Inside outpatient care: Social service workers

The social work team at Casey House plays an important role helping clients navigate systems that come with accessing health care. This is particularly important for people who do not have identification, are disconnected to health care systems, are new to Canada, have cognitive conditions, or otherwise have more limited experience managing their health. Being able to receive health care typically requires government identification, insurance coverage, a mailing address, contact information, coordination with other members of your health care team, transportation—and that’s all before you even attend the appointment.

Casey House’s social service workers (SSWs) help clients navigate administrative systems to find resources. Their relationships with clients begin during the intake process. when discussing what goals they hope to achieve. From there, clients can book appointments or attend drop-in hours to work on their objectives with a member of the social work team. Drop-in appointments are especially useful for people without reliable contact information like a phone number or email address, so staff can make the most of a client’s presence on-site.

Nowadays, more social support services are online, which is difficult for people without a smartphone, computer, internet, or without the digital literacy skills to find resources. Once they access a form for a client, they decipher and relay institutional jargon, acronyms, and the filing processes into simple language. Additionally, many systems are intertwined with prerequisites. For example, applying for social housing or the Canadian Pension Plan requires a piece of Ontario photo identification, your tax return notice of assessment, and proof of Canadian citizenship. Even missing just one of these elements means working backwards with a new process to obtain the missing piece. This occurs with housing programs; financial services like Old Age Security, Canadian Pension Plan, and Ontario Disability Support Plan; applying for government identification; and registration for other community services. Each task is a larger puzzle to uncover, and the social service workers help people solve it.

For more complex situations that require in-depth knowledge, SSWs refer clients to housing support agencies, legal support, immigration services, or to an external dedicated case manager.

However, even when clients can access services from other organizations, sometimes they still need help advocating for themselves. It can be daunting for someone not well-versed in the health care sector to articulate their needs or expectations for standards of care, so it helps to have an intermediary ally on their side. Behind the scenes, SSWs also connect with external health providers to get status updates such as waitlist positions for procedures or booking follow-up appointments on their behalf. Navigating these formal and intricate systems can be difficult, so it’s a tremendous help to have support from an SSW that speaks your language—whether that’s using live-translation services for someone whose primary language is not English or even for those who are illiterate and require information verbally. Social service workers continually rise to the task of meeting people where they are at in order to provide care that has a meaningful impact.

Having a warm introduction by a social service worker to another clinician, such as a nurse, mental health clinician, or harm reduction worker, makes the hospital feel more communal rather than hostile. Contributing shared team knowledge about each client and demonstrating that knowledge means clinicians are not faceless names on an appointment booking system, they are people making personal connections and building trust with clients and community members.

“As someone that used to volunteer here at Casey House, I’m very fortunate and appreciate the opportunity to work here.”

– Darwin, SSW

Connecting clients to care can be life-altering. Specialized services covered by the Ontario Health Insurance Plan, like physiotherapy or psychiatry, can have new client waitlists that span multiple years for a first appointment. At Casey House, these wait times are significantly reduced. In one instance, a social service worker helped an aging client who became severely limited in mobility following a health incident.  After the SSW connected them to care from our physiotherapy and occupational therapy team, they were able to procure an automated mobility device. This improved their quality of life while also restoring their autonomy and ability to reengage with the world by being able to move once again. This process took mere months and the client transitioned from being homebound to independent trips outdoors.

“I really like the clients and community that we have, and the folks that we work with [at Casey House] are wonderful. I’m happy that I’m able to support the community”

– Taegan, SSW

Social service workers at Casey House possess diverse skillsets, not only in the services they provide but in their holistic approach. The SSW team provides compassionate, judgement-free care for everyone in the community. This includes folks that face increased stigma, like people who use substances or communities that are at higher risk of HIV. At Casey House, the social service team is always ready to welcome you with open arms, whenever you’re ready.