Answer:
– In order to establish a community resident as a client, you would need to do a full assessment, and that requires that they make an appointment with you in your office. Since, the potential client is a nursing home resident, that is not feasible, and hence you would be unable to establish the necessary process to engage in a client relationship.
– HUD guidelines state that SCs can provide case management, but only when client has no other access to case management services. This potential client potentially has access to case management through the social worker at her nursing home (which should be your primary referral), through the case manager at TSA for the NFT program (your secondary referral), or private pay care management.
– The intent of serving community clients is to meet episodic needs, not to conduct ongoing case management. This is why you can close community client cases after the initial need is met.
The short answer is that this potential client doesn’t meet eligibility to be a community client. However, you can indicate in your PNs with your member that your provided I&R for a family member. No more detailed information is required.
I think the family’s trust and desire for you to work with their extended family members demonstrates how much they value your social work services.
Question:
I got two referrals for potential community clients. One referral is a woman in a nursing home in Taylor who is an excellent candidate for the Nursing Facilities Transistion program (NFT). I can refer her to NFT at TSA without divulging her personal information, but the daughter wants me to continue to help her with her mother. A couple of questions: What would be a recommended way for me to do an intake and assessment when the potential client is in the nursing home? Do I do a resident enrollment for her in AASC and document the TSA referral even without a full assessment? I am expecting to hear from the sister of the other potential client. I am not sure what the sister would like me to do, but the potential client’s income is very high. The potential client is able to private pay for services, but I believe the sister would like case management services from me. Am I allowed to work with this person given her high income?