Medical Social Work Services Throughout Jefferson County

Counseling for patients and families dealing with the emotional impact of illness, injury, or disability — including anxiety, depression, grief, and adjustment to life changes.

Connecting patients with local programs such as Meals on Wheels, transportation services, support groups, adult day care, and home modification assistance.

Helping patients navigate Medicare, Medicaid, prescription assistance programs, and other financial resources to reduce the burden of medical costs.

Guiding patients and families through living wills, healthcare power of attorney, and do-not-resuscitate decisions — ensuring wishes are documented and respected.

Immediate support during acute emotional or situational crises — including safety planning, de-escalation, and coordination with mental health services when needed.

Working with physicians, therapists, and community agencies to ensure all aspects of a patient's care are aligned and no needs fall through the cracks.

Helping family members understand the patient's condition, manage caregiver stress, communicate effectively with each other, and plan for short- and long-term care needs.

Collaborating with hospital discharge planners to ensure a smooth transition home — arranging equipment, scheduling follow-up visits, and connecting families with support services.