Practical Support for Life, Care, and Peace of Mind
At TRU PACE, our social workers supports care for the whole person. They listens, support goals and with practical help that makes daily life and care coordination simpler. Licensed social workers listen, clarify goals, and connect participants and caregivers with the right resources at the right time. They also guide caregivers who may feel tired or unsure where to turn.
Many older adults try to manage health, home needs, and emotions on their own. Some have family far away or limited help. TRU PACE social workers step in with gentle, steady support so participants can stay safe and independent at home with the right care in place.
Social Work is part of each participant’s care plan. The team talks clearly, checks in often, and adjusts support as needs change. This helps make services at home, in the clinic, and in the day center easier to understand and use.
What Social Work May Include
Social Work support is based on each person’s goals, needs, and the plan of care.
Services include:
- Care planning that reflects goals, preferences, and safety
- Counseling for problem solving for daily challenges
- Help with benefits, paperwork, and community resources
- Support with home needs and safe routines
- Meals and snacks
Coordination with Medical Care, Therapy, and Transportation, and the rest of the care team.
How The Team Supports You
A dedicated Social Work team member helps schedule visits, explains options in plain language, and keeps caregivers informed with consent. When needs shift, the team reviews goals and updates the plan so support stays aligned in line with current goals.
Social work collaborates works closely with nurses, doctors, and therapists, so this helps make sure information moves with you and appointments fit your daily.
How It Works
Social workers are part of the TRU PACE interdisciplinary team. This team looks at the whole picture and creates one coordinated plan of care. Social workers help you and your caregiver understand choices, ask questions, and feel more prepared for next steps.
TRU PACE Social Workers Can Help You:
Support varies by individual need and the care plan.
Understand how TRU PACE services work
We'll help you fully grasp how our services integrate with your healthcare plan.
Stay safely in your home when possible
Receive the support needed to remain comfortably and securely in your own home.
Find local services for food, safety, or finances
Connect with vital community resources that support your daily needs and well-being.
Navigate Social Security, Supplemental Security Income, Disability, or Medicaid
We provide guidance through complex paperwork and processes for essential benefits.
Get support for emotional or mental health needs
Access compassionate care and resources to nurture your emotional and mental well-being.
Manage daily tasks like bills, mail, and home routines
Receive assistance with daily administrative tasks to maintain a smooth home life.
Stay connected to caregivers, community, and helpful agencies
Maintain important relationships and access networks that provide ongoing support.
Request support for money management if needed
Gain peace of mind with expert assistance in managing your personal finances.
Communicate with family members
We facilitate open and effective communication to ensure everyone is on the same page.