Adult Homes in NYC
Adult homes were originally established
to serve the aged and frail elderly who needed a
supervised living arrangement, but did not need nursing
home care. In the 1960’s, when New York State began to
downsize its State Psychiatric Hospitals, adult homes
began to house a younger, deinstitutionalized population
of people with a mental illness.
Adult homes are currently licensed and
regulated by the New York State Department of Health and
were previously the responsibility of the Department of
Social Services. The New York State Office of Mental
Health licenses and monitors mental health providers
that serve residents with a diagnosis of mental illness
in impacted homes.
Adult Home regulations prohibit operators
from directly providing health care services or
employing staff to provide health care services. Adult
Homes are not considered health care facilities. Adult
Homes provide meals, housekeeping, personal care and
case management services.