Care Coordination
For individuals affected by brain injury, access to community-based care is a vital part of the personal journey toward rehabilitation and a life fulfilled. A facet of the Creative Works Community Case Management team, our Maine state-certified Care Coordination program is dedicated to providing personalized guidance and care management for adults with congenital neurological conditions and acquired brain injuries. Whether an individual is transitioning from a higher level of care or seeking added support with achieving independence, we offer Care Coordination services for people who live on their own, with family, or in a staffed group setting provided by another organization.
A Care Coordinator is a facilitator, a planner, a resource, a partner, a teammate, and an advocate.
We believe that when people work together, great things happen. In collaboration with an individual, their family and their care team, a Care Coordinator assists in developing a customized Personal Care Plan (PCP) that reflects personal strengths, challenges, and long-term goals. We recognize that needs evolve and work with individuals to continually update their individual plans and reach their goals.
Each of our Community Case Managers are conditionally or fully Licensed Clinical Social Workers (LCSWs) whose qualifications meet or exceed the standards set by the Maine Office of Aging and Disability Services (OADS). To ensure individuals served receive the best possible Care Coordination supports, our team members manage caseloads of no more than 20 people each, enabling them to be the responsive and dedicated advocates.
Creative Works’ Care Coordinators provide personalized service coordination including:
Completing initial application for services
Ensuring continuation of services and funding
Facilitating plan management for Person-Centered Plans/Personal Care Plans
Fostering personal relationships and community connections
Encouraging self-advocacy and self-expression development
Enhancing Independence and skill-building development
Arranging mentorship opportunities
Encouraging natural supports
Sourcing employment support and opportunities
Arranging volunteer opportunities and activities
Identifying and obtaining medical equipment and assistive technologies
At participants’ request, act as a Representative Payee and provide financial/budget management support.
Identifying and establishing resources for treatment including:
Primary Care and Specialist Care
Rehabilitation Supports
Dental Care
Nutrition Services
Mental Health Services
Occupational, Physical and Speech Therapy.
Questions? Visit our FAQ page for information on how to access services and more.
For more information, contact:
Patricia Krohn, LCSW
Director of Community Case Management & Planning
207.282.4173
pkrohn@beingcreativeworks.org
Pauline Gendron
Community Case Management Program Manager
207.795.6737
pgendron@beingcreativeworks.org