County of Marin Health and Human Services

Interventions and Outcomes

Information on Service Adjustments During the COVID-19 Emergency

HHS is the County’s largest department with more than 700 employees who work at many sites throughout Marin. Many HHS offices have reopened with limited staffing to the public. Staff will continue to provide services remotely when possible for safety reasons, and residents in need of HHS services should consider conducting conversations over the phone or email when possible. Please call ahead if you have an appointment or require in-person assistance.

  • Adult Protective Services: (415) 473-2774.
  • Skilled Nursing/Assisted Living Ombudsman: (415) 473-7446.
  • Child Protective Services: (415) 473-7153.
  • Public Assistance Call Center (Medi-Cal, CalFresh, CalWorks): 1 (877) 410-8817.
  • General Relief: (415) 473-3450.
  • Behavioral Health and Recovery Services Access Line: 1 (888) 818-1115.
  • For information on resources and services specifically for older adults (persons 60+), persons with disabilities and family caregivers, call (415) 57-INFO (415) 457-4636 or email
  • HHS created a phone hotline, (415) 473-7191 (CRS 711), and an online contact form, for residents to contact staff with questions or concerns about the virus and about the county and community response. The call center is open from 9:30 a.m. to noon and 1 to 5 p.m. weekdays, and interpreter services are available.
  • Dial 711 for CA Relay Service (link is external)


If you are seeking information related to COVID-19 (Coronavirus), please visit our Public Health website, call the COVID-19 hotline (415) 473-7191, or email If you are seeking information and resources for older adults, persons with disabilities, or family caregivers, please email us at or call 415-457-INFO.

Due to the COVID-19 situation, we are experiencing very high call volumes. We will return your call as soon as possible. Thank you.

Once a call is made to Adult Protective Services, the following services may be provided:

  • Consultation
  • Referral to Community Based Agencies
  • APS Investigation

The APS investigation focuses on assessing the elder or dependent adult’s physical, cognitive, psychological, functional and socio-economic status; the elder or dependent adult’s living environment; the elder or dependent adult’s support system or lack of support system; and the elder or dependent adult’s strengths. The allegations of abuse or neglect are examined and level of risk is assessed. A plan is developed with the elder or dependent adult’s participation, which may include arranging for emergency services, emergency shelter or medical care.

APS social workers may provide referrals or linkage to community services, benefits, advocacy and medical professionals. They also may arrange for direct services such as Meals on Wheels, and transportation. APS Social Workers also coordinate with family, friends and other professionals involved with the elder or dependent adults to meet their needs. APS may request assistance from law enforcement for welfare checks and/or criminal investigations. As a result of the APS investigative findings, the following possible interventions and outcomes may occur:

  • The abuse allegations are unfounded and the elder or dependent adult is not at risk of abuse, and does not need services.
  • The elder or dependent adult may be in need of hospitalization, or medical evaluation by physician or public health nurse.
  • The elder or dependent adult’s support systems, (family, friends, spiritual and/or community agencies) are able to meet the needs of the elder or dependent adult and no further APS involvement is needed.
  • The elder or dependent adult may be referred to community based agencies for a variety of services such as care-giving, meal delivery, housing resources, and legal resources.
  • The elder or dependent adult may be assisted with applying for public assistance programs, medical services, and transportation services.
  • The elder or dependent adult may benefit from a probate conservatorship, and APS may coordinate a physician assessment and referral to the Marin County Office of the Public/Administrator/Guardian/Conservator.
  • APS may report the elder and dependent adult abuse allegations to law enforcement agencies, and may work together to facilitate safety and reduction of risk.
  • The Financial Abuse Specialist Team (FAST) coordinates efforts to protect the elder or dependent adult by investigating financial abuse and by reviewing cases for possible civil and criminal actions.