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Caregivers' Corner

Respite Resources

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"Who takes care of the caretakers?"

Respite Care is...

...a system of temporary supports for families of developmentally disabled individuals which provides the family with relief.

The word "temporary" may mean anything from an hour to three months. It may also mean "periodically or on a regular basis.

Respite Care can be provided in the client's home or in a variety of out-of-home settings.

Respite Services are...

...intended to provide assistance to the family, and to prevent "burnout" and family disintegration.

Since not all families have the same needs, respite care should be geared to individual family needs by identifying the type of respite needed and matching the need to the services currently available, or using this information to develop services where none exist. Once identified, it is also important for families to have ready access to that type of respite, in an affordable form.

Utilizing Respite Care

Respite care is an essential part of the overall support that families may need to keep their family member with a disability at home. However, caregivers needing to leave their loved one who has special needs in the care of someone else, either in or outside their home, often experience hesitation. They can have feelings of guilt, anxiety, even a sense of loss of control.

Fears and concerns are common in this situation: You may wonder:

  • Will he or she get as much attention?
  • Will the care be as good?
  • Will something be missed?
  • What if the caretaker or staff is unable to comfort my loved one?

The anxiety resulting from these very normal and real concerns can cause people to believe that respite is just not worth it. It is important that you become comfortable with your decision and develop the trust critical to maintaining the peace of mind necessary for relaxation and enjoyment. One way to accomplish this goal is to begin now to think about respite care and whether you, your family would benefit from it. The following suggestions may help.

How can you tell if your family could benefit from respite care? Ask yourself the following questions

  1. Is finding temporary care for your family member a problem?
  2. Is it important that you and your spouse enjoy an evening alone together, or with friends, without the children?
  3. If you had appropriate care for your family member with special needs, would you use the time for a special activity with your other children?
  4. Do you think that you would be a better parent or spouse if you had a break now and then?
  5. Are you concerned that in the event of a family emergency there is no one with whom you would feel secure about leaving your loved one?
  6. Would you be comfortable going to a trained and reputable respite provider to arrange for care?

If you have answered "Yes" to several of these questions, you and your family could benefit from respite care and should investigate the resources in your community.

What should you know when seeking respite care services in your community? Ask yourself the following questions. The information will be helpful to you when contacting agencies in your local community about respite care.

  1. What kind of services do I need? (Long-term, short-term, or both? Why?)
  2. Do I prefer services in my home, a cooperative, or in an outside setting? (This will depend on the type of service you need.)
  3. Can I donate my time to a cooperative, or is it better for me to obtain help from a respite agency?
  4. Does this agency provide the types of service I need?
  5. Is there a cost for the service?
  6. If I can't afford the service, are there funds available to assist me?
  7. How are respite providers selected?
  8. Are the providers trained?
  9. How many hours of training have they had?
  10. Do these providers have training in First Aid and CPR?
  11. What other areas are covered in their training?
  12. For out-of-home care, does anyone monitor the facility for safety and health measures?
  13. Will I be able to have a prior meeting with the care provider?
  14. Will I have an opportunity to provide written care instructions to the provider?
  15. Will I have an opportunity to assist in training the provider with reference to my loved ones's needs?
  16. Is there a policy which deals with mismatches between providers and the family?
  17. Can I request a specific care provider and have the same person each time?

 

 

Many agencies and organizations have information on respite care services. (For a referral, contact The National Respite Locator Service, operated by the ARCH National Resource Center: 1-800-773-5433).

In general, to find respite care, seek out groups or professionals who work with people of your loved one's age group. For example, if your child is in preschool, contact the school and discuss the need for respite care with the staff. If there is a parent group associated with your school, or if there is a local parent group concerned with children who have needs similar to your child's, ask them. If your child is an adolescent, talk to the staff at his or her school or, again, identify parent groups in your area with needs similar to yours.

The following list presents some of the types of groups you may want to contact in seeking services. Many will be listed in your telephone book. If you experience difficulty locating the organization in your community, often a state contact can be made.

For further information and assistance, contact NICHCY, and be sure to ask for a NICHCY State Resource Sheet for your state.

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State and Local Government Agencies

  • State Department of Mental Retardation
  • State Developmental Disabilities Council
  • State Program for Children with Special Health Care Needs
  • Departments of Health and Human Services, or Social Services
  • Department of Mental Health
  • State and local Departments of Education
  • State Protection and Advocacy Agency

State and Local Disability or Support Groups

  • The Arc
  • United Cerebral Palsy Associations, Inc.
  • Autism Society of America
  • Brain Injury Association
  • Mental Health Association and CASSP
  • Spina Bifida Association
  • National Easter Seal Society
  • Parent Training and Information Center
  • Parent-to-Parent
  • University Affiliated Program(s)
  • Community Services Board
  • YMCA/YWCA
  • Churches
  • Recreation Centers
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Additional Organizations to contact are listed below.

ORGANIZATIONS

ARCH National Resource Center for Crisis Nurseries and Respite Care Services—Chapel Hill Training-Outreach Project, 800 Eastowne Drive, Suite 105, Chapel Hill, NC 27514. Telephone: (800) 473-1727; (919) 490-5577. The mission of the ARCH National Resource Center is to provide support to service providers through training, technical assistance, evaluation, and research. The Center provides a central contact point for the identification and dissemination of relevant materials to crisis nurseries and respite care programs. Numerous fact sheets and general resource sheets (including state contact sheets) are available about respite care and crisis nursery care. ARCH also operates the National Respite Locator Service who's mission is to help parents locate respite care services in their area. Please contact them at 1-800-773-5433.

The Arc (formerly the Association for Retarded Citizens of the United States)—500 E. Border Street, Suite 300, Arlington, TX 76010. Telephone: (800) 433-5255; (817) 261-6003; (817) 277-0553 (TT).

Association for the Care of Children's Health (ACCH)—7910 Woodmont Avenue, Suite 300, Bethesda, MD 20814. Telephone: (800) 808-2224; (301) 654-6549.

Association for Persons with Severe Handicaps (TASH)—29 W. Susquehanna Avenue, Suite 210, Baltimore, MD 21204. Telephone: (410) 828-8274; (410) 828-1306 (TT)

Autism Society of America—7910 Woodmont Avenue, Suite 650, Bethesda, MD 20814. Telephone: (800) 3-AUTISM; (301) 657-0881.

Brain Injury Association (formerly the National Head Injury Foundation)—1776 Massachusetts Avenue N.W., Suite 100, Washington, DC 20036. Telephone: (800) 444-6443; (202) Epilepsy Foundation of America—4351 Garden City Drive,

Landover, MD 20785. Telephone: (800) 332-1000 (outside of MD); (301)459-3700.

National Down Syndrome Congress—1605 Chantilly Drive, Suite 250, Atlanta, GA 30324. Telephone: (800) 232-6372; (404) 633-1555.

National Down Syndrome Society—666 Broadway, New York, NY 10012-2317. Telephone: (800) 221-4602; (212) 460-9330.

National Easter Seal Society—230 West Monroe Street, Suite 1800, Chicago, IL 60606. Telephone: (800) 221-6827; (312) 726-6200; (312) 726-4258 (TT).

Sick Kids (need) Involved People (SKIP)—545 Madison Avenue, 13th Floor, New York, NY 10022. Telephone: (212) 421-9160.

Spina Bifida Association of America—590 MacArthur Boulevard N.W., Suite 250, Washington, DC 20007. Telephone: (800) 621-3141; (202) 944-3285.

United Cerebral Palsy Associations, Inc. (UCPA)—1660 L Street N.W., Suite 700, Washington, DC 20036. Telephone: (800) 872-5827; (202) 842-1266.

FAMILY SUPPORT PROJECTS

American Association of University Affiliated Programs (AAUAP)—The AAUAP represents the national network of University Affiliated Programs (UAPs) in the United States. The UAPs provide interdisciplinary training for professionals and paraprofessionals and offer programs and services for children with disabilities and their families. Individual UAPs have staff with expertise in a variety of areas and can provide information, technical assistance, and inservice training to agencies, service providers, parent groups, and others. For information on a UAP in your area, write: AAUAP, 8630 Fenton Street, Suite 410, Silver Spring, MD 20910. Telephone: (301) 588-8252.

The Beach Center on Families and Disability—This center conducts research and training, and disseminates information relevant to families who have members with developmental disabilities or serious emotional disturbances. Write: The Beach Center on Families and Disability, The University of Kansas, 3111 Haworth Hall, Lawrence, KS 66045. Telephone: (913) 864-7600.

Children and Adolescent Service System Programs (CASSP)—CASSPs are federally-funded programs located throughout several states and localities, designed to improve service delivery for children and adolescents with emotional disorders. CASSP provides funding to states for research and training centers and for technical assistance activities. To contact a CASSP in your area, or to obtain a publications list and additional information, write: National Technical Assistance Center for Children's Mental Health, 3307 M Street, NW, Suite 401, Washington, DC 20007. Telephone: (202) 687-5000.

National Clearinghouse on Family Support and Children's Mental Health—The Center provides research and training, and disseminates information relative to serious emotional disorders and family support issues, including a newsletter. Write: National Clearinghouse on Family Support and Children's Mental Health, Portland State University, P.O. 751, Portland, OR 97207-0751. Telephone: 1-800-628-1696; (503) 725-4040.





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