Shift Staff: A Case Study

Nursing homes and assisted facility homes are all examples of long term care facilities. These facilities are usually targeting individuals who are of geriatric age or need around the clock care (mental health and physical health). The residents in these communities have access to individually-tailored levels of individual or group-centered activities, programs, and assistance whether it is with home or personal care. Long term care facilities are generally for those who are unable to manage independently in the community. Specific types of long-term services include nursing homes, hospice care, home health agencies, and residential care facilities. The goal of these programs is to make sure each patient has a safe and comforting environment

The treatment facility offers many different services for families and the clients. Typically the inpatient treatment is a 90 day facility. They have family programming where the families get to come in from 8 am- 1 pm and spend time with the family member in inpatient treatment. Also after the first two weeks in the facility the clients can have sunday visitation hours from family or friends. The program also offers individual sessions with parents or probation officers and the clients to give them a good environment to discuss progress or other things that may be bothering them.

Most of the time, they do group counseling which includes ten to twelve, but they also do some individual and family. For the group counseling, it always takes about three hours each time, and the program is thirty-five days’ long. After the program, the following care of clients will be continued for another year.

Types and number of staff that this facility needs, and the rationale for this. How these needs differ in facilities that attend to different long-term care populations

The alternative in providing care for a dependent family member is keeping them in their own home, or the home of a family member. In recent years there has been a move in market place to an idea that is much more cost effective to provide most of the same services that traditionally found in a long-term care facility in the home. It is estimated that providing these services in the home are approximately $21,800.00 a year. It is also important that these figures only cover the cost of providing skilled health care. These figures do not cover additional expenses occurred in the home such as the cost of room and board. In many instances, the idea of keeping family members in the home where their care, may be more closely supervised is becoming increasingly appealing. Many health care providers are recognizing this and providing more and more services available in the home. In today’s market place anyone can find nursing, physical therapy, occupational therapy, and respiratory therapy companies

Orderly Staffing Inc. focuses on the recruitment of Speech and Language Pathologist for school districts. Orderly Staffing Inc. is the primary employer of the Speech and Language Pathologist, working on payroll, benefits, and continued support. Orderly Staffing Inc. will match Speech and Language Pathologist to school districts, help with contract negotiations and future position vacancies.

No caretaker would leave their loved one in a facility with rude, unqualified, untrained, or even outnumbered staff members. This consideration is something Superior Residences of Brandon prides itself on, and with good reason to. The training of the staff at Superior Residences is top notch – the employees must undergo 16 hours of training prior to employment, obtain a certification in CPR, participate in monthly employee meanings, obtain certification in Alzheimer’s Level 1 and 2, and continuing education courses provided by the state. Also unique to this facility, all employees are cross-trained and are certified Resident Aides (RA’s), which means they can approach any worker, for example a janitor, with a question or need and that employee would be able to assist (Andrew, J., personal communication, October 28th, 2016). As Jill Andrew’s stated, there are at least 4 RA’s in the building at all times for 70 residents, and although there are no nurses required under the license, they do have 5 nurses on staff. Another principle unique to Superior Residences was their dual licenses, having both an Extended Congregate Care license, which allows residents to age in place (Andrew, J., personal communication, October 28th, 2016) and a Limited Nursing Services license, which enables the facility to provide a select number of nursing services.

health problems to assist nursing home staff with the provision of appropriate care. The facility

The services that are provided to the patient, its family and other significant individuals connected to the patient are strictly provided with a goal of meeting the complete needs of a patient. Procedures within the social services include: assessments, crisis intervention, support counseling, family counseling, bereavement and grief counseling and community referrals and core clinical services that are provided by the social workers. These services that are provided are available for patients and their families twenty-four hours a day, seven days a week.

RHD works on a 9 a.m. to 5 p.m., Monday through Friday schedule. Each ACT team is made up of a team leader, psychiatrist, two masters prepared clinicians, two drug & alcohol counselors, two case managers, a peer specialist, a housing specialist, an employment specialist, and two nurses. There is also a director who oversees both ACT teams and a regional director who is in charge of all Delaware offices. Each member of the ACT team rotates the responsibility of being on call after 5pm and every weekend. On call staff is responsible for answering in client calls, responding to client

Assisted living facilities offer 24-hour supervision, personalized care for each individual, social activities, limited nursing

Assisted Living Homes are designed to provide residents with basic everyday assistance. An important aspect is that assisted care facilities provide a safe and comfortable environment for older adults who need assistance with duties such as bathing, dressing, shopping, cooking, grooming, arranging doctor’s appointments, medication administration and laundry services. These facilities have social and recreational activity programs designed to keep the residents active. The recreation groups provide residents with activities for enjoyment, exercise, and interactions with others to build character. Special activities such as luncheon,

In the past few years, community agencies have increasingly used groups since various groups have become a common feature of today's society. Some of the most common groups in today's society include groups for women, men, parent education, children, HIV/AIDS support, and those for reducing substance abuse. Due to the increased use of groups by communities, there are various approaches that have emerged including group counseling and group psychotherapy. Group counseling is a designed preventive and remedial approach to meet the needs of specific population in the society like women, men, the elderly, adolescents, and children. On the contrary, group psychotherapy is a re-education process of the present and past through conscious and unconscious awareness.

They empower clients to be independent and to govern their life in the best way possible. They have provided the oppressed, abused, and disenfranchised groups with support, security, and a place to belong. This center provides approximately 20 different housing locations in The Bronx, Brooklyn, and Queens and services are provided every day. The population served is mostly the Jewish community and those who are medically diagnosed with mental illnesses. At HASC the services provided are Residential services, Day programs, Vocational Programs and operation times vary. They also provide Family Support Services, and Community Habilitation. Both the Residential services and Vocational programs are 24-hour care and are at different locations. While in the residential services, provide support to clients in their own home. The Day program give support to clients at the main office for five hours in which they socialize and develop new skills. Family support services are resources and classes that assist families with better coping habits and ways to care for their loved one. Community Habilitation is where clients are able develop their social skills as they interact and work in the

This chapter reviewed many different aspects of group work such as different processes and skills required to run several different groups. The groups discussed were open-ended group, groups hosted in residential settings, single-session groups, and large activity groups.