Expanded Community Services (ECS)

This program provides behavioral support services to adults with significant behavioral challenges residing in Adult Family Homes.

What is ECS?

Expanded Community Services (ECS) provides behavioral support services to adults residing in Adult Family Homes in Snohomish County exhibiting serious, persistent behaviors that put them at risk of being hospitalized rather than living safely in the community. The program provides clients behavioral support, psychoeducation, and skill training to the Adult Family Home (AFH) homeowners and caregivers.

Who does ECS serve?

All clients are referred by the Washington State Department of Social and Health Services Home and Community Services (DSHS HCS) team who Compass Health is contracted with to deliver this service. Clients must reside in ECS-contracted adult family homes and have a history of behaviors that impact housing stability in the community. Typically, clients have a history of behavioral health hospitalization, unstable housing, or homelessness. The population served includes adults of various ages with diverse diagnoses.

Approach to care

The ECS team provides outreach to adult family homes where their clients reside. They collaborate directly with clients, Adult Family Home (AFH) staff, and DSHS social workers to develop a Behavioral Support Plan (BSP) that will provide the best chance for client success. ESC staff educate and coordinate with AFH staff regarding the best strategies for responding to challenging behaviors. Client engagement is a significant part of the work, as is continued collaboration with social workers, AFH staff, client guardians, and Designated Powers of Attorney (DPOAs). Master’s and bachelor’s level clinicians, a peer counselor, a medical assistant, and psychiatric providers who provide psychiatric evaluation and prescribe medications comprise the care team for this service.

Goals of ECS

The primary goals of ECS are to provide the behavioral support necessary for individuals to maintain community housing, to facilitate their successful residence at the AFH, and to enhance their quality of life. Additionally, services are focused on decreasing behavioral health hospitalizations, decreasing law enforcement involvement, and preventing homelessness. The specific goals for each individual vary based on their diagnoses and specific behavioral challenges. Particular goals and strategies for each client are addressed in their detailed individual Behavioral Support Plans.


Services in this program include the following, based on client need:

  • Behavior Support
  • Medication Management


Clients are referred through Department of Social and Health Services (DSHS) – Home & Community Services. 

If you would like to speak with someone at Compass Health about this program to learn more about the criteria for referral, call: 425-349-8879.

Frequently Asked Questions

How do I find out where these services are offered?

Start by checking out our location page. First, filter by the category of service. Then, find the service you’re looking for. Available locations will populate, and you can even get directions to the closest facility.

How do I know which services are right for me?

Our referral team is here to help! Accessing services at Compass Health is an easy, three-step process. Start by requesting services with our online referral form.

How do I sign up for services?

Different services have different entry points at Compass Health – many are open to self-referrals, others must be referred by an outside source. For specific information based on service, please refer to our services tab and check the appropriate service(s) you are interested in for a way to get started. For general advice on how to access many services at Compass Health, visit here.

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