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Medical Social Services

Care for the situation, not just the diagnosis.

Illness affects more than the body. Our medical social workers help families navigate the harder, less-visible parts: the worry, the paperwork, the difficult conversations, the question of what comes next.

How we help

  • Psychosocial assessment of patient and caregiver wellbeing
  • Short-term counseling for patients and families adjusting to illness
  • Help navigating Medicare, Medi-Cal, and insurance benefits
  • Connections to community resources (food, transportation, in-home support services)
  • Advance care planning conversations and document support
  • Discharge planning and transitions of care coordination
  • Caregiver support and burnout prevention
  • Referrals to long-term care, hospice, or palliative care when appropriate

When to ask for an MSW

  • • Family conflict around care decisions
  • • Patient is showing signs of depression, anxiety, or isolation
  • • Financial pressure is making care choices harder
  • • Considering long-term care, hospice, or living arrangement changes
  • • Need help connecting to community programs (Meals on Wheels, transportation, IHSS)