Support at Home

Support at Home (S@H) provides home care vouchers to keep San Francisco adults with disabilities and older adults living safely in their community. The goal of S@H is to provide needed home care resources that are not accessible through any other means due to affordability challenges.

In 2017, a group of San Francisco advocates led by Senior and Disability Action, worked with the San Francisco Board of Supervisors and Supervisor Norman Yee held a hearing to discuss this gap in care. Funding was provided to the Department of Aging and Disability Services, and IOA was awarded a contract for a 2.5 year program pilot.

UCSF subsequently conducted an outside evaluation of the program, in which it was demonstrated that small amounts of subsidized home care led to significant cost savings for the health care system. The Support at Home program received ongoing funding in 2019 from DAS.

This program serving the community is funded by the City of San Franciscoโ€™s Department of Disability and Aging Services.

Program Staffing

  • Assessment Specialists
  • Accounting/Program Coordinator
  • Supervisor

Program Services

  • Provides home care vouchers to keep adults with disabilities and older adults living safely in the community
  • Provides resources for needed home care that are not available through any other mechanisms due to financial challenges
  • Clients can choose from two models of care: independent provider and agency home care

Eligibility Requirements

  • Resident of San Francisco
  • 18 years of age or older
  • Require assistance with a minimum of two (2) Activities of Daily Living and/or Instrumental Activities of Daily Living
  • Monthly income does not exceed 100% of Area Median Income (available at sfmohcd.org)
  • Assets do not exceed $40,000 (excluding one house and one car)
  • Able to demonstrate financial and functional need for subsidized home care
  • Willing to pay a portion of the home care cost
  • Willing to participate in program requirements and evaluations
  • Ineligible for other subsidized home care through programs such as IHSS, Community Living Fund, In-Home Operations or other state waiver programs

Counties Served

San Francisco

Related Resources

May is Older Americans Month!

This yearโ€™s theme is ๐˜—๐˜ฐ๐˜ธ๐˜ฆ๐˜ณ๐˜ฆ๐˜ฅ ๐˜ฃ๐˜บ ๐˜Š๐˜ฐ๐˜ฏ๐˜ฏ๐˜ฆ๐˜ค๐˜ต๐˜ช๐˜ฐ๐˜ฏโ€”a reminder that strong communities start with inclusion, dignity, and respect for our aging population.

At IOA, we believe aging should be supported, celebrated, and never done alone.

#OlderAmericansMonth #PoweredByConnection #AgingWithDignity #IOACares
๐—–๐—ฎ๐—ฟ๐—ฒ๐—ด๐—ถ๐˜ƒ๐—ฒ๐—ฟ ๐—ง๐—ถ๐—ฝ ๐˜„๐—ถ๐˜๐—ต ๐—”๐—น๐—ฒ๐˜…!

Multi-step tasksโ€”like setting the table or making coffeeโ€”can be frustrating for someone living with dementia. But breaking them down into smaller, simpler steps can make all the difference.

Try assigning a single, manageable part of the taskโ€”like folding napkins or pressing the coffee maker button.

Supporting independence doesnโ€™t have to be all or nothing.

๐Ÿ’ฌ What tasks does your loved one still enjoy doing? Share with us!

#CaregiverTips #DementiaCare #Companioa #MemorySupport #AlzheimersSupport #IOACares #AgingWithDignity
Join us on May 22nd from 4-6pm for a powerful viewing of Facing the Wind, a sixty-minute film that offers an unflinching yet hopeful look into the challenges of dementia care. Witness the strength of mutual support communities as they provide love and connection amidst the isolating realities of Lewy Body Dementia.

๐Ÿ“… Event Highlights
โœ”๏ธ Documentary Screening
โœ”๏ธ Q&A with clinicians from Ray Dolby Brain Health on behaviors, medications, and treatments
โœ”๏ธ Drinks & Refreshments

Registration is requiredโ€”RSVP via link in our bio by May 19 to reserve your spot.

Letโ€™s support awareness and understanding of this condition together. You are not alone. ๐Ÿ’œ

#FacingTheWind #LewyBodyDementia #DementiaAwareness #CommunitySupport #InstituteonAging #Dementia #Alzheimers #Memory