Service Information  
  
        *DEMO* Intensive Geriatric Service Workers          
                  
      
      
      
      
      
            Canadian Mental Health Association - Waterloo Wellington          
          
          
                      
            Category:
                
                  Care Coordination                
              
            Target Population: Seniors
              
            Demo Service
          Service Details
          
        
          
          
              Description:
            
            Provides home visits to frail seniors to create a care plan for community supports and health care. Focus on those seniors discharged from hospital or who display complex needs.
IGSW can devote time to a senior to explain service options and be present when visits occur, to get services initiated.
Work closely with primary care, specialty care, community support services, and the Community Care Access Centre (CCAC) as partners in care.
                  
                    Languages:
                    English, French, German, Italian
                
                          
              Cost to Client:
            
            
              Free of charge            
          
            
              Eligibility Criteria
            
          
                  
          
              Other Criteria:
            
            
                  Minimum Age:
                  65 yrs                
                          
              Criteria:
            
            
              Patient has a complex level of need (number and/or type of support required)