geriatrics
Respite Care
Introduction
Family caregivers play a key role in delaying and possibly preventing institutionalization of chronically ill older people. However, depending on the home situation and the needs of the older person, providing home care for a substantial period of time can be psychologically and physically demanding. Respite care is provision of temporary care by a substitute caregiver to provide relief to the regular caregiver. Over 50% of US states have respite programs. Programs may be provided in different settings: In the home by respite care agencies or by home health care agencies In the community by adult day care centers, respite care cooperatives, or freestanding respite facilities In a long-term care facility (eg, by board-and-care facilities or nursing homes) In a hospital Duration of care may vary (eg, limited to 28 days in a calendar year). Support comes from Medicaid (almost 50%), grants (25%), and private funds (25%). (See also Overview of Geriatric Care .) 