Amber AustinFSAP Practicum fall 2014

Providing EAP Support for Caregivers

“You can do anything, but not everything.” David Allen

The Inspiration for Future Research

Objectives

Explain who caregivers are and why they are important

Identify some of the duties and stresses these duties may cause

Provide Potential Workshops FSAP can offer to assist caregivers

Family Caregiving

It is estimated that over 44 million Americans ages 18 and older provide unpaid assistance and support

Estimated income at $300 billion annually (economic value)

(APA, 2011)

Expected Growth for Caregivers

Who is the Typical Caregiver?

Female, approximately 46, at least some college education and works 20+ hours a week providing unpaid care to someone 50+

Men are not excluded 21% of White and African American 18% Asian American 16% Hispanic American

(APA, 2011)

Duties include but not limited to

Cooking, cleaning, bathing, medical care adherence, monitoring, grocery shopping, transportation to appointments, activities of daily living (ADL)

Caregivers who provide for patients with Alzheimer's or Dementia often provide the most ADL services

The Impact of Caregiving

Increased physical ailments Weakened Immune SystemHigher Levels of Stress, Emotional and

Cognitive Problems40-70% have clinically significant symptoms

of depression ¼-1/2 of these meet diagnostic criteria for major depression

(APA, 2011)

The Impact of Caregiving

Caregivers who experience high levels of strain have the greatest physical/psychological health effects

Higher burden associated with if the care recipient has a mental disability or behavior disorder.

(Buyck, 2011)

The Importance of a Strong Support System

Social support is keyFamily, friends and physicians (nuclear and

extended)African Americans experience less

stress/depression and garner greater rewards Genogram*

(APA, 2011)

Integrated Healthcare

Emory’s Caregiver Program

Take Care of YourselfInvolve OthersMaintain a Social LifeTake Advantage of Services and

OrganizationsTalk About ItBenefits and Leave OptionsMeet other CaregiversFree Workshops

Potential Workshops For FSAP

Avoiding BurnoutCaregivers have 23% higher level of stress

hormones and 15% lower level of antibody responses than non-caregivers

Elevated stress hormones can lead to high blood pressure and glucose levels.

Clevevoya’s self compassion techniques

Remind the caregivers to take a rest and do something that they enjoy

Potential Workshops For FSAP

Avoiding BurnoutCaregivers have 23% higher level of stress

hormones and 15% lower level of antibody responses than non-caregivers

Elevated stress hormones can lead to high blood pressure and glucose levels.

Clevevoya’s self compassion techniques

Remind the caregivers to take a rest and do something that they enjoy

Time Management Create Weekly Schedules, plan down to the

hour Get started! Ask a friend to help motivate you Reward Yourself

Potential Workshops For FSAP

How to Deal With a Loved Ones Behavioral Problems

Dr. Lori’s Fiblets

Geropsychology : field in psychology that helps older persons and their families overcome problems, enhance well being, and achieve maximum potential

Examples: Biofeedback Physical Activity Healthy eating

(APA, 2005)

Potential Workshops For FSAP

References

Vitaliano, P. P., Scanlan, J. M., & Zhang, J. (2003). Is caregiving hazardous to one's physical health? A meta-analysis. Psychological Bulletin, 129(6), 946-972

Vogeli, C., Shields, A. E., Lee, T. A., Gibson, T. B., Marder, W. D., Weiss, K. B., et al. (2007). Multiple chronic conditions: prevalence, health consequences, and implications for quality, care management, and costs. Journal of General Internal Medicine, 22(Suppl 3), 391-395.

Buyck, J.-F., Bonnaud, S., Boumendil, A., Andrieu, S., Bonenfant, S., Goldberg, M., … Ankri, J. (2011). Informal Caregiving and Self-Reported Mental and Physical Health: Results From the Gazel Cohort Study. American Journal of Public Health, 101(10), 1971–1979. doi:10.2105/AJPH.2010.300044

Novetney, Amy. "Where Do the Hours Go?" GradPSYCH Mar. 2013: 26. Web

http://www.apa.org/pi/about/publications/caregivers/faq/index.aspx