Bridget Kiefaber, LSW Program Director
928 Broadway
San Diego, CA 92101
(619) 977-3716
(619) 481-3075

Senior IMPACT (Intensive Mobile Psychosocial Assertive Community Treatment) is the newest program of Community Research Foundation. 

Senior IMPACT utilizes the evidence-based practice of Assertive Community Treatment (ACT) to offer intensive, comprehensive, community-based integrated behavioral health services to 130 older adults (60 and older) who are homeless or at risk of homelessness and have serious mental health issues.  The program is countywide and consists of a high fidelity ACT team of skilled professionals who are mobile and will travel anywhere in San Diego County to meet with clients.  The team is well equipped to provide integrated services for those clients who are diagnosed with both a serious mental illness and a co-occurring physical health and/or substance disorders.  The primary focus of the program is to assist individuals in reaching their goals and living a life that is not dominated by mental illness.


  • A team approach:  The team includes psychiatrists, nurses, mental health professionals, housing and employment specialists, peer specialists, and substance-abuse specialists who blend their knoowledge and skills to address each client's individual goals and to optimize outcomes.
  • Addressing basic needs:  Individuals receive focused support and assistance to meet basic needs such as food, housing, mental and/or physical health services and medications, and applying for benefits.  Support and assistance are also provided for accessing education, finding employment and managing activities of daily living.
  • Services provided where needed:  The team provides Senior IMPACT services in clients' homes, where they work, and in other settings in the community.  Settings are selected by the individual as the most beneficial to them or where support is most needed.
  • Personalize care:  A ratio of one staff member for every ten clients allows highly individualized care and frequent contacts.
  • Flexible care:    Each day team members manage their schedules around the needs of the clients.
  • Comprehensive care:  An array of services is provided to help address consumer needs such as medication management, vocational services, substance abuse services, and other services to help clients attain and sustain community living at their highest level of indpendent functioning.
  • Time - unlimited support:  Services are provided to each individual for as long as needed.
  • Crisis intervention:  Services are available 24 hours a day, 7 days a week.  Staff are always available to handle emergencies.

Referral Process:

Referrals may be initiated by a social service provider/professional or a concerned family member by calling the program directly at 619-977-3716, or by fax, 619-481-3075. To qualify for admission to the program, consumers must be age 60 or older, homeless or are at-risk of becoming homeless, have a serious mental illness, and have a history of high utilization of psychiatric services.

Hours of Operation: 

Office hours of operation are Monday through Friday, 8:30 AM to 4:30 PM with an evening outreach until 8:00 PM and Saturday by appointment.  Staff are accessible after hours by contacting the Senior IMPACT crisis line, (619) 573-7134.

Fees and Funding:

IMPACT is funded by the County of San Diego, Health and Human Services Agency, Adult/Older Adult Mental Health Services.  Senior IMPACT accepts Medi-Cal and Medicare Insurance and also provides services for individuals with no insurance.  No one is denied services based on inability to pay.