Care Management

A innovative approach to living independently
Everyone treasures his or her independence. Most individuals view independence as the ability to successfully live at home. But when decline in health, possible mental confusion or the maze of medical treatments start to threaten independence, it can create complex problems for the individual and their loved ones. Compass Care Management can assist individuals who desire to continue living at home by offering coordinated access to a wide range of community resources.

Creating a personal care plan
Care management is much more than a referral service. We work directly with our clients, their family members and health care professionals to implement and monitor a personal care plan to meet an individual's needs.

How the program works
A social worker experienced in health care or geriatrics makes a home visit to determine areas in which a client might need assistance. The social worker draws on their training of evaluating the client in their environment to assess all aspects of a person's functioning. This includes, but is not limited to, physical capabilities, mental health issues and everyday activities such as cooking, cleaning, socializing, and handling personal finances. The social worker then identifies and can implement services to help achieve maximum independence and security. Some examples could include arranging for transportation services, a home health aid and possibly respite services for family members. Following are the most frequently cited reasons for care management-services:

Ongoing Care Management
Ongoing management puts the recommendations from the care plan into action. The care manager unravels the maze of community resources available to an individual and arranges the right service to ensure that a person's needs are met with the highest quality of care. The care manager monitors both the level and the appropriateness of service in order to respond to the changing needs of the individual. Care management is available on a short-term or a long-term basis.

Assessment
With a care management assessment, a social worker implements a home visit and makes an in-depth assessment of physical health, mental health and activities of daily living. This assessment usually requires three to four hours. It may include: an evaluation of the safety and appropriateness of the current living situation, communication with the physician, family member or any other involved agency when indicated, consultation with a geriatrician written care plan with recommendations to meet a client's short and long term needs; the care plan will include appropriate community resources available to access.

Care Management Services
Care management services can be selected according to need. Services can be arranged on a short-term basis or as part of an ongoing care program. Some families who need to sort out options may only want an assessment. If assistance is needed putting a plan into place, ongoing care management can be the best solution. Consultation is also available for individuals who are unsure what type of services would be fit their situation.

Family Consultation
Our care manager is an invaluable resource for families who need to come to a better understanding of a loved one's disease, the aging process or the implications of change. Families who need assistance in reaching an agreement about the future of an aging parent or loved one have found this service extremely helpful.

Training And Presentations

Training and guest speaking
We provide CEU's for professionals and do Guest speaking.

Speaking engagements include:
Church Groups, Independent Living Facilities, Alzheimer's Facilities, Senior Centers and Adult Day Care facilities.

Subjects covered include but not limited to:
Dementia & Caregiver Training - Family Nights at Facilities - Understanding Alzheimer's & Dementia