The Georgetown County Disabilities and Special Needs Board was established in 1986 by county ordinance. This governmental board succeeded the not-for-profit Association for Retarded Citizens, ARC, that first provided local services to children and adults with mental retardation in Georgetown County during the 1960s and 70s.

The Board provides an array of services to persons with intellectual disabilities in Georgetown County and now offers, to a limited extent, services to individuals residing in Charleston, Williamsburg and Horry Counties. The Board serves 250 persons with disabilities. Budget cuts in recent years, have affected the ability to provide new services except for critical cases. Eligibility for services is determined by the State of SC Disabilities and Special Needs office, but applications for services or support may begin locally in Georgetown County.