Residential homes at PSH&TC are called cottages. Direct Support Professionals, also called Mental Health/Developmental Disabilities Technicians (MHDDTs) provide 24-hour support across three work shifts. Each individual admitted to PSH&TC has a Qualified Intellectual Disability Professional (QIDP) assigned to oversee service coordination for that individual. All cottages have CTS assigned as lead workers who provide staff supervision for their designated shift(s) to assure services and supports are provided, including the implementation of person centered active treatment supports and services. Additional staff assigned to cottages includes a leisure coordinator, housekeeper, clerical support staff and cooks. All meals are prepared on the cottage. Psychologists, social workers, speech, and hearing, and medical staff also serve as team members to provide multidisciplinary assistance based on individual needs and preferences. The Vocational Department provides employment and career development opportunities for residents who are adults based on the goals and interests of the individual. These services include vocational training (on and off campus), job sampling and adult education. PSH&TC contracts with the Greenbush Regional Education Center for school age residents.