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Refer a Patient

The task of caregiving itself can already require so much from family members, guardians, and primary caregivers. That is why getting the needed services from the community can be challenging. This is where the aid of Medical Social Workers is most needed.

Medical social workers act as community liaison partners who can take care of procuring the required resources and healthcare services at home. Below are the services they can provide:

  • Support in Acquiring Home Health Services
  • Rehabilitation Guidance and Support
  • Life Coaching
  • Individual, Family, and Group Counseling
  • Hospital Discharge Assistance
  • Parenting Advice and Coaching
  • Foster Care Arrangements
  • Bereavement Support and Grief Counseling
  • Education Regarding Alternative Living Arrangements
  • Case Management
  • Advance Directives (Power of Attorney for Health Care or Living Will)
  • Community Resource Planning and Coordination

Your Partner in Compassionate Care

We understand that no two families are alike. That’s why we provide personalized care plans tailored to your family’s goals, needs, and unique circumstances. Whether it’s offering emotional support during a difficult time or helping you navigate complex medical and legal paperwork, our Medical Social Workers are trained to step in as both compassionate listeners and solution-focused advocates.

We go beyond the basics. Our team works hand-in-hand with healthcare professionals, caregivers, and loved ones—including healthcare professionals in Honolulu, Hawaii— to create a seamless support system that puts your well-being first. From hospital discharge planning to community resource planning and coordination, we’re here to make sure nothing falls through the cracks.

We’re not just coordinators—we’re your partners in care every step of the way.

Our Approach to Support and Coordination

We start by listening.

Every client and family receives an in-depth assessment to determine exactly what kind of support is needed. Whether you’re looking for counseling during a difficult time or guidance in planning long-term care, our Medical Social Workers create a clear roadmap for your next steps. We help:

  • Connect you with the right services and community programs
  • Explain care options in a way that’s easy to understand
  • Reduce stress by managing referrals, documents, and transitions
  • Offer emotional and mental health support
  • Ensure your loved one receives the right level of care at home or in the community

FAQs About Medical Social Worker Services

What kind of help can I get from a medical social worker at home?
Medical social workers help people manage their health care at home by coordinating services, offering emotional support, and connecting individuals to the right community resources. We guide families through care planning and help them navigate complex decisions with confidence.
How do I know if I need a medical social worker?
If you’re dealing with a new diagnosis, hospital discharge, or feeling overwhelmed by caregiving, it may be time to talk to a medical social worker. We step in to ease the burden by helping families understand their options and access the care they need.
Can I talk to a medical social worker about emotional or family issues?
Yes, emotional support is a big part of what we do. We offer individual, family, and group counseling for grief, stress, and major life transitions. Whether you’re adjusting to illness or experiencing loss, we’re here to help you through it.
What does a medical social worker do after someone leaves the hospital?
After discharge, we assist with the transition home by setting up care services, arranging medical equipment, and helping families follow post-hospital instructions. We also make sure you’re connected to any needed follow-up resources.
How is a medical social worker different from a case manager?
While both help coordinate care, medical social workers also provide counseling, legal document assistance, and emotional support. We take a whole-person approach, looking at social, emotional, and practical needs—not just medical ones.
Can a medical social worker help me make legal plans for my healthcare?
Absolutely. We help families understand and complete important documents like living wills and healthcare powers of attorney. We explain everything clearly so you can make informed decisions about your care.
What if someone needs help finding a place to live that offers more support?
We can help evaluate living arrangements such as assisted living, rehab, or other care facilities. Based on the person’s health and situation, we guide families toward safe, supportive housing options that meet their long-term needs.

Empowering Healing. Enriching Lives. Every Step of the Way.

Take the next step toward compassionate, expert care—contact us today and let our dedicated team bring personalized support right to your doorstep