University of Southern Maine School of Social Work Agency Profile for Undergraduate/Graduate Student Placements Date: Name of Agency: Alzheimer’s Association, Maine Chapter Agency Address: 163 Lancaster St, Suite 160B, Portland Maine 04101 Agency Telephone Number: 207-772-0115 x 10; 1-800-660-2871 In arranging for field placements, whom should the student contact? Barbara Asnes; family Assistance Specialist- Family connections program Name of Field Instructor: Barbara Asnes Field Instructor Contact Information Telephone number: 207-772-0115 x 10 Email Address: Barbara.asnes@alz.org Agency director and/or key administrative personnel: Name: Position: Student’s agency is able to handle: BSW _____ MSW /Foundation year _____ (1st year) MSW/Concentration year ____ (2nd year) How many students can your agency accommodate? Briefly describe the basic services/programs of the agency, client population served, and the size of your staff. The Portland Maine based chapter covers the entire state, serving family and professional care givers, and advocating on behalf of people with Alzheimer’s. Programs and services include the following: Helpline (toll free telephone number for support, information, and referrals) Education and training program Advocacy and Public Policy Safe return (id bracelet) Informational resources (books, pamphlets, videos, conferences) Family Connections program (case management) When are agency staff and other important meetings held? Varies What characteristics or qualities would be helpful for a student to have to best utilize the placement as a learning opportunity? Interest in aging Interest in Alzheimer’s disease and related dementias Open to travelling in 5 counties to do home visits with the Alzheimer’s staff person Desire to learn case management Flexibility Sense of humor Ability to work independently Would a student who needs a highly structured learning environment do well in this placement? Yes ____ No __ ___ Comments: List the learning opportunities available for the student in your setting: Case management Assessments, care planning, monitoring Community-based social work (home visits) Learning about Alzheimer’s disease and related disorders Advocacy Community resources for older persons throughout Maine Research (completing assessments) as part of a national demonstration program (30 chapters involved) Developing relationships with families Work on the helpline- learning telephone support Intake skills Is there adequate physical space for the student(s)? Yes Does the student need a car? Yes _X_ No __ Is mileage reimbursable? Yes _X__ No __ Can your agency provide an opportunity for students to fulfill part of their required placement hours on evenings or weekends? Does your agency require any formal training for interns? If yes, how many training hours are required? When is the training offered? Yes __ __ No ____ Can the training be completed online? Yes _ __ No ___ Is the agency handicapped accessible? Yes _X __ No ___ Agency Requirements: Background check (SBI) Yes ___ No __ Physical exam Yes ___ No __ Immunizations Yes ___ No __ If yes, what immunizations are required? Other pertinent information: