As a home health care provider, when should I call a social worker?


​Below are some high risk indicators. If you can answer "yes" to any of the questions, then a referral to a social worker is recommended.

  • Does your patient have a sufficient income to afford their basic needs and/or medical needs?
  • Does your patient have someone who is able and willing to be their caregiver?
  • Do you suspect that your patient is being abused, neglected, and/or exploited?
  • Are there other people living in the same household who are also patients?
  • Does your patient have a diagnosis of a psychiatric illness?
  • Is your patient refusing to comply with placement?
  • Has your patient been hospitalized repeatedly?
  • Has there been a recent death of the patient's significant other?
  • Does your patient have a terminal illness?
  • Is there little or no food in the patient's home?
  • Are there concerns regarding your patient's level of competency to make their own decisions regarding care?


You are not alone. We are here to help you on your journey through this health crisis and back to the highest possible quality of life for your loved one and yourself.  



Decision Point Consulting, Inc. creates the key that opens your closed door of aging, physical illness, mental illness or disability issues. 

Counseling & Psychotherapy


  1. "How will your loved one deal with depression and/or anxiety brought on by illness?"
  2. "Who will mediate disagreements among family members?"
  3. "Who will lighten the burden of the family's doubt and guilt?"


Sometimes an objective third party is needed to listen to the concerns of all involved individuals, and to provide some strategies to reach a resolution that will be in the best interest of the client. 

Emotional issues commonly addressed in individual, family and group therapy include but are not limited to:

  • Depression
  • Anxiety
  • Grief
  • Adjustment Issues
  • Suicidal Ideation
  • Severe and Persistent Mental Illness, such as, bipolar, schizophrenia, personality disorders, etc. 



Behavior Management


The goals of a Behavior Management Plan are to ensure the individual's and caregiver's safety, to allow the individual to remain in their current living environment, and to avoid hospitalization.


Steps of a Behavior Management Plan are: 

  1. Complete a Comprehensive Assessment on Client
  2. Create a behavior plan based on assessment
  3. Implement and monitor plan
  4. Train, support and coordinate with individuals executing behavior plan, including family members and healthcare professionals


Behaviors to be managed commonly include:

  • Agitation
  • Obsession
  • Wandering
  • Repeated desire to go home
  • Bathing Issues
  • Combativeness
  • Compulsion
  • Hoarding
  • Eating Issues
  • Dressing Issues


Behavioral issues may be a result of the following:

  • Dementia
  • Traumatic Brain Injury
  • Developmental Delays
  • Autism
  • Severe and Persistent Mental Illness, such as, bipolar, schizophrenia, personality disorders, etc. ​



Seminars & Workshops


Our staff social workers develop and present a variety of seminars/workshops throughout the year. Topics include, but are not limited to:

  • Aging
  • Caregiving
  • Grief
  • Disease specific workshops such as, MS, Alzheimer's, etc.
  • Mental Illness
  • Social Work Ethics
  • Private Practice




Professional MSW Home Health Visits


We provide contracted visits for home health agencies serving St. Louis, Lincoln, Jefferson, Franklin, St. Charles Counties as well as St. Louis City.


Services Decision Point Consulting, Inc. provides for the agencies include but are not limited to:

  • Assessment of social/emotional factors related to illness
  • Benefit Determination
  • Counseling for long range planning and decision making
  • Community Resource Planning
  • Short term therapy
  • In-service training programs for home health employees


The role of a social worker in a home health agency is to tie the complete system of a patient's health and care together. Our services are designed to compliment the services you already provide to your patients. A social workers role is to act as an advocate for the patient after assessing their emotional, social, cognitive, spiritual, safety and functional abilities. 


Our home health social workers are trained to provide expert resource referral and coordination for patients. At times, our social workers may also act as a mediator for family conflict or staff conflict. 

Comprehensive Assessments


  1. "Will the client be able to function independently?"
  2. "What is the best living situation for the client?"


Our Social Workers will visit the client in their living environment to get an accurate assessment of their current situation and needs. Based on the outcome of this evaluation, we assist the client and their family in developing and implementing an individualized plan of care with specific strategies to meet their needs. 


The Comprehensive Assessments include:

  • Biopsychosocialspiriual assessments
    • Physical Health
    • Mental Health
    • Social Support
    • Physical Environment
    • Functional Abilities
    • Coping Styles
    • Financial Resources
    • Formal Service Usage
    • Abuse and Neglect
  • Capacity Assessments
    • To determine level of care needed
    • Capability of signing legal documents, including guardianship
  • Cognitive Issues
    • Memory Loss
    • Difficulties with Judgement & Problem Solving
    • Mental Health Issues



Case Management


  1.  "Who will provide day-to-day help when adult children live in another city?"
  2. "Who will provide resource referrals and coordinate the care plan?"
  3. "Who will help coordinate the care when multiple doctors are involved?"
  4. "Who will find the appropriate living arrangements for your loved one?"
  5. "How will you know what benefits your loved one is entitled to?"


We help families as much or as little as they determine by making in-home visits, accompanying to important appointments, and making phone  calls on their behalf to establish and/or coordinate all of the services that they might need.


Case Management Services include:

  • In-home Assessments
  • Assist with establishing both short and long term goals
  • Develop plan of care to help address future care needs
  • Advanced Care Planning, including but not limited to:
    • Referral, Coordination, and Navigation of Community Resources
    • Education (Physical, Emotional, Financial)
    • Psychotherapy and Family Counseling
    • Family Mediation
    • Client Advocacy 
    • Behavior Management Plans
    • Benefit determination and Assistance
    • Housing/Placement Options
    • Coordination with medical, legal, and financial professionals



​​Decision Point Consulting, Inc. 

Home Health Contract Services

Services for Individuals and Families