Care Management Services

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Words of thanks:

You’ve been a huge help to us (especially me!). I’ve been so stressed throughout this whole process and have really felt the weight of responsibility for Grace’s wellbeing from the minute she went into the hospital. I so very much appreciate knowing you were there if I needed you, especially while we treaded through such unfamiliar waters. Thank you again, Audrey.

 

I just wanted to send you my thanks for yesterday. You did a magnificent job of shepherding us through a difficult discussion. Without you, I believe we would not have made positive progress.   Everyone agreed that you helped us tremendously.  I cautiously believe we are now united in an approach to take with our mother to persuade her that a retirement home is her best long-term option. 

 

Thanks Audrey.  I have thanked you many times in my mind – your meeting brought much needed healing to our family.  Mom’s death was unexpected and very upsetting.  It was a blessing that we were all able to get to the hospital and we spoke with one loving voice in allowing her to join dad.  Again, many thanks, you helped more than you know.

 

We understand the stress and challenges faced by seniors, caregivers, and their families. We are able to make things easier for individuals and families who struggle to find the time, energy and resources to balance their family needs, caregiving responsibilities and  work.

 

How A Care Manager Can Assist

We Provide:

    • Comprehensive assessment of needs and in home safety assessments
    • Analysis of most appropriate service options
    • Developing Care Plans which outline costs and local resources
    • On going coordination of care and service
    • Assistance with placement exploration
    • Advocacy- getting things done the right way- the first time
    • Liaison for out of town families
    • Care management- getting things organized and done.

Services can include:

      • Stay or Go: helping families decide whether the older individual can remain safely in their home and exploring retirement and alternate accommodation
      • Hospital discharge planning: including advocacy and navigation of the health care  and social systems
      • Family Meetings: helping families share caregiving responsibilities

Our care managers are registered social workers, occupational therapists and other allied health professionals. We meet with you and your family in your home to discuss and identify areas of concern. We will identify community resources to assist you and access publicly available services whenever possible. We are your case coordinators and your system navigator. We liaise with your medical team, family members and involved service providers to ensure a coordinated approach to service delivery. We work to ensure you and your loved one are living well.

Please note that the services of a Registered Social Worker are frequently covered by extended health care benefits.