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Adults with severe autism are facing a critical and growing shortage of high-quality residential housing options. In this presentation, we will examine the key factors contributing to this urgent crisis and highlight our innovative SynergE6 Healthcare model, which serves as the foundation for our residential housing approach. This model shapes not only the physical design of our homes but also the structure and content of daily programs and supports to meet the complex needs of this population. We will share the positive outcomes achieved through this integrated approach and outline our vision for scaling its impact through strategic partnerships, policy advocacy, and model replication.