Evaluation of the San Francisco Support at Home Program: Year One Report


Laura Wagner, Jacqueline Miller, Susan Chapman, Timothy Bates & Joanne Spetz

September 12, 2018

The purpose of this project is to conduct a two-year formative and summative evaluation of the San Francisco Support at Home program. The Support at Home program provides financial support for the purchase of home care services by adults with disabilities and older adults living in San Francisco. The eligible population is comprised of those who have a demonstrated need of assistance with two or more activities of daily livingĀ or instrumental activities of daily living, income up to 100% area median income in San Francisco, assets up to $40,000 (excluding one house and one car), a demonstrated need for financial assistance paying for home care, and who agree to pay a copayment towards the purchase of additional home care services and participate in program evaluations. Anticipated enrollment is 175 to 250 individuals over a 2-year period.

The Support at Home program is administered by the Institute on Aging (IOA) via a contract from the San Francisco Department of Aging and Adult Services (DAAS).

Preliminary data from a limited subset of enrollees are promising and suggest positive impacts on families and individuals. The data and knowledge gained from the interviews with stakeholders and focus groups with family caregivers thus far indicate that there is a need for the services provided by Support at Home. While there will be a subset of enrollees who will not have received services for the full term due to program ramp up and enrollment challenges, the final evaluation report will provide a comprehensive picture of the program impact during the pilot, including economic impacts.