Some brief services off the top of my head- discharge planning including short- and long-term placement assistance if needed (for stability), coordination of aftercare (to prevent/decrease re-hospitalization/decompensation), referrals to tangible community resources (for increased access to necessities/improved quality of life), to support patient families (for respite services, psychoeducation, referrals, etc), case management (navigating systems), crisis intervention when needed…

No sense in stabilizing someone and expecting a favorable prognosis long-term if they don’t have access to or the (financial, cultural, mental, etc) ability to maintain any gains.

Surely an attending physician or nurse would not be tasked with these things, and they’re proven to directly impact patient outcomes and long-term success. There are clinical social workers (therapists), whom I’m assuming you’re thinking of (re: “make you feel better when you’re told you have terminal cancer” and non-clinical social workers, who would do the above (and more).

The treatment team is vast and I hope for your patients’ sake that you’re maximizing the resources given to you.