Social Workers

  • Cognitive assessment and competency screening.
  • Geriatric risk assessments.
  • Depression and anxiety screening.
  • Legal and financial assistance.
  • Assistance with power of attorney and living wills.
  • Knowledge of state and federal entitlement programs and application assistance.
  • Behavioral health referrals.
  • Substance-use care referrals.
  • Caregiver support and resources, including respite care.
  • Coordination of home care and community social services.
  • Access to town and state social service programs.
  • Assistance with transportation.
  • Long-term care planning and resources.
  • Assistance with end-of-life planning and transitions.

Integrated Care Partners