Medically Certified Home Care

Our behavioral health program assists with the administer of psychiatric medications, monitor condition, teach adaptive skills, family support.

Behavioral health services include:

• Ongoing mental health assessments, case management, medication management, safety assessment, development of individualized patient Plan of Care including clinical findings
• Extensive training and collaboration with local programs such as CT Behavioral Health Partnership, Community Health Network (CHN), and Area Agency on Aging of South Central Connecticut (AOASCC) for obtaining authorization for home health care services
• Monitoring effectiveness of medication regimes
• Collaboration local residential facilities, and intensive outpatient therapy, drug and alcohol rehabilitative services
• An experienced team of psychiatric nurses
• Additionally, we can offer IV, oncology, cardiac, acute medical nurses who collaborate with behavioral health to provide our dually diagnosed patients with the very best home care has to offer

Our home health aide program can provide Extra help with:

• Bathing
• Dressing
• Walking
• Light housekeeping and meal prep; available with skilled visits as time allows

Our maternal child health team includes registered nurses with a foundation in community health, and experience in routine and high-risk obstetrics. Our nurses assess each patient’s needs and provide access to other community-based services to help mothers-to-be through pregnancy to term.

Services provided may include:

• physical assessments
• lactation education
• medication teaching and administration
• referral and coordination of community resources, and related programs
• Postpartum visits are also available to mothers who discharged early, have questions, or are at high risk
• Management of complex obstetric conditions, such as:
  • Hypertensive disorders in pregnancy
  • Gestational diabetes
  • Preterm labor
  • Hyperemesis
  • Pre-existing medical conditions
  • High-risk social situations: substance abuse, teen pregnancy
  • Postpartum depression

Our experienced pediatric nurses make home visits for those times when extra support or care is needed. Your child’s doctor will give us medical orders and oversee your child’s home healthcare. Our nurses update the doctor on the child’s condition and work with him or her to change the treatment plan, as needed.

Working with your regular visiting nurse, you will create a plan of care to meet your child’s personal health needs. Your plan will include regular nursing visits to:

• Assess how your child is recovering after surgery and do wound care if needed
• Evaluate how the child is responding to changes in medication
• Show you how to administer medications, tube feedings, suppositories
• Evaluate your child’s growth and development
• Provide treatments such as use of inhalers, chest percussion or teach you how to do them

Our Nursing program offers help at home after a hospital or facility discharge, chronic illness self management/teaching, medical procedures, health monitoring, medication assistance, and advanced wound care

Nursing services include:

• Cardiac Recovery
  • Assessment of patient’s physical and mental health
  • Ongoing assessment and evaluation of the care plan
  • Telemonitoring
  • Weight monitoring
  • Monitoring of heart rate and blood pressure pre- and post activity
  • Oxygen saturation monitoring
  • In-home respiratory therapy instructions
  • Patient and family teaching and guidance
  • Interdisciplinary conferences with physicians and other health team members
  • Referral to and coordination of community resources and ancillary programs
  • Specially trained home health aides to assist with personal care needs
  • Monitoring of weight, blood pressure, heart rate and oxygen saturation through visits with patients and our telehealth system
  • Patient and family teaching guidance
• Wound Care
  • Assessment of a patient’s wounds and comorbidities
  • Nutritional assessment in relation to wound healing
  • Instruction in diabetic management to promote faster wound healing
  • Education on pressure ulcer prevention
  • Referrals to DME companies
  • Referrals to community resources, such as wound care centers/clinics
• Pulmonary Function
  • Breathe easier with the assistance from our team of pulmonary experts.

Palliative care can begin with a new diagnosis and treatment for a potentially life-limiting illness. Our goal is to supplement the care provided by the patient’s physician and primary treatment team. We want to help people live comfortably and to provide the best possible quality of life for patients and their families. Our oncology clinicians are chemo-certified and experts in the field.

Palliative Care can incorporate:

• Relief of symptoms including pain, shortness of breath, fatigue, constipation, nausea, loss of appetite, numbness and problems with sleep due to illness or treatment
• Patient and family support regarding diagnosed illness and treatment choices, advanced care planning and guidance to other community resources

The social work team works closely with our nurses, therapists and home health aides. Our team addresses the social, economic and emotional issues relating to illness or injury and lessens the impact on an individual’s medical condition, treatment plan, or rate of recovery.

For each patient referred to us, we can provide:

• Crisis intervention
• Assessment of biopsychological functioning
• Depression prevention and counseling for depression
• Referrals to community resources
• Long-term care planning
• Education and support for patients and families
• Assistance in optimizing payer sources
• Assistance in reducing unnecessary re-hospitalizations

Our therapists will assist in therapy needs for patients recovering from a major surgery or a health decline. For every patient referred to our agency, we conduct a home safety evaluation and create a comprehensive care plan. If you or your patient notices any of these indicating they could benefit from our rehabilitation and therapy services, please contact us today.

Therapy services Include:

• Joint replacement and orthopedic care:
  • Our therapy program is focused on increasing strength and mobility
  • Education and teaching of safe techniques for activities of daily living (ADLs)
  • Home safety evaluation of exterior and interior of home
  • Monitoring of incision site
  • Assessment and treatment of balance disorders to decrease fall risk
  • Recommendations for home modification and durable medical equipment (DME)
  • Development of a written and illustrated home exercise program
  • Removal of surgical staples
  • Teaching of maintenance programs after discharge
• Mobility and other therapy-related issues we treat:

Yale New Haven Health - Health at Home Milford
500 Bic Drive
Milford, CT 06461
203-874-8414

Yale New Haven Health - Health at Home New Haven
1 Long Wharf Drive - Suite 501
New Haven, CT 06511
203-777-5521
Fax a referral form to: 203-776-4640

Yale New Haven Health - Health at Home Hamden
2319 Whitney Avenue, 4th Floor
Hamden, CT 06518
Main: 203-458-4200
Referrals: 866-862-0822
Helpline: 1-866-474-5230

Yale New Haven Health - Health at Home Guilford
753 Boston Post Road
Guilford, CT 06437
203-458-4200

Yale New Haven Health - Health at Home Guilford
753 Boston Post Road
Guilford, CT 06437
203-458-4200

Yale New Haven Health - Health at Home, Lifetime Care at Home
753 Boston Post Road
Guilford, CT 06437
203-458-5990

Yale New Haven Health - Health at Home Southeast
403 N Frontage Road
Waterford, CT 06385
860-444-1111