• At home (the home of the adult or of relatives) with in-home support services
• Foster care, which means the adult lives with a foster family in the foster family’s home
• Family living, a situation in which a natural family receives a subsidy to care for the adult in their home
• Group homes, large and small, which provide community living and intensive training for independent living
• Clustered apartment programs, which are a group of apartments located in a complex that are rented out by a social service agency
• Semi-independent living, in which the adult lives alone or with roommates, with staff living nearby
• Boarding homes, which provide a room with a bed and sometimes a meal
• Personal care facilities, which provide staff to provide care for the adult’s physical needs
• Board and supervision facility, which provides room, meals, and basic supervision
• Private institutions, which are large facilities specializing in serving individuals with cognitive disabilities
• Public institutions, which are large facilities often in a campus-style setting
• Nursing homes (Stengle, 1996)
  

Nurses working with an individual with disabilities can be influential in arranging the least restrictive environment (LRE) possible.

"For many adults with Down syndrome, having a home of their own is a lifelong dream. It is important to them to leave home and establish separate adult lives, just as their brothers and sisters do. If the transition from the parental home to the new living arrangement is well planned and the needed support and supervision are provided, adults with Down syndrome can thrive living in their ‘own places’. Once they have a home of their own, many adults with Down syndrome learn to do things they never did at home…" (Robison, Krauss & Seltzer, 2003)