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A message to our community

Our hearts are with everyone affected by the tragedy at Silver Rail Elementary School. Many in the Partners In Care family have been personally impacted, and we grieve alongside our community today. We extend our deepest condolences to the children, families, educators, and all who are mourning. May we come together with compassion, kindness, and support in the days ahead. We stand ready to support our community during this tragic time.

Important Safety Notice: This form is not monitored 24/7.
If you are in crisis or having thoughts of suicide, please get help immediately. Call or text 988 to reach the Suicide & Crisis Lifeline. It is free, confidential, and available 24/7.
If you are experiencing a life threatening emergency, please dial 911 (or your local emergency number) immediately or go to the nearest emergency room. Do not wait for a response through this form.

Purpose: This form helps our bereavement team understand your current grief needs and identify local resources, support groups, or counseling options that may be helpful to you during your grief journey. Completing this form is an inquiry for information and does not establish a form clinical or client relationship.

DISCLAIMERS:
Education and Support focus: The groups and workshops we offer are meant to help individuals navigate normal grief processing. They do not substitute for formal medical, psychological, or psychiatric healthcare advice, diagnosis, or clinical treatment.
If our team determines that your needs exceed the scope of our open community programs, we will do our best to provide you with a referral to independent, licensed mental health professional or outside community agencies. We do not control or guarantee the availability or cost of those outside services.
Privacy & Voluntary Participation: Sharing your information on this form is completely voluntary. The information you provide will be kept confidential within our administrative team and used solely to match you with appropriate resources.

Community Bereavement Screening Form

Type of Loss / Grief Event What best describes the loss or event that is contributing to your grief? (Check all that apply)

Did the loss/event occur within our local community?

Relationship to the person or event

Current Needs Checklist I am looking for:

MANDATORY AGREEMENT CHECKBOX: I understand that submitting this form does not guarantee services and this is not an emergency hotline or emergency service.

Transitions

The Partners In Care Transitions Program Offers an Extra Layer of Support

What is the Transitions program at Partners In Care?

Our Transitions Coordinators are certified Community Health Workers (CHWs), who act as a liaison between healthcare and social services, on behalf of, and alongside their medically vulnerable clients.

Our CHWs offer non-clinical needs assessments, assistance in identifying areas for support, and navigating access to available community resources. This can be in the form of a one-time consult, or through ongoing, no-cost case management support.

Guidance & Education

Transitions CHWs also provide education about in-home clinical support, and can help facilitate referrals to home health, hospice, and palliative care.

Transitions Coordinators work with each client to help identify questions, concerns, and areas of need for a personalized plan. We recognize that the type of support and resources needed will be different for each individual.

Transitions is offered to individuals in any care setting, such as private homes, assisted living and memory care facilities, adult foster homes, rehab facilities, as well as the hospital.

Is Transitions a clinical service?

Transitions is a, non-clinical case management program for medically vulnerable individuals with a limited prognosis, including those who may not qualify for home health or Hospice.

How do Transitions consultations work?

It’s common for Transitions Coordinators to work with clients over several months or even years. While we aim to be an excellent point of contact for any resource needs, we also appreciate the opportunity to develop relationships with our clients and their loved ones. We are available at any time to address needs as they arise, but also offer friendly check-ins either over the phone or in person. In some instances, we also offer friendly volunteer visits, in addition to ongoing Transitions case management.

How do I access the Transitions program?

Anyone can refer to the Transitions program, from the patient themselves to medical providers, community members, and family members. For more information about the Transitions program or to make a referral, call the Transitions team Monday – Friday, 8 am to 5 pm at (541) 322-1289 or our main number outside those hours at (541) 382-5882; a Transitions team member will call you back by the next business day.

Get Care Guidance

“My favorite thing about being a Transitions Coordinator is the relationships that I get to build with my clients. I get to meet people often at a vulnerable time in their lives; we sit down together and talk about their experiences, their struggles, and what is important to them. My goal is to come alongside my clients and their families, help clarify goals, and navigate the different support options that make sense for their unique situation.”

- Bethany Benefield, Transitions Coordinator

Our Transitions program also includes team members Molly, Hollie, and Emily who support our neighbors across Central Oregon.

Find Additional Information & Resources here.

Transitions FAQs

When is the right time for Transitions?
If you have had a lot of recent health changes and current support no longer seems adequate, this may be a perfect time to reach out to our team. Our Coordinators are happy to meet with anyone who has questions about community resources. We can determine if someone seems appropriate for ongoing Transitions support.
Who is eligible for Transitions?
Anyone in the Central Oregon region who is medically fragile and living with a limited prognosis of roughly two years or less.
What type of support can I expect with Transitions?
A referral to Transitions typically results in a home visit to address any initial resource needs and evaluate the need for ongoing Transitions support. Patients and Coordinators will create an understanding as to the frequency of their check-ins. Most Transitions clients receive monthly phone calls to determine if there are any new needs or changes, and additional home visits can be scheduled as needed.
What isn’t included in Transitions?
Transitions Coordinators and Volunteers are not able to provide any hands-on physical care. We do not provide respite or caregiving and are not a substitution for seeking appropriate medical attention. Transitions is a non-medical, resource-based program.
How is Transitions paid for?

Partners In Care is a nonprofit organization and our mission is to serve medically fragile individuals in the Central Oregon community. Transitions support is offered at no-cost to our clients because of the ongoing mission of Partners In Care.