Provide ongoing support to people in becoming active participants in every aspect of their lives (i.e., self-care routines to include feeding, showering, dressing and diapering), health, safety, household chores, socialization and overall well being) and to ensure that a high quality of life is maintained. Citizens offers a variety of residential supports based upon the level of support and supervision required by each person to include Individualized Residential Alternatives (IRA’s) and Intermediate Care Facilities (ICF’s).