Social Services

Social Services & Discharge Planning

At Trinity Hill Care Center, social services are an important part of each resident’s care, recovery and quality of life. Our Social Services team works closely with residents, families and the interdisciplinary care team to provide support throughout a resident’s stay and to help plan for a safe and successful transition to the community whenever appropriate.

Located in Hartford, Connecticut, Trinity Hill serves individuals with a wide range of medical, behavioral health and social needs. Our social workers help coordinate the services and resources that can support each resident’s individual goals.

Individualized Resident & Family Support

Entering a skilled nursing or long-term care center can be a significant transition for residents and their families. Trinity Hill’s Social Services team helps residents adjust to their new environment, understand available services and remain connected to the people and resources important to them.

Social workers meet individually with residents, collaborate with families and serve as a link between residents, caregivers and members of the interdisciplinary care team.

Support may include:

• Individual resident support and counseling

• Family communication and support

• Care planning and interdisciplinary coordination

• Behavioral health and recovery support

• Life-skills and educational programming

• Grief and loss support

• Socialization and peer-support opportunities

• Community resource coordination

• Discharge and transition planning

• Post-discharge connections to community services

An Interdisciplinary Approach

Social Services works closely with nursing, rehabilitation, medical providers, behavioral health professionals, dietary services, recreation and other disciplines throughout Trinity Hill.

This interdisciplinary approach helps ensure that each resident’s medical, functional, behavioral, emotional and social needs are considered together rather than independently.

For residents receiving specialized behavioral health or HIV care, Social Services also plays an important role in connecting clinical treatment with the community resources and support systems that may be needed during and after their stay.

Behavioral Health & Recovery Support

Trinity Hill serves individuals with complex behavioral health and substance use needs, making recovery-oriented social services an important component of our care model.

Social Services supports programming related to substance use recovery, life skills, education, socialization, grief and peer support. Residents can receive individualized assistance as well as opportunities to participate in group programming designed to support stability, wellness and greater independence.

The goal is to meet residents where they are and provide practical support consistent with their individual needs and goals.

HIV Support & Community Connections

Social Services is also an integral part of Trinity Hill’s specialized HIV care program.

The team works with residents to address social and practical needs that may affect their health, stability and ability to successfully transition into the community. This can include helping residents identify and connect with appropriate healthcare, behavioral health, housing, recovery and community-based resources.

Trinity Hill also recognizes important events such as World AIDS Day and promotes an inclusive environment in which every resident is treated with dignity and respect.

Discharge Planning & Community Reintegration

For residents whose goal is to return to the community, discharge planning is an ongoing process rather than something that begins at the end of a stay.

Trinity Hill’s Social Services team works with residents, families and the interdisciplinary care team to identify potential needs and barriers to a successful discharge. Depending on the individual, this may include coordinating healthcare follow-up, behavioral health services, recovery resources, housing supports, transportation, equipment or other community-based services.

Our goal is to help each resident transition to the safest and most appropriate setting while supporting the greatest possible level of independence.

Support Throughout the Trinity Hill Experience

Whether a resident comes to Trinity Hill for short-term rehabilitation, skilled nursing, specialized behavioral health services, HIV care or long-term care, Social Services provides an additional layer of support throughout their stay.

Residents and families are encouraged to connect with the Social Services team with questions, concerns or needs related to care, adjustment, available resources or discharge planning.

Trinity Hill Care Center
151 Hillside Avenue
Hartford, CT 06106
860-951-1060