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Counseling Services For Older Adults


The Senior In-Home Counseling Program was founded in 1993 with a small grant from the Area Agency on Aging. Since then, the program has grown to provide seniors with a wide array of counseling and mental health services. In 2005, the program was expanded to accomadate older adults who are able to be seen in our north Oakland office.  Services include individual, couples and family counseling. In addition we offer a number of support groups designed to address the unique challenges of aging. 


To help seniors 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 seniors 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. Older persons with depression rarely seek treatment for the illness and often don't recognize it for what it is, even though depression is the single most significant risk factors for suicide for older adults. 

Seniors often suffer losses that include loved ones, health, income, and independence. The aim of CSS's Senior Counseling Programs is to provide a safe and supportive environment for participants, to help clients address issues of concern and maintain their independence. Many seniors 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 Senior In-Home Counseling program provides in-home counseling, emotional support and telephone follow-ups to homebound and/or socially isolated seniors 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 don't qualify for our In-Home Program. For those seniors, who are able to come to our north Oakland office, the same counseling services are available on-site.    

Counseling is provided by mental health interns who are trained in gerontogy, grief, and crisis intervention counseling and are supervised by licensed professionals.  

Whom We Serve

In-Home seniors clients 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 senior clients must be 55 years of age or older and all requests for service will be considered.



WOMEN IN TRANSITION SUPPORT GROUP- 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.

GRIEF SUPPORT GROUP- 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 desires to heal. Our bereavement groups offer a safe, confidential place to gain support with loss, coping and life transition.

MEN'S GROUP- 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. 

SENIORS WITH DISABILITIES- Make connections with others, give and receive support in a safe place. 


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.


Clinical Director: Devah DeFusco, LMFT 510-420-2475

Please also visit our contact form.



We are not seeking volunteers at this time. Learn more about other volunteering opportunities.

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