TY - JOUR AU - J. M. Reckrey AU - G. Gettenberg AU - H. Ross AU - V. Kopke AU - T. Soriano AU - K. Ornstein A1 - AB - The growing homebound population has many complex biomedical and psychosocial needs and requires a team-based approach to care (Smith, Ornstein, Soriano, Muller, & Boal, 2006). The Mount Sinai Visiting Doctors Program (MSVD), a large interdisciplinary home-based primary care program in New York City, has a vibrant social work program that is integrated into the routine care of homebound patients. We describe the assessment process used by MSVD social workers, highlight examples of successful social work care, and discuss why social workers' individualized care plans are essential for keeping patients with chronic illness living safely in the community. Despite barriers to widespread implementation, such social work involvement within similar home-based clinical programs is essential in the interdisciplinary care of our most needy patients. BT - Social work in health care C5 - Education & Workforce CP - 4 CY - United States DO - 10.1080/00981389.2014.884041 IS - 4 JF - Social work in health care N2 - The growing homebound population has many complex biomedical and psychosocial needs and requires a team-based approach to care (Smith, Ornstein, Soriano, Muller, & Boal, 2006). The Mount Sinai Visiting Doctors Program (MSVD), a large interdisciplinary home-based primary care program in New York City, has a vibrant social work program that is integrated into the routine care of homebound patients. We describe the assessment process used by MSVD social workers, highlight examples of successful social work care, and discuss why social workers' individualized care plans are essential for keeping patients with chronic illness living safely in the community. Despite barriers to widespread implementation, such social work involvement within similar home-based clinical programs is essential in the interdisciplinary care of our most needy patients. PP - United States PY - 2014 SN - 1541-034X; 0098-1389 SP - 330 EP - 343 EP - T1 - The critical role of social workers in home-based primary care T2 - Social work in health care TI - The critical role of social workers in home-based primary care U1 - Education & Workforce U2 - 24717182 U3 - 10.1080/00981389.2014.884041 VL - 53 VO - 1541-034X; 0098-1389 Y1 - 2014 ER -