Community Specialty Programs in Tennessee

RHA Health Services in Tennessee recognizes resources that enhance the quality of life can have a dramatic effect on a person’s health. Our community specialty programs aim to address “whole person” care needs, which in addition to monitoring health, may include help with employment, education, cultural needs, safe housing, and other social and economic factors that impact a person’s health.

Behavior Support Services


Behavior Support Services offer comprehensive assessment, behavior support planning, ongoing supervision, caregiver training and clinical data analysis when people with physical, intellectual or developmental disabilities display challenging behaviors.

Community-Based Day Services & In-Home Based Day Service


Community-Based Day Services support each person’s full engagement in community life, based on his or her individualized needs and preferences as reflected in the person-centered ISP. Services are designed to help the person actively engage in activities in the community, including assisting the person in building relationships and strengthening natural supports. In-Home Based Day Services may be arranged when the person supported is retired or has a health/medical or behavioral condition which precludes participation in services outside of the home. Supervision, monitoring, training, education and support are provided to assist with the acquisition of skills in the following areas:

  • Leisure activities
  • Community/public events
  • Utilizing community resources (e.g. public transportation)
  • Acquiring and maintaining employment
  • Educational activities
  • Hobbies
  • Volunteer opportunities including those that may lead to potential employment
  • Maintaining contact with family and friends

ECF CHOICES Waiver Program


This program has a primary focus on employment. We help people become employed and live as independently as possible in the community. For people who are not ready for a job in the community, the new program offers services to help prepare for possible future employment.

Nursing Services


Skilled nursing services are those that must be provided directly to the person supported by a registered or licensed nurse.

Personal Assistance


Personal Assistance Services involve direct assistance with activities of daily living skills, household chores essential to the health and safety of the person supported, budget management, attending appointments, and interpersonal and social skills building to enable the person to live in a home in the community. This service is provided in the family home as well as in the community, but not in schools. Personal Assistance is usually provided to people supported who live with elderly or ill parents or a parent who can only work when this assistance is provided. This is not a residential service, but may be provided during the day or night based on what is specified in the person-centered ISP.

Respite Services


Respite Services are provided to a person supported when unpaid caregivers are absent or need relief from routine care-giving responsibilities. Respite may be provided in the person’s place of residence, in a Family Model Residential Support home, in a Medicaid-certified ICF/IID, in a home operated by a licensed residential provider, in a licensed respite care facility, or in the home of an approved respite provider. The person supported may still participate in community outings for exercise, recreation, shopping or other purposes while receiving respite services. Respite services cannot be provided to someone already receiving another form of residential services.

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