Housing Linked with Services for Persons with Disabilities

Community Integration

Community Integration

What is community integration?

Individuals with disabilities have historically faced discrimination that limited opportunities to live independently in the community and often required persons to live in institutions and other segregated settings. In 1999, the United States Supreme Court issued the landmark decision in Olmstead v. L.C., affirming that the unjustified segregation of individuals with disabilities is a form of discrimination prohibited by Title II of the Americans with Disabilities Act (ADA).

Following the Olmstead decision, there have been increased efforts across the country to assist persons with disabilities to move to integrated, community-based settings. As a result, there is a great need for affordable, integrated housing opportunities where persons with disabilities are able to live and interact with persons without disabilities, while receiving the health care and long-term services and supports they may need.

How does housing matter to community integration?

Individuals with disabilities, like individuals without disabilities, should have choice and self-determination in housing and in the health care and related support services they receive. For this reason, HUD is committed to offering individuals with disabilities housing options that enable them to make meaningful choices about housing, health care, and long-term services and supports so they can participate fully in community life. By developing and operating integrated housing, you are a critical partner in making these choices available to persons with disabilities in your community. HUD appreciates and thanks you for your partnership.

Learn more about HUD and community integration for persons with disabilities.

What about services and supports?

Home and community based services (HCBS) provide opportunities for Medicaid beneficiaries to receive services in their own homes or communities rather than institutions. These programs serve a variety of targeted populations groups, such as persons with intellectual or developmental disabilities, physical disabilities, and/or mental illnesses. For more information about HCBS: