Social services

Many changes accompany a sudden debilitating illness or injury beyond the physical challenges. A social worker will assist patients and their families with details of the stay, provide ongoing contact and support, and assist with coordinating discharge. A social worker works together with other team members in reaching your goals and ensuring a smooth transition from the hospital to your community.

Social workers also provide assistance with:

• Financial concerns.
• Education about community resources.
• Scheduling home evaluation, family training, community re-integration and therapeutic pass, per team recommendation.
• Coordinating all recommended services (e.g., home healthcare/outpatient) and ensuring that equipment is secured prior to discharge.
• Patient advocacy.
• Providing counseling and support.
• Conducting follow-up calls.