Develop a customized home assessment to identify problems, determine assistance eligibility, and make appropriate community referrals.
Respond with crisis intervention in the form of counseling and devising an action plan to prevent further similar situations.
Conduct a thorough review of financial, legal and medical issues, and make referrals to specialists to conserve assets and avoid future problems.
Assist with short- and long-term planning and coordinating services.
Conduct mini-mental exam, depression assessment, and make referrals for psychiatric evaluations.
Act as a liaison with family members to ensure safety and to alert them to potential problems.
Maintain an ongoing assessment of needs and progress and adjust services as needed.