Short-Term Training on Continuity of Care for Medical Social Workers, Case Managers and Outreach Workers in Mississippi

摘要

The short-term training project included the forming of an Advisory Council comprised of community and university professionals interested in the continuity of care of frail elderly patients, which health care facilities discharge. The Council served in an advisory capacity and, also, reviewed the training materials, recruited trainees, and served as training facilitators. The major goal of the project was to bridge the gap between a hospital episode and continuous care at the community level. The target audience included such professionals as hospital-based social workers, nurses, case managers and also included State and Area Agency on Aging personnel. Project staff developed a training brochure, a curriculum guide, community resource material, a resource manual, and evaluation procedures.