national family caregiver support .collected on the general population and uses the statewide

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  • NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM:

    NORTH DAKOTAS AMERICAN INDIAN CAREGIVERS

    Center for Rural Health

    UND School of Medicine and Health Sciences

    Funding for this research was provided by the North Dakota Department of Human Services, Aging Services Division.

    June 2003

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    Forward

    This report contains the American Indian Caregivers from five reservations in North Dakota as part of the National Family Caregivers Support Program. The report parallels data collected on the general population and uses the statewide survey as a benchmark. Both informal and grandparent caregivers are analyzed describing their characteristics, access to, attitudes toward and use of services in an effort to define avenues that will improve the quality of family caregivers. Center for Rural Health Contributors Dr. Richard L. Ludtke, PI Leander McDonald Lene Vallestad

    Center for Rural Health School of Medicine and Health Sciences University of North Dakota P.O. Box 9037 Grand Forks, North Dakota 58202-9037 Phone: (701) 777-3848 URL: http://medicine.nodak.edu/crh

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    TABLE OF CONTENTS

    PROJECT GOALS AND METHODS ...................................................................................1

    Strategy to Locate Caregivers................................................................................2 The Survey Tools...................................................................................................3 Data Collection. ......................................................................................................5 RESULTS ...............................................................................................................................6 INFORMAL CAREGIVERS..................................................................................................8 Length of Caregiving Experience. ........................................................................14 Difficulties Resulting from Caregiving. ...............................................................14 Access to Other Informal Caregivers....................................................................16 Availability of Services.........................................................................................17 Service Wants. ......................................................................................................18 Use Rates for Services. .........................................................................................19 Quality Ratings of Services. .................................................................................20 Availability of Caregiver Support Services. .........................................................21 Use of Caregiver Services.....................................................................................23 Quality Ratings for Services for Caregivers. ........................................................24 Services Provided by Caregivers ..........................................................................25 Valued Information...............................................................................................26 Impacts of Caregiving...........................................................................................27 GRANDPARENT CAREGIVERS.......................................................................................29 Reasons for Caregiving.........................................................................................29 Monetary and Non-monetary Support. .................................................................31

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    Special Needs in Children.....................................................................................31 Caregiver Characteristics ......................................................................................32 Caregiver Difficulties............................................................................................35 Family Supports. ...................................................................................................37 Services for the Child............................................................................................39 Services for the Caregiver.....................................................................................42 Services Provided by Grandparent Caregivers .....................................................46 Impacts of Caregiving...........................................................................................48 RESULTS SUMMARY........................................................................................................50 SOURCES.............................................................................................................................56 APPENDIX

    A. Informal Caregivers Mail Survey...................................................................................58

    B. Grandparent Survey Tool................................................................................................71

    C. Informal Caregiver Results Statewide General Population Compared with North Dakotas

    Indian Population...........................................................................................................91

    D. Grandparent Caregiver Survey Results........................................................................110

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    List of Tables

    Table Page

    1. Difficulties Experience by Informal Caregivers .............................................................15 2. Concerns Resulting from Caregiving..............................................................................16 3. Services for Elders Amount Those Lacking Them.........................................................19 4. Use Rates for Available Services....................................................................................20

    5. Ratings of Services .........................................................................................................21

    6. Service Wants Among Those Lacking Current Access..................................................23

    7. Ratings of Services for Caregivers .................................................................................24

    8. Services Provided and Desire for Assistance: Statewide and Reservation Populations26

    9. Information Considered Valuable...................................................................................27

    10. Impacts of Informal Caregiving......................................................................................28

    11. Top Five Reasons for Grandparent Caregiving ..............................................................30

    12. Main Special Needs Present in Children ........................................................................32

    13. Difficulties Experienced by Grandparent Caregivers .....................................................36

    14. Concerns of Grandparent Caregivers..............................................................................37

    15. Reasons that Others Dont Provide Care ........................................................................39

    16. Service Availability: Proportions with Access ..............................................................40

    17. Proportions without Access Who Would Like Services Available ................................40

    18. Proportion Using Available Services..............................................................................41

    19. Child Service Wants: Grandparent Caregivers ..............................................................41

    20. Ratings of Services for Children.....................................................................................42

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    21. Proportion of Grandparent Caregivers with Services Available.....................................43

    22. Proportion of Grandparent Caregivers Without Services Who Expressed a Desire to Have Them ...............................................................................................................................44

    23. Proportion of Grandparent Caregivers Using Available Services ..................................45

    24. Ratings of Services Provided to Grandparent Caregivers...............................................46

    25. Proportion of Grandparent Caregivers Providing Services ............................................47

    26. Kinds of Information Valued by Grandparent Caregivers..............................................48

    27. Changes Made as a Result of Caregiving .......................................................................49

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    List of Figures

    Figure Page

    1. The Caregivers ..................................................................................................................8

    The Caregivers: Cont. ..................................................................................................10

    2. Caregiver Recipients.........................................

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