All older adults should have access to appropriate caregiving services and stable housing. In 2021, the Los Angeles Department of Health Services partnered with Jewish Family Service of Los Angeles to expand its In-Home Care Giving (IHCG) program, which helps older adults who needed caregiving services but are ineligible or awaiting approval for California’s In-Home Supportive Services remain safely housed. As the number of older adults experiencing homelessness in Los Angeles continues to rise, health and housing systems face increasing pressure to respond. To help meet this need, Cedars-Sinai Health System partnered with Brilliant Corners in 2021 on a $5 million IHCG pilot to enable vulnerable adults age in place regardless of insurance or immigration status.

Why This Matters

Older adult homelessness is one of Los Angeles County’s most pressing challenges. Cedars-Sinai Health System invested in the IHCG program to support local efforts to keep adults housed and cared for. The pilot originally aimed to serve 70 adults by September 2023, as the county navigated shifts in state Medicaid policy. Amid these changes, the program extended through March 2025 and ultimately served 145 adults, providing critical caregiving services that allowed them to remain in stable housing.

This report offers insights and recommendations to inform future program iterations and solutions that protect health and housing security for older adults across Los Angeles and beyond.

What We Found

Between October 2021 and March 2025,145 adults received in-home caregiving services through the expansion pilot. Program data show that

• 89 percent of IHCG pilot participants successfully maintained stable housing, and
• 48 percent transitioned to In-Home Supportive Services or another caregiving program, or to a higher level of care.

Beyond housing stability, participants reported positive experiences in maintaining health and well-being. Program partners attributed the pilot’s success to the strong collaboration between Department of Health Services and Jewish Family Services and the effective implementation of the contract mode model through Jewish Family Service’s care management approach.

How We Did It

Throughout the pilot, we conducted annual interviews with program staff—including planners, caregivers, care managers, and intensive case managers—as well as with pilot participants. These interviews provided valuable insights into implementation and participant experiences. We also analyzed program data from the Department of Health Services to better understand the services delivered and outcomes for participants.