PSPS Services

Case Management

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 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 entitlements
Application completion for entitlements, such as Food Stamps, Medicaid, EPIC and SCRIE
Placement Planning to explore options if more comprehensive care is needed
Care Monitoring to assess the appropriate level of care in the home and monitor the service provided

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 needs may be resolved during a telephone consultation. Home visits are conducted if a resident is homebound.

Provided by on-site nurses, one from Visiting Nurse Service of New York and one from Jewish Home Lifecare, who make home visits. New York University student nurses, Pace University, and CUNY BSN candidates provide twenty-five weeks of individual health monitoring assistance to frail homebound residents.

Provided for short-term monitoring, such as after discharge from a hospital or in the event of an illness or a fall. Our Falls Prevention Nurse Consultant conducts individual fall risk assessments, and in-home Safety Assessments to minimize residents' fall risk and provide education.

Screenings can include flu shots, and a blood pressure clinic to monitor residents' blood pressures once weekly.

Questions? Email May-Ling Agosto or call 212-243-3670, option 0.