our services

  • Twined may conduct an initial assessment and discovery process to evaluate the Client’s current situation, needs, preferences, strengths, risks, support system, and potential future care needs or transitions.

    The assessment process may include:

    • Visiting the Client in the home or other setting;

    • Interviewing the Client, family, caregivers, and other care team members;

    • Communicating with physicians, medical personnel, therapists, social workers, and other professionals involved in the Client’s care, as authorized;

    • Reviewing relevant medical, financial, social, or other records, as authorized;

    • Assessing the Client’s living environment, support system, and current services; 

    • Identifying recommendations, resources, services, and potential transitions.

    The Discovery Process culminates in a written report sharing our findings, potential care plan options, and suggestions and referrals for support. This can be a stand-alone project and does not require ongoing Care Circle Coordination with Twined.

  • What does a a Care Circle Coordinator do? We start by listening. What challenges are you facing? What do you want help with?

    Then we get started. We’ll likely:

    • PLAN: Develop and implement a personalized care plan based on needs, preferences, and goals.

    • REFER: Identify, recommend, and coordinate appropriate community resources.

    • ENRICH: Initiate meaningful social, cultural, recreational, and community experiences.

    • ORGANIZE: Coordinate in-home care and support services, including home care, CNAs, companions, etc.

    • RELATE: Visit regularly to build trust, invest in the friendship, and listen to the Client’s feedback.

    • CONNECT: Communicate with members of the Care Circle, including family, caregivers, healthcare professionals, and other providers.

    • EDUCATE: Provide caregiver support, education, and counseling.

    Care coordination may also be provided on an intermittent or as-needed basis for specific periods, projects, or transitional needs.

  • This isn’t your average “companion” or “aide.” Twined Creative Companions are trained to utilize unique communication methods designed specifically for older adults living with brain change. This creative way of engaging and connecting enriches the Client’s social, emotional, cognitive, cultural, recreational, and personal engagement.

    Creative Companionship will include activities and experiences based on the Client’s interests, preferences, history, abilities, and goals.

  • Dementia Specialist and Twined Founder Caroline Ryskiewich, MA, CMC will meet with your formal or informal Care Circle for a fun, engaging, informative and actionable training session on creatively connecting with your loved one. Also open to families, organizations, businesses, neighborhoods, churches (you get the idea).