The Role Of The Social Worker In The Long-Term Care …

1 The Role Of The Social Worker In The Long-Term care Facility Edited by Novella Perrin and Joanne Polowy Printed by the Missouri Long-Term care Ombudsman Program 2008. Table of Contents Table of Contents Table of Contents .. 2. Acknowledgements .. 4. Social Worker Ad Hoc Committees .. 5. Preface to the Revised Edition .. 7. Chapter 1. GENERAL PHILOSOPHY AND GOALS .. 8. Organization of the Book .. 12. Terminology .. 12. 2. ADMISSIONS .. 13. Marketing .. 13. Orientation to the Facility .. 14. Pre-Admission Coordination .. 15. Pre-Admission Screening .. 16. Admission .. 17. Advance Directives .. 18.

2 The Social History .. 21. Resident Rights .. 21. Discharge Planning .. 24. 3. INDIVIDUALIZED SERVICE DELIVERY .. 26. Resident Contact .. 26. Recognizing Ethnic and Cultural Diversity .. 27. care Planning and the Minimum Data Set (MDS) .. 27. Identifying Individual Social and Emotional Needs .. 28. Documentation .. 30. Social Service 30. Resident Plan of care .. 31. Social Services Progress Notes .. 33. 4. PRACTICE AND INTERVENTION SKILLS .. 36. Traditional Social Work Practice Skills .. 36. Counseling Skills .. 37. Crisis Intervention Skills .. 39. Facilitating Groups .. 39. Working with Special Need Residents.

3 40. Residents with Cognitive Impairment .. 40. Younger Residents .. 41. Low-Need Residents .. 42. -2- Chemical and Physical Restraints .. 42. -3- 5. PROBLEM SOLVING AND COMPLAINT RESOLUTION .. 44. Problem Identification .. 45. Problem Resolution .. 46. 6. SUPPORT SERVICES .. 49. Physical and Psychological Abuse/Neglect/Financial Exploitation .. 49. Financial Assistance .. 51. Legal 52. Witnessing Forms .. 53. Interdepartmental Staff Meetings/In-service Training .. 54. 7. FINANCIAL RESOURCE 55. 8. VOLUNTEERS .. 58. 9. STAFF TRAINING AND DEVELOPMENT .. 60. Critical Areas of Training Needed by the Social Worker .

4 61. Stress Management for Social Service Workers/Designees .. 65. GLOSSARY AND 67. 71. COMMUNITY RESOURCES FOR Long-Term care Social WORKERS .. 73. LIST OF MISSOURI COLLEGES AND UNIVERSITIES WITH Social . WORK programs .. 74. SAMPLE JOB DESCRIPTION - Social SERVICE DESIGNEE/ Worker .. 75. SUGGESTED ADMISSION PACKET CONTENTS .. 76. ROLE OF THE Social Worker IN OLD VS. NEW CULTURE .. 80. This booklet is dedicated in memory of Garry Thompson, MSW. -4- Acknowledgements The work presented in this booklet is the culmination of a two-year team effort in 1985-87. A group of independent practitioners and academicians, working in close cooperation with the staff of the Missouri Division of Aging*, has devoted their time and expertise in the preparation of this booklet.

5 The efforts of the following people are greatly appreciated. Luther Gruenbaum, MSW Barbara Pinney Social Work Consultant Staff Training Coordinator Lutheran Altenheim Division of Aging*. St. Louis, MO Jefferson City, MO. Theresa Hall, MSW Mary Schworer Elfindale Land & Development Social Services Project Dir.: Creekside at Elfindale John Knox Village Springfield, MO Lee's Summit, MO. Deloris Johnson, MSW Sharon Stober School of Social Work Social Services University of MO - St. Louis John Knox Village St. Louis, MO Lee's Summit, MO. Jacqueline McCollom Francine Thomas, Director Administrator Social Services Dexter Convalescent Home Tower Village, Inc.

6 Dexter, MO St. Louis, MO. Duane McGuire, MSW Susan Vincent long Term care Ombudsman Administrator Division of Aging* St. Joseph's Infirmary Jefferson City, MO Eureka, MO. It is hoped this publication can be used in planning and implementing a Social service program in a Long-Term care facility and that it will stimulate and increase an awareness of the need for service integration between components of care in Long-Term care facilities. Such heightened awareness should enrich the quality of life for residents in the Long-Term care facilities -and it is toward this goal that we are striving. Novella Perrin, PhD.

7 Joanne Polowy, MSW. Director, CMSU Gerontology Institute Program Planning Central Missouri State University Division of Aging*. Warrensburg, MO Jefferson City, MO. * Division Joanne of Aging Polowy, MSWis now the Department of Health and senior Services. -5- Social Worker Ad Hoc Committee 1992-1993. The revision of this book is the result of a team effort of practitioners, academicians, and Division of Aging* staff. Almost all of the original material has been incorporated but as there have been a number of changes in laws, regulations, and public policy, particularly on the federal level, the booklet needed to be updated.

8 The input, cooperation, and dedication of the following people are greatly appreciated. Pam Clark, ACSW Janet R. Walker, BS. Program Manager II Director of Social Services Division of Aging* - Region 7 Loch Haven Nursing Home 111 North 7th, Room 500 Box 187. St. Louis, MO 63101 Macon, MO 63552. Roxana Crawley Jan Pearson, CSW 11. Bent Wood Nursing Center Division of Aging* - Region 3. 1501 Charbonier Road 615 East 13th, 4th Floor Florissant, MO 63031 Kansas City, MO 64106. Stephanie Friedman, ACSW Geneen Morgan, MSW. #11 Dogwood Lane 2610 Whitegate Drive St. Louis, MO 63124 Columbia, MO 65202. Dennis Longwell, CSW I Mary Schworer, MSW.

9 Division of Aging* - Region 1 Foxwood Springs Living Center 149 Park Central Square 1500 W. Foxwood Dr., Box 1400. Springfield, MO 65806 Raymore, MO 64083. Jeanne Campbell Deloris Johnson, MSW. Johnson County care Center 103 5 Lewellyn Lane, Apt. 2. 122 East Market Olivette, MO 63132. Warrensburg, MO 64093. Gary Thompson, MSW. Facility Surveyor III. Division of Aging*. Jefferson City, MO 65102. Coordinators Novella Perrin, PhD. Joanne Polowy, MSW. Director, Gerontology Institute Manager, Central Operations Central Missouri State University Missouri Division of Aging*. Wood 136 N Jefferson City, MO 65102.

10 Warrensburg, MO 64093. * Division of Aging is now the Department of Health and senior Services. -6- Social Worker Ad Hoc Committee 2003-2004. The revision of this book is the result of a team effort of practitioners, academicians, and Department of Health and senior Services staff. Almost all of the original material has been incorporated but as there have been a number of changes in laws, regulations, and public policy, particularly on the federal level, the booklet needed to be updated. The input, cooperation, and dedication of the following people are greatly appreciated. Danette Beeson,Program Manager Margaret Stone, Department of Health and senior Services Central Missouri State University Jefferson City, MO 65102 Warrensburg, MO 64093.