Residential Support Services are funded through the North Carolina Innovations Waiver for adults with intellectual and developmental disabilities. Residential Support Services are provided to people who live in a group home or Alternative Family Living home with paid staff. Staff members help with daily activities such as cooking, bathing and meal preparation. These services are provided to help individuals learn new skills and maintain those already attained.

Monarch provides Residential Support Services in Anson, Cabarrus, Carteret, Craven, Edgecombe, Gaston, Guilford, Hoke, Johnston, Jones, Montgomery, Moore, Nash, Pamlico, Pasquotank, Randolph, Richmond, Rutherford, Stanly, Union and surrounding counties