Rule 18-2-2.7 - FAMILY CAREGIVE SUPPORT PROGRAMA.Definition and PurposeRespite care is the providing of temporary relief time for the regular or primary caregiver (spouse, child, relative) of an ill, frail, infirmed, functionally impaired older individual or dementia patient that requires constant in-home care.
The purpose of respite care is to:
1. prevent, delay, or avoid premature or unnecessary institutionalization;3. prevent or reduce physical and emotional stress on the family;4. reduce and give the primary caregiver some much needed personal time away from home and the caregiver's role;5. prevent caregiver's burnout; and6. give the caregiver an interval of rest from the burden of constant care.B.EligibilityA family caregiver, grandparent or older individual who is a relative caregiver. Priority is given to older individuals with greatest social and economic need, (with particular attention to low-income older individuals) and older individuals providing care and support to persons with mental disability and related developmental disabilities.
C.Unit of Service:One unit of service equals one hour (1) of relief to the caregiver.
D.Minimum Program Requirements:Each service provider of Respite for the Family Caregiver Support Program must comply with the Minimum Program Requirements developed by the Division of Aging and Adult Services.
1.Service Activitiesa. The Respite Care worker must provide one or more of the following primary activities: feeding, personal care needs, companionship, support or general supervision.b. Respite Care is provided by placing a respite worker in the client's or caregiver's home; or the client can attend a local senior center.c. Institutional Respite can be provided by an approved adult day care center, licensed board and care home, nursing home or hospital.d. a minimum of one hour and no more that 32 hours per month, unless for emergency or unusual circumstances.2.Location of ServiceRespite services are provided in the caregiver/care recipient's home or a local senior center. Institutional Respite may be provided by one of the following:
a. DAAS approved adult day care center;b. Licensed board and care home;d. Hospital; and e. Trained Respite Care Worker.3.Access to ServiceThe caregiver may enter the service system at any point through an appropriate referral.
4.Delivery Characteristicsa. Each caregiver shall have a record to include: (1) Screening/intake/caregiver assessment;(3) Referral form, if applicable;(4) Authorization releases, where appropriate; a. to share information with emergency personnel b. to provide skilled services; and c. to provide recreational or medical emergency transportation.(5) Documentation of services provided, date and time, and respite worker's name providing the service; and(6) Notice of termination of service, if applicable. b. Respite services may be available day or night, seven days a week, including holidays, during the hours that will best meet the needs of the caregivers.c. Respite care at DAAS approved adult day care centers may be provided.d. Institutional respite at a licensed nursing home, licensed board and care or hospital may be available 24 hours a day within the planning and service area.e. If respite service is provided at any location other than the caregiver/care recipient's home under the FCSP, the care recipient must meet the requirements established by the program and the licensed facility. The licensed facility must meet the licensing requirements of the State Board of Health. f. The caregiver/care recipient shall be allowed the opportunity to contribute to the cost of the service. 5.Staffinga. There shall be a person responsible for the day-to-day operation of the service at the Area Agency on Aging.b. There must be an adequate number of staff to meet the goals of the program.c. The respite worker should: (1) have past experience in caring for someone who is ill, disabled or elderly;(2) have the ability to communicate with the caregiver/care recipient with speech/hearing or visual impairments; (No formal training is needed to detect a speech problem);(3) be able to maintain confidentiality;(4) have reliable transportation.d. It will be the responsibility of each provider agency to ensure that respite staff is available to provide various levels of care under the NFCSP.e. Annual training should consist of: (2) elderly abuse detection and prevention;(3) emergency procedures;(5) first aid, CPR and the Heimlich;(6) communication skills;(7) the Aging process; and(8) orientation to the Respite Program (policies and procedures). 6.Prohibited Service ActivitiesThe following activities are prohibited by the Respite Worker:
a. Use of caregiver/care recipient's cars.b. Consumption of caregivers' food or drink.c. Use of caregivers' telephones for any reason other than an emergency or respite related activities.d. Breach of caregivers' confidentiality.e. Acceptance of gifts or tips.f. Bringing friends or relatives of respite worker to caregivers' homes.g. Consumption of alcoholic beverages or drugs in caregivers' home or consumption of alcoholic beverages prior to or during service delivery to clients.h. Smoking in caregivers' homes.i. Solicitation of money or goods from caregivers.j. providing yard maintenance 7.MonitoringThe Bureau of Audit and Evaluation, Department of Human Services, shall monitor at least annually.
Older Americans Act of 1965, As Amended 2006 (Public Law 109-365), Section 373(e) (1)