PSPS provides the following social services to residents:
1) Case Management services in which a social worker conducts a thorough assessment, usually in the resident’s home, to identify needs and presenting issues. A social worker can assist a resident with:
- Care Planning to provide options for the resident’s care at home
- Service Coordination with other agencies, such as home care and medical providers
- Individual Counseling to offer emotional support
- Crisis Intervention to assist the resident in addressing a sudden, stressful life event
- Advocacy to ensure the resident receives the proper level of care and benefits
- Benefits counseling to provide information on government entitelments
- Application completion for entitlements, such as food stamps, Medicaid, EPIC, and SCRIE
- Placement Planning to explore options available to the resident if more comprehensive care is needed
- Care Monitoring to assess the appropriate level of care in the home and monitor the service provision
2) Case Assistance services in which a social worker provides assistance on a short-term basis, linking a resident with appropriate services. Intake for this service is provided on a daily basis and the resident’s need may be resolved during a telephone consultation. Home visits may be conducted if a resident is homebound.
3) Healthcare Management is provided by on-site nurses from the Visiting Nurse Service of New York who make home visits. Beth Israel provides additional health screenings, and New York University student nurses provide 20 weeks of individual health monitoring assistance to frail homebound residents.
4) Healthcare Assistance is provided for short-term monitoring, such as after discharge from a hospital or in the event of an illness or fall. Weekly blood pressure screenings and an annual mammogram clinic are also offered.
5) Health Promotion is provided through lectures on various topics related to health education, and through exercise classes, such as yoga, tai-chi, stretch and tone, and chair exercises for frail residents.
6) Health Screenings & Vaccinations are offered, such as free flu shots and a blood pressure clinic to monitor residents’ blood pressure twice weekly.
7) Support Groups are offered, such as the Men’s Discussion Group and Women’s Discussion Group, on a weekly basis. Two weekly meditation groups are led by one of the nurses. Other support groups may be developed as resident interests and needs are identified.