Caregiving Systems

Caregiving has emerged as a critical issue in the second half of the life cycle. With the growth of the older population, there have been dramatic increases in the number of people needing care and assistance. The responsibility for care typically falls on families at a time when they have limited resources to meet these needs. At a societal level, the need for care for growing numbers of disabled elders poses a major challenge for how to organize supportive services in an efficient and responsive system. Bringing together multiple perspectives on caregiving, the authors' explore informal and formal family caregiving and the pivotal issue of how these systems interface and interact. An overview of this variation is provided by examining family caregiving from three perspectives: * the effects of culture on helping patterns and family responsibility, * how different disabilities affect patterns of family care, and * longitudinal perspectives on the impact that caregiving has on family members.

Caregiving has emerged as a critical issue in the second half of the life cycle. With the growth of the older population, there have been dramatic increases in the number of people needing care and assistance. The responsibility for care typically falls on families at a time when they have limited resources to meet these needs. At a societal level, the need for care for growing numbers of disabled elders poses a major challenge for how to organize supportive services in an efficient and responsive system. Bringing together multiple perspectives on caregiving, the authors' explore informal and formal family caregiving and the pivotal issue of how these systems interface and interact. An overview of this variation is provided by examining family caregiving from three perspectives: * the effects of culture on helping patterns and family responsibility, * how different disabilities affect patterns of family care, and * longitudinal perspectives on the impact that caregiving has on family members.

Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

The predicaments that bring adults into therapy can often be traced to unsatisfactory experiences of caregiving in childhood. If our capacity for caregiving derives mainly from our own experience of receiving care, then a clearer understanding of how this process of interaction works is crucial for the professional caregiver. The Challenge of Attachment for Caregiving proposes a model for the development of caregiving, shows how it can be related to therapeutic practice and complements and extends the theory of attachment. Drawing on many years' experience as clinicians and researchers, the authors explore in depth an aspect of human development which has profound implications for our future survival. Presenting its own challenge to both theory and practice, this book offers students and practitioners a new perspective on attachment.

Caring for the ill, disabled, very old, or very young requires a labor-intensive commitment that is not only essential to the well-being of individuals and to society as a whole, but also fraught with physical, financial, and psychological risks. And despite the critical nature of their job, caregivers rarely have avenues of support. The Challenges of Mental Health Caregiving addresses the complexities of the situation with uncommon depth and breadth. Suited to researchers, scientist-practitioners and clinicians, and students seeking a rounded understanding of the field, it examines how caregiving affects the lives, work, and mental health of family and professional caregivers. Chapters explore developmental, cultural, and spiritual contexts of care, addressing ongoing concerns about care in relation to larger health systems and emphasizing the need for care to be viewed as a community, rather than an individual or family experience. Further, the book's conclusion strongly advocates for more effective and efficient uses for available funds and resources while offering workable proposals for service improvements at the policy level. Key areas of coverage: The impact of caregiving on physical and mental health. Integrating mental health and primary care. The promotion of positive mental health outcomes in children and youth. Mid-life concerns and caregiver experience. Loss, grief, bereavement and the implications for mental health caregiving. Policy issues in caregiving and mental health. The Challenges of Mental Health Caregiving is a clear-sighted reference for researchers, clinicians and scientist-practitioners, and graduate students in the caregiving fields, including clinical psychology, social work, public health/medicine, geriatrics/gerontology, public policy, and educational policy.

IAttachment and Family Systems is a cogent and compelling text addressing the undeniable overlap between two systems of thought that deal with the nature of interpersonal relationships and how these impact functioning. In this enlightening work, leading thinkers in the field apply attachment theory within a systemic framework to a variety of life cycle transitional tasks and clinical issues.

Examining caregiving issues from a multigenerational, family life cycle perspective, this volume deals with the broad spectrum of chronic illnesses that necessitate family caregiving throughout the lifespan and discusses responses to these challenges by both caregiving families and caregiving systems. Part One addresses the caregiving paradigm and the relationship of family caregiving research to family life studies. Part Two examines conceptual aspects of caregiving, ranging from the expansion of the caregiving paradigm, caregiving processes and tasks, to the positive aspects of caregiving. Part Three emphasizes how family caregivers are affected by the connection (or lack of it) to macro-level systems.