Adult Placement Services

Adult Placement Services help aging or disabled adults find appropriate living and health care arrangements. These services are available to individuals whose health, safety and well being can no longer be maintained at home. Placement arrangements are made in adult care homes, nursing homes, other substitute homes, residential health care settings or institutions. Aging and disabled adults receive help to complete medical evaluations and financial applications and to locate and move to new settings. They also may receive counseling to help them adjust to change.
Adult placement services also help aging and disabled adults in the following situations:

  • Individuals unable to maintain themselves in their own homes independently or with available community or family supports.
  • Individuals living in substitute homes, residential health care facilities or institutions and needing assistance in relocating due to changes in level of care needed.
  • Those who need assistance in returning to more independent living arrangements.
  • Those who need assistance in adjusting to or maintaining their placements due to individual or family problems or a lack of resources.

Special Assistance In Home Program

The State and County Special Assistance In Home Program for Adults (SA/IH) provides a cash supplement to low income individuals who are at risk of entering a residential facility. SA/IH provides additional support services and income to individuals who would prefer to live at home. Case managers at the county departments of social services conduct comprehensive assessments to identify how certain factors would affect an individual’s ability to live at home.
Primary factors include:

  • The functional status of the client and need for care and services.
  • Availability of family, friends and neighbors to provide care and services.
  • Availability and access to care and services from agencies and other formal service providers.
  • Ability to pay for housing.
  • Availability of affordable and safe housing.

The services assessment is needed to determine whether an applicant/recipient could remain safely at home and what services would be needed to assure that the applicant’s needs are met. The case managers work directly with the recipients, families and other caregivers to develop a care plan that enables the recipient to live at home. The case managers, working with the recipient, establish the amount of the SA/IH payment and determine how the payment will be used.
SA IH Program Fact Sheet
SA IH Active and Average Active Cases


If you or someone you know requires these services, contact your local Department of Social Services.