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Preferred Housing Network

Housing Approach

Independent, nonmedical housing — four distinct pathways.

Independent housing works when the property, the supports and the person fit together. We develop on that basis, and each pathway has its own scope and operating requirements.

Photography on this page is illustrative. It does not depict a property owned, operated or offered by PHS.

Who this housing is for

Adults who can live independently. Independent housing is not a lower tier of service — it is a genuine housing arrangement for people who do not need the clinical or personal-care services we do not provide.

What shared housing means

Independent, nonmedical shared housing.

Shared housing means a private or shared room in a residential property, with common areas shared between independent adults. It suits people who can manage daily life without on-site care or supervision.

What “ambulatory” means here

Our shared-housing model is designed for adults who can move around independently and evacuate a property without physical assistance from another person. That is a description of the housing, not a judgement about anyone.

It is not a ban on assistive devices. Plenty of people who use a cane, a walker, a wheelchair, a prosthetic or a mobility aid are fully independent and meet that description comfortably.

We do not exclude anyone because of a disability or because they use an assistive device. If you use an aid and can move around and evacuate independently, this housing may well suit you.

Independent, nonmedical housing

This housing model does not include personal care, clinical treatment, medication management or supervision. Outside supports are arranged independently where appropriate. Accommodation requests receive individualized review — we do not apply blanket exclusions based on disability or the use of assistive devices.

What this housing is not

These distinctions matter when you are advising someone, because the labels overlap in everyday speech and the differences are real.

  • Not assisted living — there is no on-site care, supervision or medication management.
  • Not a shelter — this is a housing arrangement, not crisis accommodation.
  • Not a treatment programme — clinical treatment and behavioural health stay with outside providers.
  • Not a care home — personal care and activities of daily living are not provided.
Full comparison: shared housing vs shelter, assisted living and recovery housing

Where to take a specific question

If you are unsure whether shared housing suits a particular person, that is a conversation rather than a form. Tell us the situation in general terms and we will tell you honestly whether this is the right route.

Ask a general question

Four housing pathways

Separate models, separate requirements.

These are not interchangeable. Each has its own population, its own operating requirements and — where relevant — its own payer structure. Not every model is in development in every market yet.

PATHWAY 01

Independent shared housing

A room in a shared residential property, with common areas shared between independent adults.

Who it serves: Adults who can live independently and need an affordable, stable housing arrangement.

This is our primary model in development for Raleigh and the Triangle.

PATHWAY 02

Recovery housing

Independent housing suited to adults maintaining recovery, with an alcohol- and substance-free living environment.

Who it serves: Adults in recovery who do not require clinical treatment or supervision as part of their housing.

A distinct pathway with its own operating requirements, currently in development.

PATHWAY 03

Returning-citizen housing

Independent housing for people returning from incarceration, subject to address-approval requirements.

Who it serves: Adults who can live independently and need a lawful, approved address.

A distinct pathway coordinated with reentry organizations and supervision teams.

PATHWAY 04

Healthcare workforce housing

Independent housing for employees who need to live near where they work.

Who it serves: Healthcare staff and other employees placed through an employer or workforce program.

Kept entirely separate from housing for adults leaving hospitals — different population, different payer, different agreements.

How this housing works

Residents hold their own arrangement.

Residents hold their own housing arrangement

The resident is the party to the housing arrangement. This is housing, not a program placement with a service bundle attached.

Outside supports are arranged independently

Where clinical, behavioural-health, personal-care or case-management supports are needed, they are arranged and funded separately and remain with the resident's existing providers.

Shared residential properties

Rooms in shared residential properties — private room in a shared home, or shared adult-household room. Room format is stated per property, never generalised.

Fit is reviewed individually

Whether a specific property works for a specific person is a real question with a real answer. Accommodation requests get individualized review, not a blanket rule.

A guided walkthrough of a furnished room within a shared residential property

Illustrative image. Not a property owned, operated or offered by Preferred Housing Solutions.

Independent, nonmedical housing

This housing model does not include personal care, clinical treatment, medication management or supervision. Outside supports are arranged independently where appropriate. Accommodation requests receive individualized review — we do not apply blanket exclusions based on disability or the use of assistive devices.

Property access conditions

Each property's access conditions — entry type, doorway widths, stairs, ground-floor availability and evacuation route — are described accurately and in writing. We will not describe a property as accessible on the strength of a guess, and we will not describe one as inaccessible on the strength of a disability.

Scope boundaries

What this housing model does not include.

Written plainly, because ambiguity here wastes everyone's time — yours, ours, and a resident's.

  • Personal care or assistance with activities of daily living
  • Clinical treatment, therapy or behavioural health services
  • Medication management or administration
  • Supervision, monitoring or custody
  • Emergency shelter or crisis accommodation
  • Family, child or supervised-care placements

If someone needs any of the above, this is not the right housing pathway.

We would rather say that clearly at the first conversation than discover it halfway through. Where we cannot meet a need, our practice is to say so directly and describe what a better next route would be.

Kept separate

Healthcare Workforce Housing is not hospital discharge housing.

These are different populations, different payers and different agreements. Conflating them would be convenient for us and misleading for you.

Healthcare Workforce Housing

For employees — healthcare staff and other workers who need housing near where they work. Employer-oriented, with its own documentation, its own payment structure and its own agreements.

  • Employee population
  • Employer or workforce payer
  • Separate agreement structure

Housing for adults leaving hospitals

For patients who can live independently and need a safe destination. Discharge planning, documentation and outside supports are handled with the referring team — never bundled into a workforce arrangement.

  • Resident population
  • Benefits or authorized assistance payers
  • Referral requirements documented with your team

Accommodation requests

Individualized review. Never a blanket exclusion.

A blanket policy that screens out everyone who uses a mobility device is not a housing policy — it is a way of not doing the work. We review each request against the actual property.

  1. 1

    The request comes to us

    Through an agency pathway or directly. We ask what would need to be true for this to work — not what diagnosis a person has.

  2. 2

    We check it against the property

    Entry, doorways, stairs, bathroom configuration, evacuation route and any modification that would be lawful and practical.

  3. 3

    We answer directly

    Yes, no, or yes-if — with the specific condition stated. Where the answer is no, we say what would need to change for it to become possible.

  4. 4

    The answer is recorded

    The accommodation decision and its reasoning are documented, so nobody has to re-litigate it later from memory.

Read this before you refer

The scope overview is the document we hand to agencies. It states the inclusions and exclusions in the same words we use internally, so there is nothing to reconcile later.

Property-level access statements reflect each property as surveyed. We do not generalise access conditions across our housing, because they genuinely differ.

Tell us who you are trying to house.

The clearest way to shape what we develop is to describe the housing need you actually see — counties, household sizes, formats and the requirements your process demands.