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NC Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Abuse Services

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DOJ Settlement - Transition to Community Living Initiative

Transition to Community Living Initiative

The State of North Carolina entered into a settlement agreement with the United States Department of Justice (USDOJ) on August 23, 2012.  The purpose of this agreement is to assure that persons with mental illness are allowed to reside in their communities in the least restrictive settings of their choice.  The agreement is the end product of over a year of negotiations between the State and the USDOJ. 

The Department began implementing the agreement through the Transition to Community Living Initiative.  There are six primary components to the Transition to Community Living Initiative that include: 

  • In-Reach and Transition
  • Diversion
  • Housing
  • Supported Employment
  • Assertive Community Treatment
  • Quality Management 

Each component has necessary settlement milestones.  The implementation plans related to Transition to Community Living are completed during collaborative work group sessions that are open to the public and updates are provided during work groups as well as during the transitions to community living.

A major settlement milestone is that LME/MCOs are to begin In-Reach activities no more than 180 days after the settlement was signed or by February 2013. 

The LME/MCOs have been attending two-day intensive trainings (presentation revised 6/21/13 to clarify TYSR Policy) on the Transition to Community Living Initiative and as part of the training received technical assistance regarding In-Reach and Transition Coordination functions and tools that will be utilized to provide In-Reach and Transition Coordination services. 

Pre-admission Screening and Resident Review (PASRR)

N.C. Division of Mental Health/Developmental Disabilities/Substance Abuse Services (DMH/DD/SAS) has identified staff to serve as liaisons to provide technical assistance, answer questions, and assist with locating PASRR Level I Screeners:

Barbara Flood – EAST - 919-218-3872,
Patricia McNear – CENTRAL – 919-981-2580,
Bill Joyce – WEST – 336-312-0212,

Quality of LIfe Survey

The Quality of Life Survey has gone live!




  • Introduction to Transition to Community Living Initiative Webinar
    This training provides an overview of the Settlement Agreement between the DOJ and NC, including events leading up to the Transition to Community Living Initiative.
  • Overview of the Transition to Community Living Initiative Process
    An overview of the entire process of the Transition to Community Living Initiative with flow chart for transitioning individuals into supportive housing.
  • Partnering with Facilities
    This webinar, presented by staff from the Division of Health Service Regulation, provides a review of general statutes and licensure rules specifically related to resident’s rights and the discharge of residents in adult care facilities.
  • In-Reach (2 parts)
    • Part 1
      LME/MCO roles in the In-Reach process including ongoing engagement, education and support efforts.
    • Part 2
      Provides a review of the tools available through the DHHS website for the In-Reach function.
  • State Psychiatric Hospitals
    This webinar provides information on how the Transition to Community Living Initiative can impact individuals in state psychiatric hospitals.
  • Transition (2 parts)
    • Part 1
      This webinar outlines the MCO’s role in the transition coordination process and transition planning.
    • Part 2
      A review of the tools that are used in the transition planning process. 
  • Special Assistance
    The Transition to Community Living Initiative:  Information on Special Assistance and Special Assistance In-Home Eligibility for individuals living in an adult care home, individuals diverted from an adult care home, and individuals who have been inpatients in state psychiatric hospitals wanting to live in the community. This powerpoint goes with the webinar.
  • Housing
    NC Supportive Housing:  The process for moving consumers from In-Reach into tenancy. 
  • Supported Housing Program
    This webinar provides an overview of the steps involved for transitioning individuals into the community through the Supportive Housing Program.
  • Quality of Life Surveys
    The Consumer Quality of Life Survey: This webinar provides an explanation of the QOL Survey including background of key elements, an overview and guidelines, and the utilization of the survey instrument.

MCO Discussion Series

These are conference calls and webinars hosted by DHHS for the MCOs to share updates and key information about the DOJ Settlement implementation efforts. To receive information about these sessions, please email Robert Weaver at

Special Assistance In-Home Changes




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