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Action is needed to support family caregivers and acknowledge their significant contributions to community living for people with disabilities in the United States.) /Pg 7 0 R /K [16] >> endobj 33 0 obj << /Type /StructElem /S /H2 /T (Background) /E (Background) /Pg 7 0 R /K [11] >> endobj 34 0 obj << /Type /StructElem /S /Figure /P 24 0 R /Pg 7 0 R /K [18] >> endobj 35 0 obj << /Type /StructElem /S /Figure /P 24 0 R /Pg 7 0 R /K [19] >> endobj 36 0 obj << /Type /StructElem /S /Figure /P 24 0 R /Pg 7 0 R /K [20] >> endobj 37 0 obj << /Type /StructElem /S /Figure /P 24 0 R /Pg 7 0 R /K [21] >> endobj 38 0 obj << /Type /StructElem /S /Figure /P 24 0 R /Pg 7 0 R /K [22] >> endobj 39 0 obj << /Type /StructElem /S /Figure /P 24 0 R /Pg 7 0 R /K [23] >> endobj 40 0 obj << /Type /StructElem /S /Figure /P 24 0 R /Pg 7 0 R /K [24] >> endobj 41 0 obj << /Type /StructElem /S /Figure /P 24 0 R /Pg 7 0 R /K [25] >> endobj 42 0 obj << /Type /StructElem /S /Figure /P 24 0 R /Pg 7 0 R /K [26] >> endobj 43 0 obj << /Type /StructElem /S /Figure /P 24 0 R /Pg 7 0 R /K [27] >> endobj 44 0 obj << /Type /StructElem /S /P /E (About 53 million, or 1 in 5 Americans, are identified as family caregivers.) /Pg 7 0 R /K [1] >> endobj 45 0 obj << /Type /StructElem /S /P /E (Family caregiving is the most common source of care for people receiving care services and support at home.) /Pg 7 0 R /K [2] >> endobj 46 0 obj << /Type /StructElem /S /P /E (Family caregivers assist with activities of daily living and health and medication management.) /Pg 7 0 R /K [3] >> endobj 47 0 obj << /Type /StructElem /S /P /E (Many caregivers perform complex caregiving tasks, frequently with limited access to training and assistance.) /Pg 7 0 R /K [4] >> endobj 48 0 obj << /Type /StructElem /S /H2 /T (Contributions of Family Caregivers) /E (Contributions of Family Caregivers) /Pg 7 0 R /K [12] >> endobj 49 0 obj << /Type /StructElem /S /Figure /P 24 0 R /Pg 7 0 R /K [28] >> endobj 50 0 obj << /Type /StructElem /S /Figure /P 24 0 R /Pg 7 0 R /K [29] >> endobj 51 0 obj << /Type /StructElem /S /P /E (The estimated value of care provided by family caregivers in the United States is $600 billion.) /Pg 7 0 R /K [5] >> endobj 52 0 obj << /Type /StructElem /S /P /E (Family caregiving enables people with disabilities to live in their own homes ) /Pg 7 0 R /K [6] >> endobj 53 0 obj << /Type /StructElem /S /P /E (and communities.) /Pg 7 0 R /K [7] >> endobj 54 0 obj << /Type /StructElem /S /Figure /P 24 0 R /Pg 7 0 R /K [30] >> endobj 55 0 obj << /Type /StructElem /S /P /E (Family caregiving empowers people with disabilities to choose trusted caregivers, supporting person-centered care.) /Pg 7 0 R /K [8] >> endobj 56 0 obj << /Type /StructElem /S /Figure /P 24 0 R /Pg 7 0 R /K [31] >> endobj 57 0 obj << /Type /StructElem /S /P /E (Family involvement in care at home may improve recipient outcomes \(like ) /Pg 7 0 R /K [9] >> endobj 58 0 obj << /Type /StructElem /S /P /E (reduced emergency department use\).) /Pg 7 0 R /K [10] >> endobj 59 0 obj << /Type /StructElem /S /P /E (Caregiving May Create Physical, Emotional and Financial Strain) /Pg 8 0 R /K [0] >> endobj 60 0 obj << /Type /StructElem /S /P /E (While many family caregivers report a sense of purpose and meaning in caregiving, they may also experience physical, emotional and financial strain due to their caregiving role. ) /Pg 8 0 R /K [1] >> endobj 61 0 obj << /Type /StructElem /S /Figure /P 25 0 R /Pg 8 0 R /K [19] >> endobj 62 0 obj << /Type /StructElem /S /P /E (Physical Strain) /Pg 8 0 R /K [10] >> endobj 63 0 obj << /Type /StructElem /S /P /E (Family caregiving is associated with reports of physical difficulty by caregivers, lower levels of subjective well-being, and increased risk of heart disease among women.) /Pg 8 0 R /K [9] >> endobj 64 0 obj << /Type /StructElem /S /Figure /P 25 0 R /Pg 8 0 R /K [20] >> endobj 65 0 obj << /Type /StructElem /S /P /E (Emotional Strain) /Pg 8 0 R /K [5] >> endobj 66 0 obj << /Type /StructElem /S /P /E (Family caregivers may experience negative mental health outcomes, such as depression and psychological distress, depression or anxiety.) /Pg 8 0 R /K [6] >> endobj 67 0 obj << /Type /StructElem /S /Figure /P 25 0 R /Pg 8 0 R /K [21] >> endobj 68 0 obj << /Type /StructElem /S /P /E (Financial Strain) /Pg 8 0 R /K [7] >> endobj 69 0 obj << /Type /StructElem /S /P /E (Family caregivers may face a higher likelihood of financial difficulty, difficulty paying bills, and food insecurity.) /Pg 8 0 R /K [8] >> endobj 70 0 obj << /Type /StructElem /S /P /E (Furthermore, studies have shown that poor caregiver outcomes may also increase nursing home ) /Pg 8 0 R /K [2] >> endobj 71 0 obj << /Type /StructElem /S /P /E (placement of care recipients.) /Pg 8 0 R /K [3] >> endobj 72 0 obj << /Type /StructElem /S /P /E (Beyond improving the life and wellbeing of family caregivers who provide valuable assistance to friends and family living at home, improving family caregiver outcomes may also delay institutionalization and extend community living for people with disabilities. ) /Pg 8 0 R /K [4] >> endobj 73 0 obj << /Type /StructElem /S /P /E (Ways to Support Family Caregivers) /Pg 8 0 R /K [11] >> endobj 74 0 obj << /Type /StructElem /S /P /E (One of the most prominent recent initiatives to support family caregivers is the Recognize, Assist, Include, Support, and Engage \(RAISE\) Family Caregivers Act and the resulting 2022 National Strategy to Support Family Caregivers created under the Act. ) /Pg 8 0 R /K [12] >> endobj 75 0 obj << /Type /StructElem /S /P /E (Recommendations from the National Strategy include:) /Pg 8 0 R /K [13] >> endobj 76 0 obj << /Type /StructElem /S /P /P 114 0 R /E (Increase awareness and outreach) /Pg 8 0 R /K [14] >> endobj 77 0 obj << /Type /StructElem /S /P /P 115 0 R /E (Advance partnerships and engagement with family caregivers) /Pg 8 0 R /K [15] >> endobj 78 0 obj << /Type /StructElem /S /P /P 116 0 R /E (Strengthen 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Expanding funding of respite programs and strengthening of respite care workforces \(e.g., respite volunteers, direct care workers\) helps ensure that family caregivers have access to the respite supports they need.) /E (Increase Access to Respite Care Respite care is frequently requested by caregivers. Expanding funding of respite programs and strengthening of respite care workforces \(e.g., respite volunteers, direct care workers\) helps ensure that family caregivers have access to the respite supports they need.) /Pg 9 0 R /K [2] >> endobj 84 0 obj << /Type /StructElem /S /H1 /T (Address the Direct Care Workforce Shortage A strong direct care workforce ensures accessibility of respite care services. Improving the supply of direct care workers also improves the accessibility and affordability of paid support, when needed by family caregivers and/or care recipients.) /E (Address the Direct Care Workforce Shortage A strong direct care workforce ensures accessibility of respite care services. 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