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Being a caregiver - even a family caregiver to a spouse, parent or loved one - requires many new skills and abilities. It can be demanding. Take advantage of these free caregiver training classes offered May 5 to October 7, 2008

Family Caregiving Training


The Family Caregiver
Read our Family Caregiver Support newsletter.

Financial Steps for Caregivers
What caregivers need to know about your own short and long-term financial security, including retirement.

Profiles of Low-Wage America
NPR's two-part segment on professional caregivers in the Phoenix area is a part of a series on low-wage jobs in America. Host is Noah Adams.

Washington's Link to Canadian Prescription Drugs


Program Goal
The goal of the Family Caregiver Support Program is to provide services that will support and sustain the primary, unpaid caregiver providing continuous care for a functionally disabled adult 18 years of age or older.

Who is Involved?
In 2000 the U. S. Congress enacted legislation establishing the National Family Caregiver Support Program as an amendment to the Older American's Act. The Washington State Legislature also appropriated funding for the statewide Family Caregiver Support Program with tremendous bipartisan support. Locally, Pierce County Aging and Long Term Care is responsible for creating a system of support services to address the unmet needs of family caregivers in our area.

Aging and Long Term Care is one of thirteen designated Area Agencies on Aging in Washington State. It is our responsibility to advocate for the rights of elders, and to manage long-term care programs that help older and disabled people to remain secure and independent.

What is the Scope of Caregiving Nationally?
America's health care system is heavily dependent on the direct care family caregivers provide, especially to the aged and people with chronic diseases and disabilities. According to a study published in Health Affairs (November, 1999), caregivers' contribution to the nation's health care system has enormous economic value, estimated at $196 billion annually, compared to $32 billion for paid home care and $83 billion spent on nursing home care. Their services significantly reduce costs to Medicare, Medicaid, and private payers. Without this immense unpaid work force, our fragile health care financing system would be even more strained.
Who are the Caregivers?
More than one quarter (26.6%) of the adult population has provided care to a family member or friend during the past year. Based on recent census data, that translates into more than 54 million people. It is estimated that over 750,000 individuals in Washington State are unpaid caregivers of a family member or friend. A typical caregiver today is a 46-year-old woman, married and working, who spends around 18 hours a week caring for her elderly mother. She is a member of the so-called 'Sandwich Generation.' The care recipient is often an aging parent, an ailing spouse, a disabled child or a friend suffering from a debilitating illness. A large number of these individuals may not identify themselves as 'caregivers,' but they are in fact responsible for providing care of individuals.
What is the Family Caregiver Support Program?
The Family Caregiver Support program is an effort to assist unpaid family caregivers, to provide them with the resources that will enable them to continue at-home care and make it possible for care recipients to continue to remain in their familiar environment.

Services We Provide

Respite Care:
Respite care is available both in and out of home and is provided by agencies contracted with Pierce County Aging & Long Term Care. Service cost is based on care recipient income and is provided on a sliding fee basis. For a married couple, the cost would be based upon 50% of their joint monthly income. Maximum dollar amount allowable varies depending on care levels provided.

Provides short-term relief to prevent burnout, as well as provides support during periods of stress or crisis. The service focuses on the needs of the caregiver, giving them time to take care of their own needs and pursue activities essential to maintaining a healthy, well-balanced life.

Housework & Errands Service:
Housework and errands services are available through providers contracted with Pierce County Aging & Long Term Care. Sliding fee scale applies. Annual expenditures for this service may not exceed $1,000 per caregiver in a 12-month period starting with the initial service. Limited to $500/yr. if also using Respite.

Housework includes basic home cleaning for areas normally maintained by the caregiver, e.g. cleaning kitchens and bathrooms, sweeping, vacuuming, mopping floors, dusting furniture, assistance with laundry. Home repair is not included.

Errands include trips that the caregiver is unable to perform due to caregiving including brief, occasional trips to local stores to pick up prescriptions and/or medical/personal care necessities, and other purposeful shopping trips.

Supplemental Services:
Services are available through providers contracted with Pierce County Aging & Long Term Care. No sliding fee scales apply. Annual expenditures for these services combined may not exceed $500 per caregiver in a 12-month period starting with the initial service.

  • Skilled Nursing Service: Assessment and/or hands-on training for the caregiver related to problematic illnesses and health issues of the care recipient.
  • Professional Health/Medical Consultation: One on one professional consultation focused on the individual caregiver's unique support needs. Includes: nurse, occupational or physical therapist, mental health professional, speech therapist or dietician.
  • Specialized Transportation: Limited transport for appointments and other essential trips to assist the caregiver in meeting the various needs of the care recipient.
  • Caregiver Counseling: Individual counseling to assist caregivers with problem solving and coping skills, depression and anxiety associated with their caregiving responsibilities.
  • Bath Assistance: Periodic bathing/ personal care of the care recipient to temporarily relieve the caregiver, and/or to provide training on proper bathing technique.
  • Minor Adaptive Equipment: Minor equipment such as grab bars, raised toilet seats, portable commodes, bath benches, etc., to assist the caregiver in meeting the normal daily activity needs of the care recipient. Additional assistive devices and services include Personal Emergency Response Systems (PERS) and the Alzheimer Association's Safe Return program.

Services for Relatives Raising Children:
Services for Relatives Raising Children is provided through the Child and Family Guidance Center in Tacoma. Services are provided on a no-cost basis, however donations are accepted. No advance authorization is needed. Call 253-565-4484.

A variety of support services are available to assist grandparents and other relatives living with and providing primary care to children 18 years of age or younger. Services include: family counseling, summer youth activities, and limited financial assistance to support participation in school / youth activities or to address basic needs (food, clothing, shelter and essential supplies) of an emergent nature.

Dimentia Support Services:
Services are provided through Good Samaritan Community Services. There is no cost for services, however, donations are accepted. No advance authorization is needed. Call 253-697-8575 to make a referral.

Dementia assessment and caregiver consultation is provided to assist the caregiver in managing difficult behaviors and improving coping skills.

A general caregiver support group is also available.

Family Caregiver Resource Center:
The Resource Center provides information and other resource materials designed to help unpaid caregivers understand their role and provide better care to their loved one. Materials available include pamphlets and brochures, books, and video tapes.

The Resource Center is located at Pierce County Aging & Long Term Care, 3580 Pacific Avenue - 1st Floor North, in Tacoma. For additional information, contact Senior Information & Assistance at (253) 798-4600.

What Can We Do for You?
Prior to service authorization, a case manager will visit to review caregiving needs in the home and how best to apply available funding in each particular circumstance. The role of the case manager is to assist caregivers and care recipients with the most appropriate mix of supportive services.

  • We are here to help you make informed choices and access services.
  • We review your needs and eligibility with you.
  • We help you develop a plan that addresses your health, housing, and safety needs.
  • Your case manager will regularly review your situation and help you make changes to the plan as needed.

To contact us, call (253) 798-4600 or 1-800-562-0332. We can answer your questions about the Family Caregiver Support Program and possible additional resources available to caregivers and care recipients.

Family Caregiver Support Groups
There are a number of support groups especially geared for family caregivers. Support groups serve a worthwhile function, allowing participants the opportunity to ask questions, learn from other's experiences, share successes and frustrations, or seek advice in a safe, supportive environment.

Support groups do not charge a fee to participate. Each group is unique, so if one group does not 'feel right,' another may meet your needs. For a current listing of support groups, contact the Senior Information and Assistance program at (253) 798-4600 or 1-800-562-0332, or online at www.pierceseniorinfo.org.

  • Relatives Raising Children Support Groups: For a current listing of support groups serving relatives raising children, contact the Child and Family Guidance Center at (253) 565-4484, ext. 104.


Complete details regarding eligibility, service options, and potential costs are available by contacting Pierce County Aging and Long Term Care Senior Information & Assistance.

Call us at 253-798-4600 or 1-800-562-0332 or contact us via email.
Office hours: 8:00 a.m. - 5:00 p.m. Monday - Friday


Family Caregiver Support
A program to help those caring for an ill or frail loved one.
Drug and Alcohol Treatment
Information on where to go for help in Pierce County.
Family Resource Coordination
Developmental Disabilities unit offers help for families and children with a developmental disability.
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Last Modified
Jun 11 2008 1:44PM