CBHS · Expanded Community Services · Individualized planning · 24/7 support
Some adults need more than a friendly house — they need consistent supervision, clear plans, and people who stay steady when behaviors are complex. GuaranteeCare offers that support inside a real home.
What this care is
Complex behavioral health support at GuaranteeCare is for adults who need greater supervision, consistency, and individualized planning than a typical residential setting provides — often after hospital discharge, a placement change, or when current supports are no longer enough. The house stays small on purpose: six residents, familiar staff, and a known daily rhythm so behavior and safety plans can be followed carefully while the person still lives with dignity.
In Washington, many adults with significant behavioral health needs receive residential support through Community Behavioral Health Supports (CBHS) and Expanded Community Services (ECS). We welcome families, guardians, DSHS case managers, and hospital discharge planners when those pathways — and our Marysville home — are the right fit.
Washington pathways
These are Washington long-term care supports for adults with complex needs in licensed residential settings. The state determines eligibility; when a person is approved and GuaranteeCare is the right home, we provide the day-to-day support that makes the plan work.
A Medicaid state-plan pathway focused on one-to-one supportive supervision for adults with complex behaviors related to a qualifying mental health diagnosis. At GuaranteeCare, that means attentive, consistent presence — helping the person stay safe, engaged, and supported through the day inside a small home.
A higher residential support level inside an Adult Family Home. ECS typically includes personal care, medication oversight, 24-hour on-site supervision and response, and behavior support planning with the care team — while the person still lives in a house, not an institution.
How we support
Behavioral health support only works when the environment matches the plan. We keep the setting calm, expectations clear, and relationships steady — so residents feel known, not managed.
Predictable mornings, meals, activities, and evenings reduce uncertainty — which often reduces distress and helps skills stick.
Individualized plans guide prevention, response, and recovery. Staff follow the person’s plan with clarity and respect.
When the authorized plan calls for closer support, the home is sized to provide attentive presence without a crowded institutional feel.
Shared spaces, familiar faces, and household life matter. Structure should protect dignity — not replace belonging.
When medication management is part of the care plan, oversight and reminders are handled carefully as part of daily residential support.
We work with case managers, clinicians, hospitals, families, and guardians so transitions and ongoing supports stay aligned.
Our approach
Complex needs are not solved by louder rules. They are supported by relationships that hold, environments that do not overwhelm, and plans that anticipate hard moments before they escalate.
GuaranteeCare keeps the home small on purpose. That makes it possible to notice early changes, follow individualized strategies, and keep the day human — even when support intensity is high.
Triggers, preferences, strengths, and calming strategies are learned early and kept central to daily support.
A familiar schedule, consistent staff presence, and clear communication help the house stay predictable.
When challenges arise, staff follow the individual’s behavior and safety plan — calmly, consistently, and with dignity.
Referrals & next steps
Call (425) 551-7010 or send a visit request. Case managers, discharge planners, guardians, and families are welcome.
Tell us about support needs, current setting, CBHS/ECS status if known, and what a successful placement would look like.
Visit the home, meet the provider, and decide together whether GuaranteeCare can meet the person safely and well.
What referrers can expect
Six-bed residential care in Marysville, with 24/7 support and a house that feels lived-in.
We welcome conversations about CBHS, ECS, and other authorized placements when eligibility and fit align.
Behavior support, safety planning, and daily routines are built around the person — not a generic template.
Families and professionals can expect thoughtful updates and collaboration through the referral and transition process.
Also offered
GuaranteeCare also supports young adults with developmental disabilities who are building independence, everyday skills, and community life.
Explore Developmental DisabilitiesExplore GuaranteeCare
Read the CBHS & ECS Guide, compare Developmental Disabilities care, browse FAQ, or request a visit.
Ready to see the home?
