Proposed programs <strong>and</strong> services:• Education/ information sessions• Elder abuse information <strong>and</strong> linkages• Mind <strong>and</strong> wellness counselling/training• System navigation assistance including linkages to the broader health care system• Community outreach• Telephone line• <strong>Caregiver</strong> symposium.Goal: to generate 1,200 face to face visits <strong>and</strong> 1,500 telephone interactions.This initiative will also track the number <strong>and</strong> type of referrals from health <strong>and</strong> social service providers.Summary:A patient is discharged from the “formal” health care system, disappears from the accounting system <strong>and</strong>vanishes from the statistics of policies <strong>and</strong> practices horizon, but the cost has not gone away; it hassimply been shifted to the family. You can measure the cost of tangible equipment <strong>and</strong> hospital beds buthow do you measure the “cost” of countless hours spent with the care receiver, the inflexibility of havingto be “always there”? What is the cost in terms of time not spent with other loved ones, emotional <strong>and</strong>family instability? What is the personal cost of isolation, lack of confidence, lack of respect or fear? Whatis the toll of financial insecurity?The more families <strong>and</strong> friends in the <strong>Central</strong> <strong>East</strong> LHIN, <strong>and</strong> throughout Ontario, are required to do tosupport the health <strong>and</strong> well being of their loved ones, the more supports <strong>and</strong> assistance the <strong>Central</strong> <strong>East</strong>LHIN <strong>and</strong> the Province of Ontario must provide for these caregivers so that they have the capacity tomeet the challenges, the emotional strength to “weather the storms” <strong>and</strong> the financial security to maintainquality of life.“On one side you have highly trained, highly paid, highly specialized, highly regulated, <strong>and</strong> highlyrespected. On the other you have caregivers with no formal training, who learn on the job, have noorganization that represents them, no pay, no benefits, no support, <strong>and</strong> no regulations <strong>and</strong> areusually under-appreciated. If all informal caregivers booked off sick, the entire long-term care, ifnot the entire health system would collapse.” lxiv<strong>Caregiver</strong>s remain silent <strong>and</strong> invisible because they are generally too busy giving care to protest. If theemphasis is placed on keeping people out of institutions <strong>and</strong> caring for them at home, caregivers mustbecome a more recognized entity, provided with useable supports within the health care system. If propersupports are not placed with those caring for individuals in the home now, the result may be even greaterdem<strong>and</strong>s on the system from burned out, ailing caregivers in the future.<strong>Caregiver</strong>s have needs independent from the care receiver, yet, in most cases, the programs, theservices, the funding, the information <strong>and</strong> the education are all directly connected to the needs of the carerecipient. While some organizations fully acknowledge the caregiver as a full partner with the carereceiver in the provision of services, there may not be the resources available to support the caregiver.<strong>Caregiver</strong>s need a useable system to access information <strong>and</strong> educational opportunities. They need asingle point of access to find support <strong>and</strong> information. They need abundant opportunities for adequaterespite <strong>and</strong> they need financial compensation to remain viable in their care giving roles.36
<strong>Caregiver</strong>s’ contributions need to be recognized <strong>and</strong> their input needs to be valued. Their contributionsare enormous in their output of physical work, in their emotional support of those in their care <strong>and</strong> in theirrole in sustaining the economic health of the system, the province <strong>and</strong> the tax payer.In a health care system which places emphasis on providing care at home, there must be a commitmentto the people who provide that care at home <strong>and</strong> provisions in place to ensure that they are adequatelyacknowledged <strong>and</strong> supported.Ensuring that there are enough caregivers to attend to an aging population with compassion, confidence<strong>and</strong> quality care will be one of the biggest challenges ever faced by our society <strong>and</strong> our health caresystem. How successfully we meet that challenge depends on the care giving support decisions we maketoday <strong>and</strong> on the care giving actions we begin today in preparation for tomorrow.37