The ARCH National Respite Network includes the National Respite Locator, a service to help caregivers and professionals locate respite services in their community, the National Respite Coalition, a service that advocates for preserving and promoting respite in policy and programs at the national, state, and local levels, and the Lifespan Respite Training and Technical Assistance Center which is funded by the Administration on Aging (AoA) in the US Department of Health and Human Services.

In 1990, Susan Robinson with the North Carolina Department of Health and Human Services asked the Chapel Hill Training-Outreach Project, Inc. to help her implement a $90,000 grant from the Children's Bureau in the US Department of Health and Human Services. The purpose of the grant was to support a group of approximately 40 demonstration projects which were developing systems and methods for providing respite and crisis nursery services in communities across the US with a newsletter, a national conference and to help establish an identity for the group.

Belinda Hardin was the first to manage the grant for CHTOP. She came up with the name, ARCH which is an anagram for Access to Respite Care and Help. The first ARCH conference was held in the fall of 1991 in Washington DC.  In 1995, Linda Baker succeeded Belinda as ARCH Director. 

Jill Kagan joined the ARCH program as a consultant in 1992. Her principle objective was to help raise awareness of the value of respite and crisis nursery care to policy makers in Washington DC. This work culminated with the passage of the Lifespan Respite Care Act which was signed into law in December of 2006. When funds were finally appropriated to implement the Act, a grant was awarded to ARCH in partnership with the Family Caregiver Alliance to provide training and technical assistance to several state respite coalitions which had also received funding to implement coordinated respite care programs in their respective states. A list of these states can be found in the column on the right. Jill became ARCH director in 2009. ARCH continues as a division of CHTOP, Inc.