Disability Program Services

Lutheran Services Carolinas provides a comprehensive array of community, residential, and support services, including case management, health care, and rehabilitation, to people of all ages.  Many of those services have been specifically designed to help adults with varying degrees of disability, including those with traumatic brain injuries, live as fully and independently as possible. The overall goal is for clients to achieve their greatest potential at their own pace. 

Services provided by LSC include:                                       

  • Personal care

  • Companion care

  • Group living

  • Independent living                                

  • Respite care

  • Day programs & skill building

  • Crisis intervention

  • Case management

  • Supported employment

  • Integrated care with medical providers


Group Living

LSC operates licensed congregate care homes specifically for those recovering from traumatic brain injuries (TBI). Its first such home, Lippard Lodge, was opened in 2005 and is located in Clemmons, N.C. The program was named in honor of the family who worked tirelessly to establish the home. Whittecar Home, located in Raleigh, N.C., has been in operation for over five years and is transitioning to a dedicated home for adults with TBI.

Each home is licensed as a Supervised Living Developmental Disability six-bed home for adults and offers residents round-the-clock assistance and supervision designed to strengthen independence and encourage community integration. Certified brain injury specialists not only assist individuals to build independent living skills but also help them maximize their potential by encouraging positive friendships and increasing socialization. Individuals in care are encouraged to participate in an active day-to-day schedule to both acquire skills and enhance their skill sets while living with a TBI. Empowering the individual and offering a high quality of life are key to care at LSC. 

Family Living

LSC believes that everyone deserves to live in a family environment and therefore offers family host homes (Alternative Family Living, or AFL) for those who need a residential level of care, but in a family setting. Support, encouragement, and supervision are provided by our specially recruited, trained, and supported host families, allowing individuals with TBI the opportunity to enjoy life as part of a family unit. This can be an entry-level service or a step-down from group living, when appropriate. 

Independent Living

For some, a more independent living arrangement is possible. LSC provides apartment-setting living with wraparound support as needed. Individuals can live in their own apartments or share an apartment with a peer. Support and services are then brought in as needed by CBI-certified and supervised LSC staff.


LSC offers overnight and hourly respite for individuals with TBI who live in the greater community. The families who provide respite are trained, supported, and supervised to provide appropriate care during a needed break or as a family level of crisis abatement. LSC verifies the respite providers' qualifications and credentials at hire and every three years thereafter to ensure quality for those needing this service. 

Day Programming

LSC's day program for those with TBI involves both group and individual structured activities geared toward individual goals and desires for a meaningful day. There are on-site and off-site activities, all designed to promote skill development and personal enrichment. The program layout offers "centers" where individuals engage in activities that match their daily preferences and help build skills and ability. 

Home and Community-Based Services

LSC's program of Home and Community-Based Services (HCBS) was started in 2013 and is designed to provide the lowest level of formal supports necessary for individuals with TBI. Both habilitative and rehabilitative interventions are personalized for each individual, based on their personal goals. These services support individuals with TBI in attaining their highest desired level of independence and can include: Life Skills Training, Intensive In-Home Support, Personal Care, Supported Employment, Community Networking, and Companionship Care.

Crisis Intervention and Stabilization Supports

Individuals with TBI occasionally require crisis intervention and stabilization, and LSC feels that this is best handled by those with whom our TBI clients share the closest bond. Each individual's crisis plan identifies those individuals, as well as the least restrictive steps to defuse any crisis. Licensed professionals provide consultative help and direction, and all team members are kept apprised of crises and any changes to their plan of care.

Integrated Care with Medical Providers

LSC is committed to coordinating care with each individual's TBI-related medical practitioners. This integrated approach to care results in better informed treatment planning and improved client outcomes and satisfaction.

Case Management and Assessments

Case management is a central part of each individual's care; it's the "hub" connecting all the spokes of care. LSC takes on the lead role of case manager for each person served, ensuring well-coordinated and informed care. An important part of the case management process is initial and ongoing assessment that determines current ability, identifies needs, establishes person-centered goals, and then highlights progress as it occurs.


To learn more:

Email Kelley Scherer at kscherer@LSCarolinas.net.  

You can help support LSC's Disability Program Services by making a gift today.  Donate now.

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