social work services

social workers Confidant

Social workers are the resident’s confidant and counselor. The social worker bridges the gap between the resident and society. The social worker assists the resident in ensuring a smooth transition to a new environment, whether placement is long or short term. Social workers also assist in resolving conflicts between resident and family member. Towards meeting their goals, social workers meet with the resident and/or family member within 24 hours of admission and provide an initial overview of the plan of care for the resident.

 

Advocate

The social worker ensures that the residents spiritual, emotional, physical and mental health needs are met. The social worker coordinates and obtains all entitlement for the residents while in the facility and upon discharge. The social worker arranges for the resident, family member and /or significant other to participate in all comprehensive care plan meetings. The social worker provides on-going education on advance directives and community resources.

 

Discharge Planner

Social workers ensure that all residents with discharge plans are safely discharged to the community with appropriate services in place. The interdisciplinary team meets prior to each residents discharge from the facility to discuss concerns, resident/family education and other issues that may need to be addressed prior to the resident re-entering the community.

The social worker arranges for home care services, durable medical equipment, follow up appointments with primary care physician and provides medications to the resident prior to discharge to the community. Resident, family members and/or significant others are included in all aspects of the discharge plan. After discharged to the community, the social worker contacts the resident via telephone to assess if all services are in place and if there are any obstacles that must be handled.

 

Other

On a yearly basis, the Social Work Department organizes an Annual Family and Friends Barbeque. All resident and families are invited to join the facility in a day of celebration with catered food, entertainment, gifts and fun activities.