A dependable local care partner when the plan reaches the front door.
Refer a patient, client, resident, member, or family to SILK for non-medical support with personal care, homemaking, companionship, respite, dementia-related routines, post-hospital needs, and extended schedules when available.
Know quickly whether SILK belongs in the conversation.
Core Medicaid/PASSPORT area
Gallia, Jackson, Pike, Vinton, and Ross Counties. Service depends on authorization, address, schedule, scope, reliable staffing, and caregiver fit.
Private-pay care
Private-pay requests may be considered across Southern Ohio. Availability depends on the address, requested hours, care needs, travel, home conditions, and staffing.
Services
Personal care, homemaking, meals, companionship, respite, dementia support, errands, reminders, post-hospital help, overnight care, and extended schedules when available.
Best referrals
Families who need a real conversation about the daily-living gap—not merely a brochure, list of names, or automatic promise.
Direct local access
Professionals and families can call Susan or Ehren directly instead of navigating a national intake center or distant sales department.
Clear limitations
SILK is non-medical. We do not provide diagnosis, nursing, wound care, injections, medication administration, therapy, emergency response, or clinical triage.
Time-sensitive transition? Call while the family is present. A short joint conversation can clarify needs, consent, location, payment, timing, and whether an assessment is realistic.
Call 740-245-1051A referral should never disappear into a black hole.
SILK cannot promise acceptance before evaluating the request. We can promise a responsible process and a clear answer.
Acknowledge
A real local person reviews the request and identifies what information is still needed.
Contact the family
SILK listens to what changed, what the person needs each day, and what the family can realistically cover.
Determine fit
Scope, county, home, schedule, payment, caregiver compatibility, and dependable staffing must align.
Close the loop
With the family's permission and an appropriate communication method, SILK can tell the referring professional whether contact and next-step planning occurred.
Refer before the problem becomes a crisis at home.
Hospital or rehabilitation discharge
The clinical plan is complete, but personal care, meals, mobility routines, household tasks, supervision, or family coverage remain unresolved.
Caregiver exhaustion
A spouse, adult child, or other family caregiver is carrying an unsustainable schedule and needs dependable respite or recurring help.
Dementia-related supervision
Confusion, wandering, cueing needs, disrupted sleep, isolation, or changing routines are making home harder to manage safely.
Personal-care decline
Bathing, dressing, grooming, toileting, transfers, mobility, meals, or ordinary daily routines are no longer manageable alone.
Overnight or extended coverage
The family needs more than a brief visit and should explore longer daytime blocks, overnight support, or continuous coverage.
Rural service gap
The family lives outside a dense service corridor and needs an honest answer about travel, staffing, schedule design, and what is realistically possible.
Local accountability is not branding. It changes the handoff.
Owner-led intake
Susan or Ehren remains close to the first conversation and the decisions that determine whether SILK can responsibly help.
Caregiver matching
SILK considers personality, routines, location, schedule, home environment, and practical needs rather than treating every open shift as interchangeable.
Systems-minded follow-through
Clear intake, realistic expectations, documented next actions, and honest capacity decisions support a more dependable experience.
Human care
Clients are people with history, humor, preferences, pets, favorite routines, and the right to retain dignity and choice in their own homes.
Use SILK alongside clinical care—not in place of it.
SILK's non-medical role may include
- Personal care and established daily routines
- Permitted mobility help within training and the care plan
- Meals, laundry, linens, trash, and light housekeeping
- Permitted reminders and routine support
- Companionship, supervision, and family respite
- Reporting permitted observations through the agreed process
Clinical and emergency professionals handle
- Diagnosis, medical assessment, and treatment
- Wound care, injections, and skilled procedures
- Medication administration or clinical management
- Physical, occupational, and speech therapy
- Changes to restrictions or medical instructions
- Emergency evaluation and urgent medical decisions
Give the family something practical—not another vague brochure.
Hospital-to-Home Guide
Daily-living questions for the first days after discharge, including mobility, personal care, meals, household routines, and overnight needs.
Open the guide →Home Care vs. Home Health
A clear explanation of non-medical support, skilled clinical services, and how the two may work alongside each other.
Compare services →Ohio Medicaid/PASSPORT Guide
Plain-English guidance about eligibility, assessment, authorization, provider choice, and realistic next steps.
Read the guide →Clear answers before you share SILK's name.
Does a referral confirm acceptance or a start date?
No. The referral begins a conversation. SILK evaluates scope, location, home conditions, schedule, payment pathway, caregiver fit, and current staffing before confirming care.
How early should I refer?
As soon as a likely need becomes visible. More notice creates more planning time. Same-day and next-day requests may be evaluated but cannot be guaranteed.
What information should I send?
Send only the minimum contact and planning information needed: your contact, the family's contact, county, general non-medical need, expected timing, and confirmation that the family has agreed to be contacted.
Should I send diagnoses, medications, or medical records?
No. Do not send protected health information or sensitive documents through the general referral form. SILK will use an appropriate process if additional information is later necessary and permitted.
Will SILK tell me what happened?
When the family permits it and an appropriate communication method is available, SILK can report whether contact occurred and whether next-step planning is moving forward.
Send the minimum information needed to begin the conversation.
For a time-sensitive transition, call 740-245-1051 while the family is present. The form does not confirm service, staffing, or a start date.
Do not include: diagnoses, medications, medical records, Social Security numbers, insurance identification numbers, or other sensitive health information.