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SPPN Referral Policies and Procedures

SPPN Referral Policies and Procedures - UW Medical Foundation, Patient Resources, Social Work Services Quick Guide, Social Work Manual, Population Specific, Brain Injury, SPPN

Focus

It is the goal of the Brain Injury Association of Wisconsin (BIAW) to provide timely support and current information/resources to adult family members whose loved one has sustained a brain injury. To assist in this effort, BIAW has developed the volunteer Supportive Partner to Partner Network or SPPN Program. This volunteer network, consisting of adult family members and/or friends, will be available to family members in need of support, via telephone contact, upon request. BIAW has enlisted the assistance of community health care providers in order to facilitate the efficient identification and referral of individuals requesting the services of the SPPN Program.

Provider Referral Procedures 

  1. The Brain Injury Association of Wisconsin will provide information to community providers concerning the SPPN. Interested providers will receive descriptive program brochures and the “Authorization to Release Information” to disseminate to interested family members.
  2. Professional providers, typically social workers, discharge planners, and/or case managers will be designated as the liaisons between the provider’s program and BIAW staff during the referral process.
  3. Following a review of the SPPN Program literature and if an individual indicates interest in the program, the provider staff will give the interested party an “Authorization to Release Information” form to complete and to sign. The interested family member’s signature conveys permission for the provider to contact BIAW staff by phone, email or fax with the name, address and phone number of the family member.
  4. The provider will then fax/mail a copy of the release form to appropriate BIAW staff.
  5. Upon receipt of the consent form or verbal confirmation, BIAW staff will contact the interested family member by phone within two working days regarding their needs specific to a volunteer partner.
  6. BIAW staff will complete the Intake Assessment Form with the interested family member and begin the “matching process.”
  7. BIAW staff will determine a possible partner based upon the described needs and characteristics of the family member such as type of injury, age, gender, and connection to brain injury (i.e. spouse, parent, sibling etc.) within two working days.
  8. As soon as a probable partner has been determined, BIAW staff will fax, email, or mail an “Authorization to Participate” form to the interested family member. Upon receipt of the signed form, BIAW will contact the prospective volunteer partner within one working day to ascertain his or her availability.
  9. Once the partner selection is finalized, the volunteer partner will contact the supported partner by phone within two working days to schedule a contact time.
  10. BIAW reserves the right to deny a request for services if the family member’s needs exceed or are incompatible with the parameters of the program. Whenever possible, BIAW will then provide information/resources more specific to the individual’s needs.

Self- Referral Procedures

Family members whose loved one has sustained an injury may apply directly to the Brain Injury Association of Wisconsin for participation in the SPPN Program through the process of self-referral.

  1. Prospective family members may contact the BIAW office by phone, in writing, or in person for information regarding the SPPN Program. BIAW staff will then provide additional descriptive information and/or if the family member indicates interest, commence the completion of the Intake Assessment Form and begin the “matching process.”
  2. BIAW staff will determine a possible partner based upon the described needs and characteristics of the family member such as type of injury, age, gender, and connection to brain injury (i.e. spouse, parent, sibling, etc.) within two working days.
  3. As soon as a probable partner has been determined, BIAW staff will fax, email, or mail an “Authorization to Participate” form to the interested family member. Upon receipt of the signed form, BIAW will contact the prospective partner within one working day to ascertain his / her availability.
  4. Once the partner selection is finalized, the Volunteer Partner will contact the “matched” Supported Partner by phone within two working days to schedule a contact time.
  5. BIAW reserves the right to deny a request for services if the family members needs exceed or are incompatible with the parameters of the program. Whenever possible, BIAW will then provide information/resources more specific to the individual’s needs.