community.

Housing is a critical component to the continuum. Housing First, an evidence-based practice, identifies that a person must have the safety and security of a place to live before they can commit to consistent treatment of health and behavioral health conditions, reducing or eliminating substance use, obtaining employment or education or meeting other goals.

  • The National Alliance to End Homelessness identified that 41 percent of people who are homeless in the U.S. also experience a disability.
  • 100 percent of chronically homeless individuals have one or more chronic conditions or disabilities (U.S. Department of Housing and Urban Development definition).
  • Supportive housing services are for people who are homeless who have one or more chronic conditions or disabilities and need a range of support services to remain housed. People who are served through supportive housing have a history of institutionalization or are at risk of institutionalization.

Equally important, is having long-term services and supports (LTSS) that are person directed to achieve maximum independence, autonomy and dignity. Home and Community Based Services (HCBS) are types of person-centered care delivered in the home and community.  HCBS assist a person with their activities of daily living (e.g., eating, bathing, toileting) and instrumental activities of daily living (e.g., making phone calls, paying bills, managing medication) or support the person to become more independent and engaged in their community.

  • LTSS and HCBS are delivered in home and community-based settings as well as institutions.
  • LTSS are used by people with disabilities or disabling chronic conditions of all ages.
  • Person-directed services means that the person decides where and with whom they live, the services and service providers used - to include family and friends, where to work, and how they want to participate in the community.
  • Assistive technology, devices, equipment, smart home technology, physical alterations to a home including ramps, and technology based interactive medical devices are examples of supports that can be put in place to support a person.
  • Services examples include case management, care coordination, personal care services, supervision and cuing, transportation, supported employment, chore, respite, and assisted living home care. Services typically involve a combination of family caregivers and direct service workers.

Alignment with the Comprehensive Mental Health Program Plan

The work of the Trust aligns with Strengthening the System: Alaska’s Comprehensive Integrated Mental Health Program Plan (comp plan), that was developed in a partnership between the Trust and the Department of Health and Social Services in coordination with community stakeholders. The Comp Plan identifies priorities for the next five years to inform planning and funding decisions to meet the needs of  Trust beneficiaries. The intent is to strengthen the system of care to allow a comprehensive approach that quickly meets their needs.

Housing and tenancy supports are identified in the comp plan under Goal 3: Economic and Social Well-being, Objective 3.1: Alaskans have stable, safe housing with appropriate, community-based social supports to maintain tenancy.

Goal 7: Services in the Least Restrictive Environment supports the use of long term services and supports to reach Objective 7.2: Increase access to effective and flexible, person-centered, long-term services and supports in urban and rural areas to avoid institutional placement.


Kelda Barstad, Program Officer