Do you and your organization want to expand your home care services? Many seniors and families would like to stay in their home or residence rather than move to a care home, and yet they need help on a frequent basis. Receiving services at home can be the answer to the need for care, while affording elders the privacy and comfort they crave. One of our member organizations, Cathedral Square in Burlington Vermont, excels at providing and coordinating services at the home and community level. With their SASH (Support and Services at Home) model, they meet seniors where they are, perform a comprehensive assessment of needs and abilities, and create a custom healthy ageing plan. This work is executed through an inter-disciplinary team of physicians, nurses, social workers, and case managers that map out the variety of services that would benefit the elder. Through their coaching and transition team, they help seniors manage chronic conditions such as diabetes, chronic obstructive pulmonary disease, and arthritis, encouraging a whole-person approach including medication management, a healthy diet, and condition appropriate physical activity. Care plans are updated on an on-going basis to manage high-risk patients and adjust to changes in the elder’s condition.

The program takes advantage of local public health infrastructure and coordinates with area health authorities to promote population level interventions. SASH emphasizes social wellbeing, and works with a strong group of volunteer visitors that provide needed social interaction with seniors who have difficulty leaving their homes. Want to learn more? Check out the Cathedral Square video below or consider joining us on our Housing with Services Study Tour this fall.

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