Bacharach Institute for Rehabilitation Case Management Team

Abby Roessler, MSW, LCSW, Director of Case Management and Social Services, has nearly 30 years of experience as a medical social worker, including 16 years at Bacharach.

Asked how she and her staff fit within the many disciplines involved in rehabilitation medicine she said social workers are “like the glue to the rehab team.”

 

Abby’s team includes five other highly skilled colleagues who share an expansive skill set: Lisa Sheridan, BSW, CSW; Jewel Hodge BSW, CSW; Maribel Torres, BSW, CSW; Amy Schwartz, BSW, CSW: Dee Abbott, Discharge Coordinator. They do it all – assess patients, build therapeutic relationships, solve problems, and use their vase knowledge about community, state and federal programs to direct patients to appropriate services. As Abby says, “Think chameleon…”

 

Social workers at Bacharach are responsible for making sure that patients have what they need for aftercare services, whether that is going home with home care services, another extended care facility, or their own home or that of a loved one. “We also advocate and navigate the managed care insurance on the patient’s behalf, and on the interdisciplinary team we represent the psychosocial component of the patient’s life,” said Abby.

 

Each patient who is admitted to Bacharach is assessed for mood, cognition, support systems, and their ability to return home upon discharge from a psychosocial perspective.  “We attend comprehensive team meetings to monitor and track progress as well as facilitate aftercare services,” said Abby. “We connect the dots and hold the hands of patients and families who may be going through some of the worst times they have experienced in family life.”

 

“We have the ability to make things happen.  Social Workers facilitate a myriad of plans for patients, whether it is setting up an outpatient program at one of our satellite centers, transferring a patient to another level of care, or providing active listening and supportive counseling.  We are advocates, liaisons to the patient and family, and often the go-to person for the rehab team.”

 

“Bacharach is a wonderful home spun community of caregivers and specialists in rehabilitative care.  The longevity of the staff is remarkable, some have been here 25 or 30 years, because of the opportunity to be a small part of the success of our patients, “she said.  “The best part of my job is leading a team of hard working, committed, passionate and talented social workers and making sure that patients have a soft place to land after rehabilitation, said Abby.

 

“This quote from Margaret Mead,” said Abby, “exemplifies social work: ‘Never doubt that a small group of thoughtful committed citizens can change the world; indeed, it’s the only thing that ever has.’ ”


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