United Methodist Communities recognizes that hospital and rehabilitation patients may not be ready or wish to return home upon discharge. Ideally, rehabilitation should occur in the least restrictive environment to support overall recovery and wellness. Sometimes, going home can limit recovery for various reasons.
A new UMC service, Transitions, bridges the recovery of such individuals at The Shores. It supports the goal of returning to a home environment for the long-term. Transitions’ care and service options support shorter hospital lengths of stay, decrease emergency department use and reduce patient re-admissions.
Transitions’ clients receive the appropriate care, including clinical, psycho-social, emotional and dietitian services; rehabilitation therapies; social engagement; wellness programming; home environment assessments; and transitional care to home with follow-up. Stays usually last between one and six weeks.
Examples among the distinct reasons for a Transitions stay include:
- Trial use of new or modified medications
- Practice for living in a home-like environment
- Anxiety about going home without clinical support
- Delay in implementing support structures at home
- More stabilization required
Transitions fully furnished apartments come with dishware, linens and television services, requiring clients to bring only clothing and personal items. They may participate in the dining program, community life offerings, use the common areas and elect additional optional services.
Transitions Services and Amenities
- Community life programming
- Clinical services
- Aide services for activities of daily living care and needs
- Maintenance services
- Care transitions to home planning
- Social work services
- Dietician services