Family Caregiver
Programs

Best Practices

 


Background Information on the Problem

 

Currently there are more than 23 million family and informal caregivers nationwide, and that number is only increasing. Most (85%) have no outside paid help, and 72% of caregivers are women according to the Administration on Aging.

 

The term caregiver refers to anyone who provides assistance to someone else who experiences limitations in activities of daily living (ADLs) and/or instrumental activities of daily living (IADLs): a husband who has suffered a stroke; a wife with Parkinson's disease; a mother-in-law with cancer; a grandfather with Alzheimer's disease; a son with traumatic brain injury from a car accident; a child with muscular dystrophy; a friend with AIDS.

 

Informal caregiver and family caregiver are terms that refer to unpaid individuals such as family members, friends, neighbors and volunteers who provide help or arrange for help. These individuals can be primary or secondary caregivers, full time or part time, and can live with the person being cared for or live separately. They provide help with household chores, finances, or with personal or medical needs. This definition does not include formal caregivers who are paid care providers associated with a service system.

 

There are two general federal funding categories of “family caregivers”:

 

  • Grandparents and relative caregivers of children 18 years of age and younger, including grandparents who are sole caregivers of grandchildren.  The children being cared for by these caregivers (for which there is federal and state funding available) are affected by mental retardation or who have developmental disabilities [MR/DD] often due to being exposed in utero to HIV/AIDS or drugs; and

  • Family caregivers of older adults, which encompasses non-relatives.

 

Statistics on Caregiving of Distressed Children

 

The number of children being raised by extended families has been on the rise dramatically.  2000 Census data reports that 5.9 million households consisted of family caregivers, 4.4 million of which were grandparents providing care. (US Census, 2000) Notoriously, little or no support has been offered in terms of public assistance to the low-income family caregivers in this situation.

 

Characteristics of these families appear in the table below:

 

CHARACTERISTICS OF GRANDPARENT HOUSEHOLDS CARING FOR MINOR GRANDCHILDREN, 2001

Characteristics

Grandparent

<Age 60 or

Child Age 19+

NCFSP

Target

Population

Total

Grandparent

Households

Grandparent

<Age 60 or

Child Age 19+

NCFSP

Target

Population

House‑

holders

Age 60+

Total

 

933,595

326,621

1,260,216

100.0%

100.0%

100.0%

Number of Grandchildren

1

 

715,745

210,735

926,480

76.7%

64.5%

NA

2

 

154,512

74,568

229,080

16.6%

22.8%

NA

3+

 

63,339

41,317

104,656

6.8%

12.6% *

NA

Sex

Male

 

306,815

138,491

445,307

32.9%

42.4%

49.9%

Married

 

234,933

129,898

364,832

76.6%

93.8%

72.2%

Female

 

626,780

188,129

814,910

67.1%

57.6%

50.1%

Married

 

167,789

52,131

219,920

26.8%

27.7% *

20.7%

Race/Ethnicity

White non-Hispanic

 

464,202

150,640

614,842

49.7%

46.1%

80.1%

Black non-Hispanic

 

282,815

126,335

409,150

30.3%

38.7%

9.2%

Hispanic

 

128,279

39,429

167,708

13.7%

12.1% *

5.4%

Other

 

58,300

10,216

68,516

6.2% *

3.1% *

5.3%

Metropolitan Area Status

Central city

 

226,037

114,356

340,393

24.2%

35.0%

22.6%

Suburbs

 

321,353

103,951

425,304

34.4%

31.8%

39.4%

Non-metropolitan area

 

386,205

108,314

494,519

41.4%

33.2%

38.0%

Education

Less than high school

 

325,525

152,201

477,726

34.9%

46.6%

28.1%

High school graduate

 

357,423

99,521

456,944

38.3%

30.5%

33.7%