Downtown Emergency Service Center home
programs vision organization jobs how to help contact news documents links

Clinical Programs

DESC -- Connecting Seattle's most vulnerable men and women to homes, health and community.

SAGE 
Support, Advocacy, Growth and Employment

SAGE is DESC's comprehensive outpatient mental health program. SAGE case managers, psychiatrists and nurses work with men and women (18 years and older) --many of whom are or have been homeless-- assisting them in their journey towards recovery. This includes help obtaining and maintaining housing, improving clinical and social stability, and enriching their level of independence and self-sufficiency. 

SAGE services are licensed under the Washington State Mental Health Division and are provided under contract with King County Mental Health, Chemical Abuse & Dependency Services Division. Services are provided within a Recovery model.

Services provided


Services are provided in our offices, at client homes, and elsewhere in the county such as shelters, hospitals, jails and wherever else clients' lives take them.  Services include:
  • Case management
  • Psychiatric services
  • Counseling
  • Representative Payee services, for some clients
  • English and Spanish languages spoken; other interpreters are available
  • Assistance in obtaining employment or referral to vocational service programs

Eligibility criteria

  • Adults, age 18+
  • Living in King County
  • Must have Medicaid or be able to pay independently
  • Living with a mental illness and meet King County eligibility criteria
  • Must voluntarily accept services or be on a Least Restrictive Alternative

Seeking SAGE services?


Anyone may make a referral by contacting our SAGE Intake Specialists. Our intake staff can :
  • answer questions about SAGE services,
  • screen for eligibility,
  • schedule intake appointments,
  • assess for immediate needs, and
  • make referrals to other necessary resources, within DESC or in the broader community.

Contact Us

Email: sage_intake (at) desc.org
Phone: Request to speak with the SAGE Intake Specialist
Pioneer Square206.464.6454
Drop by: Pioneer Square
216 James St., Seattle 98104
Mon – Fri 11am – 12pm


Please have the following information ready when you contact us
  • Name
  • Contact information (for referral source and the potential client)
  • What help is needed
  • Copy of a current Medicaid card (if any) and income information