Medical social work, as a discipline, is still finding its feet in home health care and establishing its standing in the home health care team approach. As an attempt to achieve that, several home health care social workers in a consultation group produced a model for patient care planning outlining possible problems, interventions, and goals to be adapted to the individual patient. It is hoped that this model can be refined as medical social workers test it in practice and modify it as necessary. It is believed that this treatment tool adheres to the regulations of most third party payors.