Human Services Agency of San Francisco
Department of Aging & Adult Services * Department of Human Services

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The Linkages Program helps frail elderly adults, and adults with disabilities who are age 18 years and older, remain in their homes, maximize their independence, and reduce the need for more costly out-of-home care with the help of case management and comprehensive information and assistance services.

The Linkages Program provides extensive care planning, which may include linking the individuals and their families to existing community services, such as transportation, meals, in-home care, housing assistance and adult day care programs. The plan may also focus on obtaining adaptive devices, such as ramps, bath benches, medi-sets, and grab bars. Assistance, such as home repairs, counseling, or telephone reassurance, may be arranged to help Linkages clients remain independent.

Who Is Eligible

In order to receive services, a person must:

• be 18 years of age or older
• be at risk of institutionalization
• be a resident of San Francisco
• be able to be maintained in the community through the use of Linkages services
• not currently receiving case management services from the Department of Developmental Disabilities; Department of Mental Health; Department of Rehabilitation; or Multipurpose Senior Services Program (MSSP)
  In addition, the person must meet at least one of the following conditions:
• impairment in one or more areas of activities of daily living, such as eating, dressing, transfer, bathing, toileting and grooming
• impairment in two or more Instrumental Activities of Daily Living, such as taking medications, stair climbing, mobility indoor, mobility outdoor, housework, laundry, shopping and errands, meal preparation and cleanup, transportation, telephone and money management
• be unable to manage his/her own affairs due to emotional and/or cognitive impairment
• be impaired by virtue of a significant event or circumstance that has occurred within the past 12 months.

There are no income criteria for the program, although individuals who can afford to pay are requested to contribute a share of cost for case management services and/or purchased services. No one who is eligible will be turned away solely because of inability to pay.

For More Information

To speak with an intake coordinator, call: