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 Francisco’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

🏳️‍🌈 Pride at IOA

Last week, we raised the Pride flag at our headquarters to kick off Pride Month—a visible reminder of our ongoing commitment to inclusivity, dignity, and respect for all.

At IOA, we believe aging with pride means being seen, supported, and celebrated—exactly as you are.

💙 To our LGBTQ+ community: You belong here.

#PrideMonth #InclusiveAging #IOACares #AgingWithPride #LGBTQSupport
Aging needs evolve—your support system should too.

IOA adapts as your loved one’s needs change, including dementia and Alzheimer’s care services that evolve with the journey.

#SeniorCare #ContinuumOfCare #DementiaCare #AlzheimersSupport #IOACares
🎨 Solo Exhibition: Bob Sockolov at @caldwellsnydergallery

We’re proud to share that Bob Sockolov, Institute on Aging’s Honorary Lifetime Director, will be featured in a solo exhibition from June 13–16 at Caldwell Snyder Gallery in San Francisco.

📍 341 Sutter Street, San Francisco
🗓️ Reception: Saturday, June 14 | 4–6 PM

Bob’s work—deeply inspired by the Bay Area’s scenery and skyline—has evolved over decades of self-taught experimentation. This exhibition offers a rare glimpse into his perspective on the city and its transformation.

🧡 All proceeds from artwork sales will benefit Institute on Aging, supporting older adults and caregivers in our community.

#InstituteOnAging #BobSockolov #ArtForACause #BayAreaArt #SanFranciscoEvents #CaldwellSnyderGallery #NonprofitSupport