Adult Foster Care of the North Shore provides exceptional support and solutions for caregivers, clients and professionals including:

Financial Support – AFCNS is a MassHealth-funded program that provides a monthly payment to the caregiver. Caregivers can receive up to $1,500 per month, per client.

Health & Social Support - Our staff members become an extension to the clients' and caregivers' families. Clients and caregivers are assigned a nurse and care manager who visit the homes regularly. Staff members can answer questions about health issues and serve as a resource for medical training, education and needed interventions. We provide on-call support 24 hours a day, 7 days a week.

Family Support - At AFCNS, we provide a foundation to maintain and improve existing relationships. We help our clients and their families navigate the complexities of living with a disability or illness.

General Resource Support - Seasoned nurses and care managers work to identify vital resources for the client. These can include:

  • Adult Day Health Programs
  • Specialized work and community support programs
  • Mental health counseling
  • Guardianship and health care proxy information
  • Transportation services
  • Information about other adult foster care programs outside our area


"I had to quit my job so I could dedicate all of my time to working with our disabled son. It was so much to coordinate and manage I felt like I was spinning out of control. Things changed when we found AFCNS. They provided us with an incredible support team of people we trust. A team that is at the forefront of all health regulations and program options. Because of AFCNS, we were finally able to go to a friend’s house without our son.
It sounds small - but it’s a big deal for us. We are so thankful for AFCNS."
~ Tom and Eva, Caregivers to Son

Mission Statement

Adult Foster Care of the North Shore is committed to providing and supporting stable home placements for adults with disabilities. Our mission is to enable our clients to remain a vital part of the community.

The AFCNS Difference

Adult Foster Care of the North Shore was founded in 2001 by Cynthia Bjorlie, M.D. to provide financial, emotional and clinical support solutions to families who are in need of care for a disabled or chronically ill loved one. We are a single-focused agency that is dedicated to keeping clients happy, healthy and engaged in the community.

Originally focused in Gloucester and neighboring North Shore towns, AFCNS now serves over 350 families throughout Essex County. For 20 years, our committed team has been working closely with clients, caregivers and professionals to maintain safe and stable housing placements and enable our clients to remain a vital part of their community.

The AFCNS Team

Our passion, commitment and dedication can be seen in every one of our employees. When a client and/or caregiver works with Adult Foster Care of the North Shore, they become part of our family and acquire a true support system.

CARF International

Adult Foster Care of the North Shore - Staff - Aspire to Excellence - CARF accredited
Adult Foster Care of the North Shore (AFCNS) has received a Three-Year Accreditation from CARF International.

By pursuing and achieving accreditation, AFCNS has demonstrated that it meets international standards for quality and is committed to pursuing excellence.

This decision represents the highest level of accreditation that can be given to an organization and reflects our substantial conformance to the CARF standards. An organization receiving a Three-Year Accreditation has put itself through a rigorous peer review process and has demonstrated its commitment to offering programs and services that are measurable, accountable, and of the highest quality.

AFCNS has been providing and supporting home placements for adults with disabilities and chronic illnesses in Essex County since 2001.

CARF is an independent, nonprofit accrediting body whose mission is to promote the quality, value and optimal outcomes of services through a consultative accreditation process and continuous improvement of services that center on enhancing the lives of people served. Founded in 1966 as the Commission on Accreditation of Rehabilitation Facilities, and now known as CARF International, the accrediting body establishes consumer-focused standards to help organizations measure and improve the quality of their programs and services.

We welcome the opportunity to further acquaint you with our services and respond to your questions. AFCNS is a valuable asset and our CARF accreditation underscores our commitment to the community we serve.

Please contact us for more information or to discuss how we can work with your organizations and clients.


No Open Positions At This Time.