Counseling Services for Older Adults

Crisis Support Services of Alameda County (CSS) began providing In-Home Counseling services to elderly and frail home-bound older adults in 1993 with a small grant from the Area Agency on Aging. Since 2005, the program has been expanded to provide counseling services to older adults at our agency. Services include group, individual, couples, and family counseling.

Counseling Services for Older Adults Mission

To help older adults maintain their independence to the greatest extent possible and age in place by providing quality mental health services and emotional support. Research has indicated that one of the greatest issues for older adults is loneliness. The issue of social isolation, coupled with depression, is an important factor that contributes to the high risk for suicide among this population. Even though depression is the single most significant risk factor for suicide for older adults, older persons with depression rarely seek treatment for the illness and often don’t recognize it for what it is.

Older adults often suffer losses that include friends, loved ones, health, income, and independence. The aim of our Older Adult Counseling Programs is to provide a safe and supportive environment where participants can address issues of concern and maintain their independence. Many older adults use their time with us to share thoughts about their day-to-day lives, to reminisce about the past, or to speculate about the future. All of these are good topics for discussion during counseling sessions.


Our Older Adult In-Home Counseling Program provides in-home counseling, emotional support, and telephone follow-ups to homebound and/or socially isolated older adults who would benefit from weekly counseling and who otherwise, would not have access to mental health services. Many older adults would benefit greatly from supportive counseling but do not qualify for our In-Home Program. For those older adults who are able to come to our North Oakland office, the same counseling services are available on-site.

Counseling services are provided by counselors who are trained in geriatric mental health, grief, and crisis intervention and are supervised by licensed therapists.

Whom We Serve

In-Home Counseling Program clients are older adults who must be 60 years of age or older. Special consideration is given to frail, high-risk, homebound, and/or socially isolated, low-income, and minority elders who may not be able to acquire mental health services through more conventional means. All requests for service will be considered. At this time, we are only able to provide in-home services to Central and North Alameda County.

On-Site Older Adult clients must be 55 years of age or older and all requests for service will be considered.

Support Groups

    The second half of life can be filled with changes. Gain support for navigating these challenges and assistance in living to the full potential of later years, all in a friendly, women-only space.
    Few events in life are as painful as the death of a loved one. At times, you may be uncertain whether you have the energy or desire to heal. Our bereavement groups offer a safe, confidential place to gain support with loss, coping, and life transition.
    As we age and move through stages of life, we find our roles changing. In this group we’ll share our stories and talk about how we make it through, what holds us together in the midst of difficult life passages, and what we can learn from each other as we go along.


The In-Home Program is a free program. We do accept donations but clients are not obligated to make a donation to receive services. The On-Site Program has a sliding-scale fee but no one is refused services for lack of ability to pay.


We respect your privacy.  Email is not a secure method of communication.  If you are interested in receiving services or would like more information about our program, contact the Counseling Services Program by calling: 1-800-260-0094.