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.

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

In honor of #SocialWorkMonth, we're shining a spotlight on one of our exceptional social workers - Patty Myers! 

Patty has dedicated her career and volunteer efforts to support older adults and adults with disabilities in San Francisco. As the Resident Services Coordinator for Institute on Aging's Support in Independent Living program, Patty wears many hats to ensure that the 120+ residents of Martin Luther Towers Senior Housing can age in place comfortably. Her talent for connecting individuals with resources has enabled her to go above and beyond to ensure accessibility and inclusivity for all. Patty's commitment to her work has been unwavering, and we are grateful to have her on our team at IOA. 

#SeniorCare #SocialWork #SupportingTheElderly #SocialWorker #SocialWork #NationalSocialWorkerMonth #Services #Coordinator #Joinourteam
Today, on #WorldSocialWorkDay, we celebrate the incredible work that IOA's #socialworkers do to support older adults and adults with disabilities. 

One of those social workers is Caina Li, whose impact on the San Francisco community far exceeds her role as a Care Manager on the IOA Case Management team. When she's not managing a caseload, Caina continues her efforts through volunteerism, specifically supporting the Richmond District Neighborhood. In the past, Caina has volunteered with the SF Marin Food Bank, Mercy Housing, and even IOA's very own Friendship Line. Thank you Caina for your ongoing commitment to IOA and for your unwavering dedication and commitment to improving the lives of those around you!
We appreciate you and all of IOA's social workers!

#SocialWork #Community #Caregivers #CareManager #CaseManagement #WomensHistoryMonth #Spotlight #TeamSpotlight #SocialWorker #CaseManager #OlderAdults #Adultswithdisabilities
As the first day of Spring arrives, we can't help but feel a sense of excitement and renewal. The Enrichment Center in the Presidio is the perfect place to celebrate the changing seasons with your loved one living with dementia. Join us and take in the beauty of Spring! 
#FirstDayofSpring #EnrichmentCenter #Presidio #NatureLovers #Dementia #DementiaCare #DementiaSupport #Caregiver #CaregiverSupport #MemorySupport
Happy St. Patrick's Day! πŸ€πŸŒˆ Today, we celebrate the Irish spirit and all things green. Whether you're enjoying a pint of Guinness, wearing your favorite green outfit, or simply spending time with loved ones, we hope this day brings you joy and good luck.  May the road rise up to meet you. SlΓ‘inte! 🍻 #StPatricksDay #LuckoftheIrish #Green #Cheers #Celebration #Ageon #GoingGreen