This document provides tips and information for family caregivers on providing in-home care during economic difficulties. It discusses affordable housing options for seniors, the benefits of senior centers and adult day care, financing care beyond insurance, creating a team approach to caregiving, and how caregivers can potentially get paid for their services. The presentation was given by Home Instead Senior Care to educate caregivers.
2. OBJECTIVES FOR TODAY
During today’s workshop, you will:
• Learn about less expensive housing options
• Understand the benefits and services provided by
senior centers and adult day care centers
• Discover financing options for care beyond
traditional insurance coverage
• Gain tips on how to create a team approach for
providing care
• See how to get paid for your caregiving services
5. HOUSING OPTIONS:
LIVING WITH FAMILY
Before making the decision to be a family caregiver, ask:
• Are you prepared for the pressure on your spouse/children?
• Have your spouse/children agreed to take mom or dad into
your home?
• Have you established a working arrangement with siblings/
family members?
• Have you anticipated the impact on your own health?
• Are you prepared for the emotional stress?
• Have you evaluated the financial cost of providing family care?
• Will you be able to continue working and provide family care?
6. HOUSING OPTIONS:
LIVING WITH FAMILY
Advantages Disadvantages
• Fulfills the promise of • Risk of high personal and
home family stress
• Develop a close personal • Multigenerational conflicts
relationship • Possibility of under-serving
• Relatively low cost of care senior’s needs
• Personal satisfaction • Less time with your own
• Intergenerational bonding family
among your parents, you • Decreased productivity at
and your children work
8. HOUSING OPTIONS:
AFFORDABLE HOUSING
–
Two main options:
• Public housing and voucher options through
local public housing agency
• Affordable senior housing through
U.S. Department of Housing and Urban
Development’s (or HUD’s) 202 Program
9. HOUSING OPTIONS:
AFFORDABLE HOUSING
Public housing agency:
• Rental housing
• Eligibility criteria
• Housing choice vouchers
Affordable senior housing – HUD’s 202 program:
• Subsidized housing and rental assistance
• Rates calculated according to income
• Assistance for residents to access health care services
• Often limited availability
11. SENIOR CENTERS AND
ADULT DAY CARE CENTERS
Senior Centers:
• For those in good mental and physical health
• Provide social and recreational outlets
• Modest costs for lunches and activity fees
Adult Day Care Centers:
• For seniors with age-associated disabilities
• Provide respite for family caregivers
• Rates from $25 to $100 per day
13. FINANCING OPTIONS FOR
CARE, BEYOND INSURANCE
Financing options include:
• Reverse mortgage drawing on
home equity
• A “life settlement” using the senior’s life
insurance as an asset
Get advice from attorney and/or
financial advisor
15. CREATING A TEAM
APPROACH
Enlist support from family members and friends:
• Give each person a responsibility
• Divide the tasks into categories
• Converse with other family members; express your
concerns
• Don’t be a control freak
Other options:
• Bartering or trading of services
• Timebanking
• House trading
17. GET PAID FOR YOUR
CAREGIVING SERVICES
Receive direct payments from Medicaid’s
Cash and Counselling program (in some states)
• Similar programs in a few other states, even if not
qualified for Medicaid
• Be paid out of senior’s long-term care insurance policy
(may require state certification as in-home care
If the senior you are caring for is going to pay you,
draw up a simple contract setting out
terms of care and payment
18. TO US, IT’S PERSONAL ®
Take action!
• What is the first thing I will do to
reduce my stress about the financial
impact of caregiving?
• What resources do I need to search,
talk to, or meet with to learn more
about the options available?
• What is my strategy for creating a
team approach?
• How can I find out if I can get paid for
my caregiving services?