Yolandi Toerien

• Expert discharge planning including initial assessments, facilitation of feedback meetings to family, arranging for training (with care that is implemented and structured as recommended by a multi-disciplinary therapist team).
• Group work (sub-acute patients as target group).
• Educate families and external services providers of in-patient and out-patient departments at Care@Midstream.
• Counseling and support services to families and patients - referral channel to Psychologist and social resources.
• Palliative care services such as facilitating placement on AIB and accessing palliative resources and benefits to patient and family. Palliative counseling and emotional support.

Relevant locum social worker services and described and committed to in job description.

• Completed psychosocial evaluations and needs assessments.
• Educated families and patients on palliative care and provided psychosocial support.
• Organized clinical documentation, treatment plans, and referrals.
• Connected patients with community resources, ensuring access to essential services such as housing, healthcare, and financial assistance (food parcels).

• Case Management: Developing, coordinating, and monitoring patient care plans.
• Discharge Planning: Organizing necessary services, equipment, or, for patients returning home.
• Counseling & Support: Providing psychosocial support, crisis intervention, and counseling for patients and families coping with diagnoses.
• Advocacy & Resource Connection: Helping patients access community resources, insurance, and financial assistance.
• Interdisciplinary Collaboration: Working alongside doctors, nurses, and therapists to address social components of health.