What is Adult Family Care (AFC)?

Adult Family Care (AFC), also called Adult Foster Care, is a service for elderly adults and adults with disabilities who cannot live alone safely.

People receiving AFC support live with trained, paid caregivers who provide daily care. Caregivers may be family members (except legal guardians), or non-family members.

The program is for adults who need daily help with personal care, but want to live in a home setting rather than in a nursing home or other residential setting. The caregiver provides meals, companionship, personal care and assistance, and 24-hour supervision if indicated. Caregivers may be individuals, couples, or larger families. Caregivers receive a daily stipend, and support through The Arc of Greater Plymouth nursing and case management staff.

Who is eligible for services?

  •  You must be 16 years of age or older.
  •  You must be unable to live alone because of a medical, physical, cognitive or psychiatric condition.
  •  You must need daily assistance with one or more activities of daily living (ADL’s).
  •  You cannot require full-time skilled nursing care.
  •  You must be eligible for MassHealth or able to pay privately.
  •  Your caregiver cannot be your spouse or another relative legally responsible for you (Note: For a minor child, the caregiver cannot be a parent).
  •  You must be approved for Adult Family Care by a physician and an Aging Services Access Point (ASAP).

Who can be a caregiver?

Caregivers can be a non-custodial parent, a family member or a non-family member. However, caregivers cannot be spouses, parents of minor children, or legally responsible relatives.
Caregivers must be approved by the Arc of Greater Plymouth (interview, references, agency background checks, and eligible to provide 24-hour supervision). A caregiver’s responsibilities may include:

  •  Prepare meals
  •  Assist with personal care
  •  Provide behavioral interventions as needed
  •  Provide medication reminders and assistance
  •  Do shopping, laundry, and housekeeping
  •  Provide transportation to medical appointments and social visits
  •  Maintain a clean, safe living space
  •  Keep a caregiver log
  • Other responsibilities as needed

For more information on Adult Family Care services please contact Mimi McCarthy, Program Director, at (508) 732-9292 ext 136 or MimiM@thearcofgp.org