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Adult Family Care

Adult Family Care (AFC) also known as “Adult Foster Care” allows people to become caregivers for family members who have qualifying medical conditions, including intellectual, developmental, or physical disabilities. This allows a loved one to receive additional care—including nursing and care management—and support tailored to their unique needs, all while continuing to live safely and comfortably at home.

Adult Family Care (AFC) is rooted in the belief that everyone deserves to live in a home filled with safety, dignity, and love. Through AFC, people who need assistance with daily activities—such as dressing, bathing, preparing meals, walking, and maintaining mobility—receive the support they need while continuing to live where they feel most comfortable and connected.

In partnership with each person, their family, and their healthcare providers, we create a personalized Plan of Care that reflects who they are—not just what they need. Every plan is guided by respect for the person’s voice, choices, and relationships, ensuring that support is both compassionate and empowering.

Monthly visits from a nurse, care manager, and community support specialist (CSS) provide ongoing connection, collaboration, and coordination of care. These visits are more than check-ins—they are opportunities to listen, adapt, and strengthen the circle of support around each person.

Nonotuck facilitates essential services and resources, including nursing, case management, and clinical guidance for the person served, along with a biweekly stipend for family care managers.

At its heart, Adult Family Care keeps people with their families and within their communities—surrounded by the warmth, familiarity, and stability that make home a place of belonging.

Brenda and Margarita

We facilitate and support Adult Family Care throughout Massachusetts, with offices in:

  • Berkshire County — (Lee, North Adams)
  • Hampshire County — (Northampton, Easthampton)
  • Worcester County — (Auburn, Harvard)
  • Middlesex County — (Lowell)
  • Bristol County — (Brockton)
  • Plymouth County — (Plymouth)
  • Barnstable County — (Centerville)
  • Essex County — (Lynn)

We’re proud to be accredited by CARF® International, an independent, nonprofit accreditor of health and human services.

Become an Adult Family Caregiver