Transitions to Community Living

The Transitions to Community Living Initiative (TCLI) gives eligible adults living with serious mental illness the opportunity to choose where they live and work.

TCLI connects people to mental and physical healthcare services and supports that help them maintain a home in their own name, instead of living in a facility. Participants are linked to local behavioral healthcare providers in their community to support whole-person care. The program assists participants in learning everyday skills, taking part in community activities and sharing their lives with family, friends and neighbors. TCLI also helps people identify their interests and connects them to supported employment services.

Vaya Health manages the TCLI program in our region. Anyone can refer an individual to the program using the process described below.


1. Diagnosed with a serious and persistent mental illness (SPMI) or a serious mental illness (SMI)

2. Being considered for admission to an adult care home (ACH) or family care home (FCH) OR being discharged from a state psychiatric facility into homelessness or unstable housing

3. An NC Medicaid beneficiary, eligible for Medicaid OR earning a monthly income of $2,000 or less

4. At least age 18 AND willing to accept a minimum of one tenancy support service per month

Referrals can be made through the Referral Screening Verification Process (RSVP) in three ways:

  • Start the Referral Screening Verification Process (RSVP) online at
  • Call Vaya’s Access to Care Line at 1-800-849-6127 to make an RSVP referral.
  • Request a paper referral form by calling the Access to Care Line at 1-800-849-6127.

The impact of TCLI

"TCLI has given me a lot more freedom and independence. I never knew how institutionalized I was."
60-year-old participant
Watauga County
"TCLI is awesome in helping those in need. We also enjoy helping people. TCLI makes doing so a lot more pleasant and convenient."
TCLI landlord partner
McDowell County
"I love my apartment. Thank you guys so much. I am so happy."
Male TCLI participant
Wilkes County

Have questions?

Contact Vaya Health to learn more about TCLI in our region.