In addition to medical care, patients with medical complexities and their caregivers often benefit from psychological and social supports. We know that navigating the system can be overwhelming. That's why the Complex Care program has a variety of team members to supporting you through this journey.
Your nurse coordinator can connect you to:
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Social Worker: Provides support and counseling to parent/caregivers by addressing social, emotional, and financial needs, ensuring access to resources and services and support, as well as providing advocacy in navigating the medical system. Focus on clinical issues related to the impact of being a caregiver/parent to a child with a medically complex and fragile condition, loss and grief, medical trauma, adjustment to illness, coping and self-care strategies and mental health needs.
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Psychologist: Offers psychological consultations, diagnostic assessments, short-term psychotherapy/interventions with patients (and their parents). Focus on clinical issues impacting medical/health care, including adjustment to illness, treatment adherence, procedural anxiety, medical trauma, pain management, functional conditions (e.g., mind-body connections) and mental health needs.
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Family Resource Worker: Supports and empowers families by educating them on available community resources, assisting with navigating and completing applications for services and funding (e.g., housing, food assistance, childcare subsidies). Provides advocacy, referrals, and follow-up support to ensure access and continuity of care. Collaborates with community agencies and service providers to address barriers and promote family well-being
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System Navigator: Assists patients and families in navigating the healthcare system, helping them access services, understand processes, and coordinate care among various providers. Additionally, the navigator focuses on supporting the transition to adulthood by connecting patients to appropriate resources and services as they move into adult care.
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Parent Navigator: With personal experience navigating the challenges of a child with complex needs, the Parent Navigator supports parents and caregivers of children in complex care by providing guidance, peer support, and assistance in accessing caregiver-focused resources and services. Additionally, the Parent Navigator cultivates a strong community of support for families through social gatherings, wellness events and educational workshops.
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