 New options called family-directed and user-directed involve transfer of funds to homes and families, and continue to be in process in states.Early organizations provided information on their management and financing to help local communities replicate or begin their own homes and programs.Residential care homes, run by the government or by the for-profit and non-profit industries, need not be low cost and/or low quality as many might initially guess, though traditional room and boards may be based primarily on a Social Security Disability payment and limited governmental personnel assistance.