Stewardship
We safeguard the well-being of supported persons and the communities they are part of, using resources thoughtfully and responsibly.
About Support Solutions
We believe support should make life feel more possible.
Support Solutions was built for people whose needs can be complex and whose potential is too often underestimated. Our work is to create steady, person-centered support that protects dignity, expands choice, and helps people belong.
Our story
Started for people others had run out of answers for.
Support Solutions began in Memphis in 2005 to provide comprehensive support to individuals facing significant challenges and behavioral complexities. Twenty years later, services span Tennessee and Western North Carolina, and the team has helped more than 1,000 individuals — many transitioning from institutional settings into the communities they choose.
The mission has stayed clear: do not give up on people. Build practical, compassionate support that helps people live healthier, safer, more independent lives, guided by the principles of acceptance and perseverance.
Guiding principles
Values you can feel in the daily work.
Strong support is not only about service lists. It is about how people are treated when life is complicated, repetitive, joyful, frustrating, and beautifully ordinary.
Gratitude
We recognize the effort, resilience, and care that shape progress for supported persons, families, and teams.
Respect
We treat every person with dignity, listen to individual preferences, and honor each person's unique worth.
Our point of view
Care should never shrink a person down to a diagnosis.
Labels may help organize services, but they should never define the whole person. We look for preferences, histories, gifts, communication styles, relationships, cultural identity, and the everyday details that make a person feel known.
See the whole person. Support is stronger when teams know what brings comfort, pride, motivation, and joy.
Honor families and caregivers. The people closest to someone often carry essential wisdom and fatigue.
Build for continuity. The best support is consistent enough for people to trust it.
A message from the CEO
Reflecting on 2025 — looking ahead to 2026.
A look back at a year of expansion and the priorities shaping what comes next.
2025 in review
Throughout 2025, Support Solutions remained focused on expanding access, enhancing quality, and investing in its workforce. The year's milestones included:
- Continued full national accreditation by CARF International, with adherence pledged to the highest standards in the industry
- Opened a new mental health clinic in Chattanooga
- Successfully transitioned individuals and staff from Hope Services in Middle Tennessee
- Submitted a Capacity Building Application for Employment Services to strengthen pathways to meaningful work
- Expanded Behavior Analyst Services across Tennessee
- Deepened collaboration with the Tennessee Department of Children's Services, reaching more youth in need
- Advanced innovative support models including SESH and youth supported living through the DCS partnership
Looking ahead to 2026
The year ahead brings new opportunities — and a clear-eyed look at industry challenges including workforce shortages, regulatory complexity, and rising demand. Priorities include:
- Investing in staff development and workforce growth
- Leveraging technology to strengthen operational excellence
- Advocating for sustainable policies and funding that support quality services
- Continuing responsible expansion guided by the principles of acceptance and perseverance
- Leading with integrity, innovation, and a steady focus on the individuals at the heart of the mission
— Dr. Larry Durbin, Owner and Chief Executive Officer
By the numbers
Eleven years of steady growth in persons supported.
Census of individuals receiving Support Solutions services, collected annually on December 31. Support Solutions now serves nearly 1,000 individuals across two states each year.
Reach across two states
956 persons supported across four service regions.
Distribution of persons supported across Support Solutions' service footprint in Tennessee and Western North Carolina (2025).
West TN
55.1%
East TN
25.8%
Middle TN
10.5%
North Carolina
8.7%
What families and supported persons say
Annual satisfaction scores stay consistently high.
Results from the 2025 satisfaction surveys, scored on a 1–5 scale across Support Solutions' four service regions.
Supported persons
Scored 1 (lowest) to 5 (highest).
Families and conservators
Scored 1 (lowest) to 5 (highest).
Our history
A growing network of care.
Each expansion added access for more people and families while strengthening regional support.
2005
Originated in Memphis, TN to support individuals with complex needs.
2006
Services expanded to Bolivar, TN.
2007
Services expanded to Jackson, TN.
2009
Services expanded to Nashville, TN.
2010
Services expanded to Knoxville and Greeneville, TN.
2012
Services expanded to Chattanooga, TN.
2015
Services expanded to Western North Carolina and mental health clinics were established in West Tennessee.
2017
Employment and Community First CHOICES services were introduced.
2019
Mental health housing and youth services programs were established.
2021
Services expanded to Clarksville, TN and a mental health clinic opened in Middle Tennessee.
2024
Awarded a full three-year CARF re-accreditation; expanded TEIS services in northwest TN; acquired an expanded office in Greeneville.
2025
Opened a new mental health clinic in Chattanooga; transitioned individuals and staff from Hope Services in Middle TN; expanded Behavior Analyst Services and youth services in partnership with DCS.
Accreditation and quality
Trusted standards, human outcomes.
Independent accreditation and managed-care partnerships hold Support Solutions to accountable, individualized care that keeps improving year over year.
CARF accredited
Full three-year accreditation by the Commission on Accreditation of Rehabilitation Facilities, reaffirmed in 2024.
Person-Centered Organization
Designated by the TN Department of Disability and Aging — recognizing care that begins with the person, not the service code.
ECF CHOICES provider
Approved provider of Employment and Community First CHOICES services through TennCare and its care partners.
Employment and Community First CHOICES health plans:
- BlueCare
- UnitedHealthcare
- Wellpoint