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Adult Services

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The Adult Services division manages the operation of programs providing services and benefits to older and disabled adults. These programs include adult protective services, guardianship, State/County Special Assistance for adult care homes and in-home, adult placement, at-risk case management, adult care home case management, and several counseling and case management services to support older and disabled adults living at home.

Eligibility Information: 

Eligibility requirements differ depending on the program.

Application Information: 

Applications and information on all Adult Services programs can be obtained at the Orange County Department of Social Services office in Hillsborough, NC.


The Adult Services Office helps administer a variety of programs.  Overviews of services that the office can help clients obtain are listed below.

Adult Protective Services

Services are available to adults who are incapacitated due to physical or mental disability and who are in need of protection because they are abused, neglected or exploited.  Services include receiving and evaluating reports of a need for protection, planning and counseling with disabled adults and their families to identify and address those problems which cause abuse, neglect or exploitation, assistance in arranging for needed services such as medical care, support services in the home, appropriate living arrangements, legal services and others. 

To make a report, please contact the Orange County Department of Social Services at (919) 245-2800 and ask for the Adult Services worker on call.  After hours, call 911 to make a report.

Adult Daycare

A day program, which supports an adult's personal independence and promotes their well being.  Services include activities designed to meet the needs and interests of the participants, and referral to appropriate community resources.  Services are provided in a certified home or center.  Adult day health services are an extension of adult day care services that offer health services to adults under supervision of nursing staff.

In-Home Aid

Services which assist adults, children, and their families, with essential home management tasks, personal care tasks, and/or supervision, to enable them to remain in and function effectively in their own homes as long as possible.  In-Home Aid Services may be used for the purpose of providing respite for a primary caregiver or for parents.  The service is available at four levels of complexity and two areas of specialization:  home management and personal care.


The Orange County Department of Social Services is authorized by statute to serve as guardian for incapacitated adults. 

Guardianship Services are provided to individuals who are alleged to be incompetent and to individuals who are adjudicated incompetent by the court and need a guardian. Services may include assessing an individual's need for guardianship; locating the appropriate person(s) to serve as guardian(s); and, when necessary, petitioning or assisting the individual's family to petition for the adjudication of incompetence and the appointment of a guardian. Services may also include ongoing casework with the individual, the individual's family, and caregivers when the agency director or assistant director has been appointed as guardian. Responsibilities of the guardian may include making decisions about where the individual will live, authorizing medical treatment, managing the individual's finances, and filing status reports and accountings with the court.

Representative Payee Services

The Orange County Department of Social Services serves as protective payee and provides services to individuals in jeopardy of being deprived of basic needs. When appointed as representative payee, the agency manages income to meet clients needs when the client has been determined unable to manage financial benefits.

Placement Services

Adult Placement Services help aging or disabled adults find appropriate living and healthcare arrangements when their health, safety, and well-being can no longer be maintained at home. Placement arrangements are made in adult care homes, nursing homes, other substitute homes, residential health care settings, or institutions.  Adults and their families receive help to complete medical evaluations and financial applications, and locate and move to new settings. They also may receive counseling to help them adjust to the change. 

Adult placement services also help elderly and disabled adults in the following situations:

  • Those unable to maintain themselves in their own homes independently or with available community or family supports

  • Those living in substitute homes, residential health care facilities, or institutions and needing assistance in relocating due to changes in level of care needed

  • Those who need assistance in returning to more independent living arrangements

  • Those who need assistance in adjusting to or maintaining their placements due to individual or family problems or a lack of resources

Services for the Blind

Services for the Blind helps visually impaired individuals integrate smoothly into their environment and community. It helps visually impaired persons with eye certification, adjustment and self-support, orientation and mobility, and counseling. Services are designed to prevent blindness and restore sight so that individuals can develop their maximum capabilities and become self-sufficient. Contact:  919-560-8633