HOW TO PROVIDE IN-HOME
      CARE DURING A RECESSION
      Caring for your parents: Education for the Family Caregiver®




      Serving Jefferson & Clallam Counties
      Home Instead Senior Care®

© Home Instead, Inc. 2010.            This information is proprietary and confidential to Home Instead, Inc. Unauthorized use is prohibited.
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
INTRODUCTION – VIDEO #1
HOUSING OPTIONS: LIVING WITH
FAMILY – VIDEO #2
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?
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
HOUSING OPTIONS:
AFFORDABLE HOUSING
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
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
SENIOR CENTERS AND
ADULT DAY CARE CENTER
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
FINANCING OPTIONS FOR CARE,
BEYOND INSURANCE
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
CREATING A TEAM APPROACH
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
GET PAID FOR YOUR
CAREGIVING SERVICES
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
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?
ABOUT HOME INSTEAD SENIOR CARE –
 LOCAL OFFICE

     Personal Care                                   Home Helper Services
     •       Bathing & Toileting                     •       Provide Alzheimer’s care
     •       Dressing                                •       Assist with laundry and ironing
     •       Grooming                                •       Take out garbage
                                                     •       Aid with morning and wake-up
     Companionship Services                          •       Arrange appointments
     •       Provide respite care                    •       Aid with reading, walking
     •       Monitor diet and eating                 •       Write letters and correspondence
     •       Check food expirations                  •       Change linens
     •       Assist with evening and tuck-in         •       And more…
     •       Stimulate mental awareness
     •       Assist with entertaining



© Home Instead, Inc. 2010.                     This information is proprietary and confidential to Home Instead, Inc. Unauthorized use is prohibited.
Thank You!
                For additional information about this presentation or Home
                Instead Senior Care of the North Olympic Peninsula please
                                   contact your local office.

                              Port Ludlow – (360) 437-9884
                             Port Townsend – (360) 385-6357
                                 Sequim – (360) 681-2511

                               www.homeinstead.com/650

© Home Instead, Inc. 2010.                  This information is proprietary and confidential to Home Instead, Inc. Unauthorized use is prohibited.

In homecare recession

  • 1.
    HOW TO PROVIDEIN-HOME CARE DURING A RECESSION Caring for your parents: Education for the Family Caregiver® Serving Jefferson & Clallam Counties Home Instead Senior Care® © Home Instead, Inc. 2010. This information is proprietary and confidential to Home Instead, Inc. Unauthorized use is prohibited.
  • 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
  • 3.
  • 4.
    HOUSING OPTIONS: LIVINGWITH FAMILY – VIDEO #2
  • 5.
    HOUSING OPTIONS: LIVING WITHFAMILY 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 WITHFAMILY 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
  • 7.
  • 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 Publichousing 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
  • 10.
    SENIOR CENTERS AND ADULTDAY CARE CENTER
  • 11.
    SENIOR CENTERS AND ADULTDAY 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
  • 12.
    FINANCING OPTIONS FORCARE, BEYOND INSURANCE
  • 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
  • 14.
  • 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
  • 16.
    GET PAID FORYOUR CAREGIVING SERVICES
  • 17.
    GET PAID FORYOUR 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’SPERSONAL ® 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?
  • 19.
    ABOUT HOME INSTEADSENIOR CARE – LOCAL OFFICE Personal Care Home Helper Services • Bathing & Toileting • Provide Alzheimer’s care • Dressing • Assist with laundry and ironing • Grooming • Take out garbage • Aid with morning and wake-up Companionship Services • Arrange appointments • Provide respite care • Aid with reading, walking • Monitor diet and eating • Write letters and correspondence • Check food expirations • Change linens • Assist with evening and tuck-in • And more… • Stimulate mental awareness • Assist with entertaining © Home Instead, Inc. 2010. This information is proprietary and confidential to Home Instead, Inc. Unauthorized use is prohibited.
  • 20.
    Thank You! For additional information about this presentation or Home Instead Senior Care of the North Olympic Peninsula please contact your local office. Port Ludlow – (360) 437-9884 Port Townsend – (360) 385-6357 Sequim – (360) 681-2511 www.homeinstead.com/650 © Home Instead, Inc. 2010. This information is proprietary and confidential to Home Instead, Inc. Unauthorized use is prohibited.