Name of the Procedure:

Services of Clinical Social Worker in Home Health or Hospice Settings (G0155)

Summary

This procedure involves a clinical social worker providing supportive, therapeutic services to patients in home health or hospice settings. Each session is billed per 15-minute intervals and focuses on addressing the emotional, social, and psychological needs of patients and their families.

Purpose

The procedure aims to help patients and their families cope with the emotional and social challenges associated with illness, especially in a home health or hospice context. It seeks to improve the overall well-being, mental health, and quality of life for the patient.

Indications

• Terminal illness requiring hospice care
• Chronic illness managed at home
• Emotional or psychological distress due to a medical condition
• Need for social support and counseling related to illness or end-of-life care

Preparation

• No specific physical preparation is needed.
• Patients and family members might be asked to prepare a list of concerns or questions to discuss during the session.

Procedure Description

1. The clinical social worker conducts an initial assessment to understand the patient’s and family’s needs.
2. Counseling or therapeutic sessions are conducted to address emotional, social, and psychological concerns.
3. Sessions may include individual, family, or group therapy.
4. The social worker provides resources and referrals to additional services, like support groups or financial assistance programs.
5. Documentation of each session is maintained for ongoing care planning.

Duration

Each session is typically 15 minutes, but the duration can vary based on the patient’s needs.

Setting

Conducted in the patient’s home or inpatient hospice setting.

Personnel

• Clinical Social Worker (Licensed and experienced in dealing with health-related psychological and social issues)

Risks and Complications

• Emotional distress from discussing sensitive topics
• Temporary increase in anxiety or stress

Benefits

• Enhanced emotional and mental well-being of the patient and family
• Improved coping strategies for dealing with illness or end-of-life
• Better communication amongst family members about care preferences and emotional needs

Recovery

• Ongoing support and therapy as needed.
• Regular follow-up sessions based on the care plan.
• No physical recovery required, but continuous psychological and emotional adaptation expected.

Alternatives

• Psychological counseling in outpatient clinics
• Teletherapy or online counseling services
• Support groups

Pros and Cons of Alternatives

• Outpatient Clinics: More controlled environment but may require travel, which could be difficult for homebound patients.
• Teletherapy: Convenient but may lack the personal touch of in-home services.
• Support Groups: Offer peer support but may not provide the individualized attention some patients need.

Patient Experience

• Patients can expect empathetic and supportive interactions during the sessions.
• Discussions may evoke strong emotions, but the social worker will guide and provide strategies for managing these feelings.
• Comfort measures and support for pain management if needed.