Requires DHS to establish five-year pilot program to facilitate coordinated provision of systemic, therapeutic, assessment, resource, and treatment (START) services to adults who have both developmental disabilities and mental illness.

New Jersey Assembly Bill A2864 establishes a five-year pilot program requiring the Department of Human Services (DHS) to coordinate "START" services for adults with both developmental disabilities and mental illness. The program provides community-based therapeutic respite and stabilization services through designated respite homes in each of the state's three regions, offering two types of beds: respite beds for crisis prevention and stabilization beds for active crises. DHS must develop individualized crisis management plans, provide 24/7 crisis response services, and coordinate cross-system care to help eligible adults avoid institutionalization while maintaining community living. DHS will report annually on program participation, bed usage, and effectiveness, with a final report recommending whether to make the program permanent after five years.