Promoting Health and Wellness Throughout the Life Span

What We Do

Oftentimes, home-bound seniors can feel isolated, lonely and in need of a little extra support. Positive Solutions provides outreach, along with mental health prevention and intervention, to home-bound individuals (60+) who are at risk of becoming depressed or are showing signs of minor depression. Trained and compassionate staff members help clients recognize symptoms, identify possible causes of depression and teach proven ways to cope. This is achieved through short-term psychoeducation, the evidence-based PEARLS (Program to Encourage Active and Rewarding Lives for Seniors) model, and other brief interventions. Our goal is to reduce feelings of isolation, and increase an individual’s social support system and overall self-sufficiency.

Positive Solution

Who We Serve

Services are available for individuals ages 60+ from all cultural backgrounds in the San Diego County’s Central, North Central, North Inland and North Coastal Regions. For information on the Positive Solutions referral process, contact Syed Imam at

UC San Diego Research Study:

Intervention for Loneliness among Older Adults

Researchers at UC San Diego are conducting a research study to improve loneliness and social isolation in older adults in San Diego. This study involves participating in a program that has been designed to reduce loneliness and social isolation by helping you to engage socially. If you meet criteria for this study and agree to be part of the study, you will meet one-on-one for 6 weeks with a study therapist via Zoom, a HIPAA-compliant videoconferencing program. These six, 60-minute sessions will include training to increase positive emotions and your pursuit of social activities. Before and after treatment, study staff will meet with you to complete questionnaires related to loneliness, physical and mental health.

If you feel lonely/socially isolated and are interested in participating, please call Velia Gitari, EMASS Program at 619-871-0528 for more information.

Success Story

John entered the Positive Solutions program looking for help managing his depression and cultivating daily and life goals for himself. He had been incarcerated for over 40 years and found it very difficult adjusting to life as a free man, but also overcoming barriers as an older adult with limited support. Through close collaboration and encouragement from his UPAC therapist, he was able to develop increased insight and self-awareness, and learned various coping mechanisms to help him manage his depression. After participating in the Positive Solutions program, John was able to obtain his own apartment, register in a job agency, perform volunteer work, and engage in multiple social and recreational activities. He was able to meet all the goals he set for himself and continues to strive to improve after being linked to long-term services.

* Names have been altered to protect client privacy.

Funded by the County of San Diego


Program Manager

Yndira Esquivel, MA

My name is Yndira Esquivel, MA. I have been working at UPAC since 2015 in various programs. I received my bachelor’s in psychology from SDSU and master’s in clinical psychology with an emphasis in Marriage and Family Therapy from Azusa Pacific University. I have always been passionate about the mental health field and have provided direct services to different age groups including children, adolescents, and older adults. I am passionate about providing the best services to our clients by using PEARLS, providing psychoeducation, equipping our clients with resources, and having the best staff.


3539 College Ave
San Diego, CA 2115


Information: (619) 481-2652
Referrals: (619) 481-2651


For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.

It can be found at