SASH: Tackling the COVID-19 Pandemic Throughout Vermont

The coronavirus pandemic highlights the critical role the SASH partnership plays in our public health system. Based in every county out of 140 affordable-housing communities for older adults, SASH is in a unique position to protect the most vulnerable Vermonters from the coronavirus, ensure their basic needs are being met, provide an essential human connection to ease uncertainty and isolation, and offer guidance, support and encouragement during this difficult time.

SASH partners are working every day under extremely challenging circumstances to prevent and mitigate the spread of the coronavirus. Neither the risk of contracting the virus themselves nor the staff shortages and difficult working conditions they face compromise their commitment to provide much-needed care, services and supports to older Vermonters.

We are complying diligently with guidelines from the CDC, the Vermont Department of Health, and state and local government officials in an effort to mitigate and contain the virus. We also are involved in numerous groups and task forces monitoring the coronavirus at the state and local levels and developing our multi-layered responses and resources. In anticipation of the arrival of the coronavirus in Vermont, we started actively preparing our continuity and contingency plans weeks in February. We are prepared to keep our operations running over the long haul. We have an incredible team and network of partners devoted to participants’ wellness and safety!

SASH Priorities in a COVID-19 World

  • Throughout the state, 130 SASH care coordinators and wellness nurses continue to provide personalized contact and consistent outreach to nearly 5,000 SASH participants during the pandemic. They are some of the most vulnerable older Vermonters and adults with disabilities, who primarily live in subsidized housing operated by 22 affordable-housing organizations and public-housing authorities. Some highlights:
  • Working remotely, SASH coordinators and wellness nurses reach out to each participant daily or weekly (depending on participant preference) by phone or video chat. They review the person’s Individual COVID-19 Plan, which identifies concerns, needs, gaps in service, reminders, coaching on prevention, ideas to address social isolation and more.
  • This effort is bolstered by the fact that SASH maintains extensive health information on each participant, so reports can be run for SASH staff across the state identifying participants with high-risk conditions associated with COVID-19, such as COPD, asthma, heart disease, diabetes and social isolation. Staff then know which participants, and which issues, to prioritize during check-ins.
  • Some staff are on site during the week to check mail, distribute newsletters, post flyers with updates and resources, and perform an overall status check.
  • Staff are coordinating with regional food banks and Meals on Wheels programs to ensure access to buildings so participants can get the food they need.
  • Regular SASH team meetings with partner-agency staff continue — but by phone or webinar rather than in person. Because the purpose of these meetings is to coordinate services for high-risk participants, they are more important than ever. Longstanding relationships and collaboration among staff from multiple agencies — the team members — ensures that efficient and effective problem solving continues during this critical time.
  • Social isolation and mental health are longtime SASH priorities, and even more so now. Staff are laser focused on retaining social connections and group programming with participants. The Lamoille County SASH coordinator is conducting her regular “Bone Builders” class via Zoom and has twice as many participants she normally has in person. Other offerings include Chair Yoga classes via Zoom and twice-weekly mindfulness sessions via Facebook Live.
  • An important component of SASH’s mental health work is suicide prevention. Sadly, Vermont has seen an uptick in suicides since the outbreak of the pandemic. Staff are asking specific questions about mental health and suicidal ideation using this suicide-prevention protocol during their regular check-ins with participants.
  • Cathedral Square SASH staff have established a weekly “Resident Connect” conference telephone call for each panel facilitated by their SASH coordinator. Callers go over updates and then have time for open discussion.
  • SASH staff continue to support participants around non-COVID-19 issues, including monitoring high blood pressure, managing chronic disease, providing tobacco-cessation support, connecting participants to community resources, and coordinating discharge-planning.
  • At the staff level, the SASH administrative team has been hosting weekly COVID-19 webinars for SASH staff statewide since March 16, during which they share the most up-to-date information as well as tools and resources available to staff. Open dialogue and discussion to develop best practices and policies are a key part of these sessions.
  • In addition, the admin team has added a robust and constantly evolving COVID-19 section to the SASH intranet with vetted resources and links for staff to access in one place. These include a number of SASH-created handouts for residents, such as “How to Care for Yourself with COVID-19” should anyone become ill.

This Too Shall Pass

The coronavirus situation is constantly evolving. We are all learning as we go and adjusting our behaviors as new information becomes available. We appreciate everyone’s understanding and patience during this trying time. We are all in this together!

Resources for Participants, Staff & Family Members

Vermont Department of Health

Vermont Department of Disabilities, Aging & Independent Living

Centers for Disease Control and Prevention




Federal Study Links SASH to Medicaid Savings for Long-Term Care

A new federal evaluation of Vermont’s groundbreaking “Support and Services at Home” (SASH) program, released July 12, 2019, shows significantly slower growth in the cost of long-term institutional care for very low-income SASH participants compared to non-participants. The finding holds true for SASH participants age 65 and older who receive Medicaid to cover the cost of long-term care in nursing homes. Medicaid costs were about $400 less per beneficiary per year among participants living at affordable-housing sites where SASH is based, researchers found.  Learn More.

SASH Intranet

This section is full of tools and resources to help SASH teams and partners collaborate and improve the SASH experience — and outcomes — for participants and for ourselves. All are encouraged to use the SASH Forum to share information, tips and techniques that you find useful!

SASH Forum: This is an information-exchange site for SASH team members and partners. Take advantage of this useful section to seek and share information that will benefit and support SASH staff, partners and participants.

Tools & Resources:

  • SASH Manual
  • Docsite/Paper Assessment
  • Trainings (including archived recordings and training materials for new staff)
  • Healthy Living Planning
  • Memory Care
  • Presentations
  • Wellness Nurse Tools
  • SASH Coordinator Tools
  • Statewide Professional-Development Trainings
  • SASH Library
  • SASH marketing and PR materials

SASH Training & Event Calendar (or choose new WordPress calendar)

SASH Team Member Update Form:
** Please Note: It is important to submit this form ASAP when team members are hired, leave or change contact information AND whenever there has been a change in your county’s referral process.