Frances Hammond, LCSW
Woburn,MA
Summary
Dedicated Social Worker skilled in crisis intervention and discharge planning. Achieved significant improvements in patient outcomes through the development of targeted treatment plans and effective case management. Strong background in electronic medical records and collaboration with healthcare teams to optimize service delivery.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Behavioral Health Clinician
Tufts Medicine Integrated Network
Lowell, MA
01.2025 - Current
- Provides a psychosocial assessment of the individual and family, including limitations, deficits, and strengths in their current situation and environment, as well as functional level.
- Responsible for psychosocial assessments and interventions in crisis situations that often involve issues of suicide, homicide, family violence, elder abuse, or child abuse.
- Provides treatment, therapy, psychoeducation, and/or counseling, utilizing individual and family.
- Provides information, referral, and creative resource acquisition for specific individuals and family needs, both within the hospital and in the community, as indicated.
- Collaborates with, and provides psychosocial consultation to, the health care team to promote a smooth, coordinated plan of care.
- Provides outreach, case finding, and screening for high-risk issues that may impact a patient's progress, participation in the plan, discharge, or ability to utilize resources.
- Consults, collaborates, and communicates with a wide range of social, governmental, and legal agencies, courts, schools, clinics, other hospitals, physicians, and other sources.
- Ensures clinical documentation is complete and in accordance with departmental standards. Performs other administrative documentation and record-keeping in a timely manner.
- Actively engages in the regularly scheduled meetings, programs, and activities of the department.
- Participates in social work professional education, supervision, and teaching activities; supervises or trains staff social workers.
- Maintains collaborative, team relationships with peers and colleagues in order to effectively contribute to the working group's achievement of goals, and to help foster a positive work environment.
- Continually monitors, assesses, and modifies own social work practice and programs. Conducts quality improvement activities and research regarding service delivery and the effectiveness of interventions, as required.
Per Diem/ Former Director of Social Services
Aberjona Nursing and Rehabilitation
Winchester, MA
07.2017 - Current
- Manage a team of social workers in a 123-bed skilled nursing facility.
- Provide social services to long term care and short-term rehab patients.
- Conduct cognitive and psychosocial assessments and formulate care plans.
- Coordinate discharge planning as part of an interdisciplinary team.
- Work with outside vendors, such as home health, hospice, elder services etc. to ensure safe transitions to home.
- Counsel and support clients and families experiencing adjustment issues, trauma and grief.
Mental Health Clinical Intern
Riverside Community Care
Lynnfield, MA
08.2023 - 04.2024
- Provide intake assessments for new clients.
- Initiated plans of care and applied appropriate modalities and theories as indicated.
- Conduct proper psychosocial assessment as indicated to monitor client progress.
- Provide counseling and support services in person and via telehealth for clients of all ages.
- Co-facilitated Massachusetts Impaired Driving groups.
- Maintained proper communicated for court ordered clients.
- Kept timely notes and referred to other services as needed.
Hospice Social Worker
Compassionate Care Hospice
Woburn, MA
11.2014 - 06.2017
- Supported clients and families with empathetic end of life planning that included evaluating social and emotional factors and individual family bereavement needs.
- Coordinated weekly with IDT to manage patient physical or emotional care needs.
- Maintained time and case workload while working remotely.
Social Worker
Winchester Nursing Center
Winchester, MA
11.2008 - 11.2014
- Provide social services to long term care and short-term rehab patients.
- Conduct cognitive and psychosocial assessments and formulate care plans.
- Coordinate discharge planning as part of an interdisciplinary team.
- Communicate with insurance case managers.
- Work with outside vendors, such as home health, hospice, elder services etc. to ensure safe transitions to home.
- Counsel and support clients and families experiencing adjustment issues, trauma and grief.
Social Worker
Life Care Center of Stoneham
Stoneham, MA
02.2002 - 10.2008
- Worked with admissions in screening patients for care, and facilitated the Level 1 screening form.
- Collected medical and social history on all new residents.
- Conducted quarterly assessments and developed care plans to promote long-term care residents' well-being, in conjunction with MDS screening forms.
- Discharge planning for short-term rehabilitation patients.
- Provided referrals to agencies returning to the community, or for hospice services.
- Assisted with the guardianship process.
- Coordinated monthly family council meetings.
Social Worker
Peabody Glen Nursing Center
Peabody, MA
07.2001 - 08.2003
- Worked with admissions in screening patients for care and facilitated Level 1 screening form.
- Collected medical and social history on all new residents.
- Conducted quarterly assessments and developed care plans to promote long-term care residents' well-being in conjunction with MDS screening forms.
- Led team and family meetings for long-term patients.
- Discharge planning for short-term rehabilitation patients.
- Provided referrals for hospice services.
- Assisted with the guardianship process.
Social Worker
New England Pediatric Care
North Billerica, MA
06.1999 - 08.2001
- Collected medical and social history on all new patients.
- Assisted families by providing support with adjustment and grief.
- Conducted quarterly assessments and developed care plans to promote residents' well-being in conjunction with MDS forms.
- Attended IEP and ISP meetings.
- Assisted with Medical Review Team assessments.
- Assisted with the guardianship process.
Education
Bachelor of Social Work -
Salem State University
Salem, MAMaster of Social Work -
Salem State University
Salem, MASkills
- Healthcare systems expertise
- Electronic medical records
- Long-term care regulations
- Dementia care training
- Psychosocial assessment
- Crisis intervention
- Treatment planning
- Clinical documentation
- Discharge planning
- Interdisciplinary collaboration
- Resource coordination
- Case management
- Effective communication
- Substance abuse counseling
- Psychoeducation
- Suicide risk assessment
- Individual counseling
- Mental health assessment
- Anxiety management
- Problem-solving abilities
- Time management
Certification
Massachusetts Social Work Licensure
LCSW
LCSW
Timeline
Behavioral Health Clinician
Tufts Medicine Integrated Network
01.2025 - Current
Mental Health Clinical Intern
Riverside Community Care
08.2023 - 04.2024
Per Diem/ Former Director of Social Services
Aberjona Nursing and Rehabilitation
07.2017 - Current
Hospice Social Worker
Compassionate Care Hospice
11.2014 - 06.2017
Social Worker
Winchester Nursing Center
11.2008 - 11.2014
Social Worker
Life Care Center of Stoneham
02.2002 - 10.2008
Social Worker
Peabody Glen Nursing Center
07.2001 - 08.2003
Social Worker
New England Pediatric Care
06.1999 - 08.2001
Bachelor of Social Work -
Salem State University
Master of Social Work -
Salem State University