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Social workers are here to help Veterans, families and caregivers with almost any need, from help with finances or housing to questions about treatment to just feeling overwhelmed. We are

here for you. Social work is integral to health care. We can help you and your family manage stress-related problems due to injury or illness, and find VA community resources to meet your

needs like: * Home health services * Legal services * Transportation * Community living SOCIAL WORK ASSOCIATES -  COMMUNITY BASED OUTPATIENT CLINIC SOCIAL WORKERS * Bemidji CBOC - PATIENT

ALIGNED CARE TEAM - PACT is the cornerstone of the New Models of Care initiative that is intended to transform the way Veterans receive care. PACT assists VHA in transforming Veterans'

care by providing patient-driven, proactive, personalized, team-based care focused on wellness and disease prevention resulting in improvements in Veteran satisfaction, improved healthcare

outcomes, and costs. The PACT model is built on the well-known concept of the patient-centered medical home staffed by high-functioning teams. * Pain & PACT - * * * Fergus Falls &

Williston CBOCs - * Devils Lake & Minot CBOCs - * Bismarck & Dickinson CBOCs - * Grand Forks & Grafton CBOCs - * Rural, Bemidji & Jamestown CBOCs - CARE COORDINATION AND

INTEGRATED CASE MANAGEMENT - A VA practice framework called Care Coordination and Integrated Case Management (CC & ICM) seeks to engage, coordinate, and collaborate with health care

professionals and community partners. It’s designed to ensure comprehensive, Veteran-centered care that enhances access, health outcomes, and social and emotional well-being. The facility

Care Coordination Review Team (CCRT) assigns lead coordinators to high-risk Veterans who frequently use VA care. With a lead coordinator, the Veteran doesn’t need to reach out to multiple

providers. Instead, they can use their assigned Lead Coordinator to help them manage the many parts of their VA care. EMERGENCY DEPARTMENT SOCIAL WORKER INTIMATE PARTNER VIOLENCE ASSISTANCE

PROGRAM (IPVAP) - The VA’s Intimate Partner Violence Assistance Program (IPVAP) is committed to helping Veterans, their partners, and VA staff who are impacted by IPV.  POST 9/11 MILITARY

2VA TRANSITION AND CASE MANAGEMENT - Every VA medical center has a specialized Post-9/11 Military2VA (M2VA) team ready to welcome you as you transition from service member to Veteran. Your

Post-9/11 M2VA team will assist you, your family, and caregivers in navigating the VA health care system and support you in achieving your health and wellness goals. ADVANCE CARE PLANNING

& LIFE-SUSTAINING TREATMENT DECISIONS INITIATIVE (LSTDI) - If you become very sick or hurt and cannot speak for yourself, you can decide in advance the kinds of treatments you want by

COMPLETING AN ADVANCE DIRECTIVE.  ONCOLOGY/RENAL SOCIAL WORK