Page 14 - 200029_VNSNY_ 2019 Total Care Guide
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Provider Services
Social Work Services
Social workers play a vital role as
part of the interdisciplinary care
team. Social work services focus
on the current medical condition
and the social determinants
of health and well-being. The
social worker conducts an
assessment to determine patient
needs and identify any barriers
that might impede recovery. The goals of care include:
• Helping the patient and caregiver to adjust to and cope
with the current medical condition
• Improving treatment adherence
• Avoiding rehospitalization
• Strengthening the patient’s support system through
linkage to appropriate community resources, services
and public bene ts
• Ensuring that the patient’s basic needs are met in a safe
home environment
• Assisting with the development of long-term care plans
Social work services are provided only in conjunction with
skilled nursing or rehabilitation services.
Service Area: All ve boroughs of New York City, Nassau,
Su olk and Westchester Counties
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