Interview and screen referrals to determine the general appropriateness of the prospective participant for the full assessment process and adult day health care participation.
Provide referral for persons not appropriate for adult day health care. Provide counseling and referral to available community resources.
Provide a signed and dated documentation for all service performed the day the service is provided and include signed and dated quarterly progress reports in each participant record.
Serve as liaison with other community agencies who may be providing services to a participant and work with these agencies to coordinate all services delivered to the participant to meet the participant's needs and avoid duplication. Liaison shall include, but not be limited to the following agencies:
(A) In-Home Supportive Services in the county welfare department.
(B) Home Health Agency providers.
(C) Liaison with attending psychologist or psychiatrist.
Act as a member of the assessment team to evaluate medical social needs of the participants.
Complete an assessment and/or reassessment of each participant, develop an individualized plan of care, including short-term and long-term goals with participation of the participant’s family and other appropriate individuals.
Participate in the interdisciplinary care plan meetings; create social service goals with participant and family/caregiver involvement. Record and compile data as a part of the program's quality and performance review.
Provide support and guidance to participants. Assist participants and families/caregivers with information and referral to community services. Advocate for participants' rights within the community through networking with other community based agencies.
Provide supportive services to the families and caregivers of program participants. Share with the family helpful suggestions and information regarding care and support of disabled adults. Provide support and/or offers resources to families and caregivers in crisis situations. Provide information to participants and families/caregivers in topics that are culturally, physically, and age appropriate.
Take responsibility for case records by preserving confidentiality of all materials and following established procedures for release of information.
Write progress notes, narrative summaries, and closure summaries at interval designated in program guidelines.
Provide discharge planning for all discharged participants.
Facilitate caregiver support groups, participant support groups, and family education nights.