Pathway Homes is a dedicated partner in the ongoing efforts to prevent and end homelessness in our community.  We provide services to adults with severe mental illnesses and/or co-occurring disorders, including substance abuse or intellectual disabilities, in two ways:

  • we situate individuals with a history of homelessness in supported housing, and
  • we provide supportive services to others, allowing them to retain their own housing.

In both cases, our recovery-based approach affords each individual the opportunity to remain in the community while receiving services.


Housing at Pathway Homes spans the continuum of care. These programs are designed to meet the unique and varying needs of every individual. They range from highly supported, requiring round-the-clock staffing, to highly independent, requiring weekly or monthly staff visits. All of Pathways’ programs comply with the American Disabilities Act. Pathway Homes is committed to the Housing First Model in which housing is viewed as a right not a privilege, and as such Pathways seeks to eliminate barriers to housing. Most of Pathway Homes’ housing options have subsidies available to make the housing affordable to anyone within our community.

Assisted Living Facilities (ALF)

Pathway Homes operates 2 ALFs, which are highly structured 24/7 programs that are licensed by the Department of Social Services (DSS). One ALF is a 37 bed program located in Fairfax and the other is an 8 bedroom home located in Prince William County.

  • Services – ALF programs offer 24/7 services to include: case management, counseling, nursing, socialization, and individualized support with ADLs and IADLs. Meals are included.
  • Criteria – Adults with severe and persistent mental illness and co-occurring disorders who meet the ALF level criteria on the UAI screening tool
  • Locations – Fairfax program services Fairfax residents only and the Prince William program serves adults from the Northern Virginia Region
  • Cost – The Commonwealth of Virginia determines the rate for ALFs.
  • Accreditation: Commission on Accreditation of Rehabilitation Facilities (CARF)

How to Apply – All inquiries/referrals for these programs are through the appropriate Community Services Board (CSB):

Fairfax County Community residents 

Prince William Community residents

Case Management Services

Pathway Homes operates a variety of congregate settings in addition to 1 and 2 bedroom units for adults with severe and persistent mental illnesses and/or co-occurring disorders who have a history of chronic homelessness and are actively homeless at time of moving into a Pathways unit.

  • Services – Case management support services are available ranging on average from one visit per week to 1-2 visits per month. Individuals who want, and are eligible for, additional services will be referred to, and assisted in, accessing such services as appropriate.
  • Criteria – Adults with severe and persistent mental illness and/or co-occurring disorders who have a history of chronic homelessness and are literally homeless at time of vacancy. Some vacancies are subject to criminal background checks consistent with specific owner/community requirements
  • Locations – Fairfax and Prince William Counties and the Cities of Fairfax and Falls Church
  • Cost – Rent is based on HUD rental assistance guidelines which is 30% of client’s income

How to Apply – Individuals are accepted into these units from County of Origin Continuum of Care Coordinated Referral System. For more information on how to get on the coordinated entry pool, please speak with homeless outreach worker, shelter staff and/or Community Services Board case manager.

Fairfax County Community residents 

Prince William Community residents

Tenancy Support Services

Pathway Homes supports individuals with serious mental illnesses, and/or co-occurring substance use and other disorders in 1 and 2 BR units across Fairfax and Prince William Counties, and the City of
Alexandria. Individuals may or may not have a history of chronic homelessness.

Services – focus on housing stability and includes providing access to affordable housing; outreach and engagement related to  understanding and adhering to lease expectations and community rules; being a good neighbor; and successfully integrating into the community. Services also include housing inspections and credit counseling to support housing stabilization. Contact is at least once a month.

Criteria – Adults with serious mental illnesses and/or co-occurring substance use disorders.

Location – Fairfax and Prince William Counties; City of Alexandria

Referral –  Community Services Boards, Pathways Homes Staff

Landlord Services

Pathways Landlord Services provide maintenance and related support in a variety of single-family homes, townhomes, and one and two-bedroom condominiums owned by Pathway Homes across
Northern Virginia.

Through its housing and acquisition arm, Pathways has an inventory of privately-owned units that it leverages to contribute to regional plans to End Homelessness. These units, funded through state and federal awards and grants, are leased to community partners, such as the Fairfax-Falls Church Community Services Board (CSB) at a discounted rate. The CSB uses the leased units to house adults with serious mental illnesses as part of its residential programming. Pathways also uses these units to house vulnerable individuals with serious mental illnesses who would not otherwise have access to housing due to the homelessness and other eligibility requirements of available permanent supportive housing units in the region. Often, individuals who have graduated to full self-sufficiency are also able to move into these units with a housing choice voucher.

Services – Limited to responding to maintenance requests and community complaints and to ensure that:
– Units are ready for initial move-in and at each unit turnover,
– Pathways complies with all applicable housing and community codes
– Pathways remains responsive to tenant’s maintenance-related concerns and requests.

Supportive Services

Pathway Homes is a behavioral health agency fundamentally designed on a foundation of housing.  Case management services focus on helping individuals attain and strengthen the skills needed to manage their mental and physical health, maintain their home, enhance personal relationships, develop healthy life habits, and promote the achievement of personal goals.

Outpatient Services

Outpatient services provide flexible and individualized mental health and substance use interventions for adults. These services are designed to resolve issues related to anxiety, depression, trauma, relationship issues, major life changes, grief and loss, and distressing symptoms of serious mental health disorders. Individuals will be assisted in strengthening and enhancing positive coping and
emotional functioning.

  • Location: 10201 Fairfax Boulevard, Suite 200, Fairfax, VA 22030
  • Insurance Accepted: VA Medicaid
  • Private Pay Cost: $72 per hour

To schedule an appointment, use form below ↓

Crisis Stabilization

Crisis Stabilization services provide flexible mental health interventions designed to restore psychiatric stability, promote safety and support functioning.

These services are provided to individuals in their homes and include assistance with medication monitoring and coordination with providers regarding medication modifications; psychoeducation; brief solution-focused counseling; cognitive behavioral interventions; re-establishing or strengthening coping mechanisms and identifying and managing ineffective or maladaptive coping strategies; assistance with problem-solving and conflict resolution; and the development of crisis plans to manage ongoing distress, stressors and emotional dysregulation following the termination of crisis stabilization services.

  • Criteria: Crisis Stabilization services supports adults experiencing an acute psychiatric crisis which is interfering with functioning and wellness to the degree that behaviors are jeopardizing the individual’s current living situation, interfering with the ability to adequately attend to activities of daily living, or placing the individual at risk of needing psychiatric hospitalization or re-hospitalization. Individuals must have a primary mental health disorder.
  • Exclusionary Criteria: Any individual assessed as being incapable of recognizing personal danger or at immediate risk for suicidal or assaultive behaviors cannot be accepted and will be referred for inpatient assessment. Any individual currently receiving intensive community-based services are not eligible for these services. Individuals admitted for Medicaid-funded crisis stabilization services may not be a resident of a treatment program or any facility qualifying as an Institution for Mental Disease (IMD) as defined by federal law.
  • Cost: Individuals must have Virginia Medicaid or enter into a private pay contract to be eligible for these services. Crisis Stabilizations services are $89 per hour.

To Apply:  Complete the form below and email to, mail to 10201 Fairfax Boulevard, Suite 200, Fairfax, VA 22030, or bring to our office.

Mental Health Skill-Building

Mental Health Skill-Building (MHSS) services are individualized training to assist individuals in achieving and maintaining stability and independence in the community.

MHSS services may include:

– training and support with medication management
– nutrition and meal preparation
– health care management and coordination
– attending to appointments
– money management
– hygiene and personal care
– symptom management and coping skills
– linkage and improved utilization of community resources
– decision-making and problem-solving
– housekeeping
– relapse prevention supports
– expanding or strengthening relationships and support networks
– the development of skills that will support employment or educational pursuits.

  • Criteria: Mental Health Skill-Building Services (MHSS) are available to those adults meeting the Department of Medical Assistance Services (DMAS) criteria for this service to include: a diagnosis of a serious mental illness, a history of utilization of qualifying mental health treatment, a need for psychiatric medications, and a demonstrated clinical necessity for skill-building services.
  • Cost: Individuals must have Virginia Medicaid or enter into a private pay contract to be eligible for these services. Mental Health Skill-Building services are $91 per hour.

To Apply:  Complete the form below and email to, mail to 10201 Fairfax Boulevard, Suite 200, Fairfax, VA 22030, or bring to our office.

Other Options

We realize that we may not be able to help everyone seeking housing and/or supportive services, but there are others in the community who may be able to help:

Still unclear?  Call and speak directly to one of us during business hours Monday through Friday between 8:30 a.m. and 5:00 p.m. at (703) 876-0390.


Pathway Homes offers housing and supportive services to eligible persons regardless of race, color, national origin, religion, sex, age, familial status, or handicap.