The Northwest Tennessee Human Resource Agency was established by the Tennessee General Assembly in 1973 to be the delivery system for human resource services in the nine counties of the region.
The Northwest Tennessee Human Resource Agency began with the Elderly Nutrition Program, and then expanded to the Ombudsman program and the Senior AIDES Program. The NWTHRA also encompasses services including Public Transportation, Homemaker, Respite, and Personal Care
Currently, the NWTHRA 33 employs people at the district office and approximately 250 people throughout the nine counties to deliver these services, using a combination of federal, state and local funding. The staff and agency are governed by a Policy Council composed of the county mayors and four members-at-large, all from the Northwest Tennessee Area.