Rebekah Bray, MHA, is a certified dementia practitioner as well as a certified sex offender treatment provider. She has seven years of long-term care experience including administration, social work and recreation. She is the assistant administrator and director of social services at Oneida Center in Utica, NY. Oneida Center belongs the Centers Health Care continuum of nursing homes and rehabilitation centers.
The Social Services Department within a Skilled Nursing Facility (SNF) represents the psychosocial well-being of the residents and families we serve here at Oneida Center in Utica, New York. Oneida Center is a 120-bed nursing and rehabilitation facility that is part of one of the largest family of skilled nursing facilities in the country, the largest in the northeast, Centers Health Care. Social Workers are a single point of contact for essential responsibilities such as admission to the facility as well as discharge planning. Additionally, Social Workers routinely monitor and assess for changes in resident’s cognition, mood, and in some cases mental health.These are critical elements when developing a Plan of Care (POC) with the Interdisciplinary Team (IDT), as well as determining the resident’s ability to care for themselves by making informed decisions.
SNFs, sometimes referred to as Nursing Homes, have drastically shifted in image from what the general public may believe they are. Many facilities still admit cute grandparents to live out their final years; those same facilities also offer short-term rehabilitation when recovering from illness or injury. However, many facilities in heavily populated areas regularly admit residents with mental illnesses, drug addiction and homelessness. While this may seem unusual to some, it is quite common for those in the field to see a high percentage of a SNF census with diagnoses such as bipolar and schizophrenia. This is likely the case due to a recent push to close institutional level care for the mentally ill and replace with community living and appropriate services.