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Respite Services

Respite services are temporary services designed to provide relief care for families of children or adults with special needs. Respite services can range from a few hours of relief care provided on a one-time basis to overnight or extended sessions. Care might be accessed on a regular or irregular basis and may be provided By family members, friends, community members, skilled care providers, or respite care professionals. Respite services are used By a diversity of communities (race, ethnic, age, sex, religion, etc.), and services often need to be tailored to the needs of each community. The majority of respite services are geared toward children, older adults, and adults with special needs. These services need to be additionally tailored depending on the cultural and linguistic needs of the population being served. With the growing diversity of communities, especially communities comprised of large numbers of immigrants and refugees, respite services have to be increasingly provided in a variety of languages and dialects and take into consideration the traditions, cultures, and beliefs of these communities.

Respite care has the primary goal of assisting families with caretaking responsibilities and needs. The caretakers of children or adults with special needs often experience serious problems or stress as a result of having to balance caretaking with other needs and responsibilities. Respite care provides a much-needed break and allows caretakers to attend to the needs of their children, spouses, or themselves. To this end, respite services provide temporary stress relief, improve family stability, and reduce the likelihood of abuse or neglect. Accessing respite services also helps to improve long-term family stability and reduces the need for out-of-home placements or residential care.

Respite services can be provided in the home or outside of the home in a special facility. For most families, in-home respite services are preferred to out-of-home services. There are several advantages to in-home respite such as (1) the care recipient might feel more comfortable at home and in a familiar setting; (2) the home is already set up to address the special needs of the child or adult; (3) cost is usually lower than out-of-home care, especially if a relative provides care; and (4) transportation is not a barrier to accessing treatment.

Typical Models of in-Home Respite

Model 1: In-home respite. In this model, respite care is provided in the home of the adult or child. The relief caregiver goes to the home of the primary caregiver and becomes familiar with the adult or child in his or her usual environment. The adult or child receiving care is not burdened By having to acclimate to a new environment or navigate transportation.

Model 2: Sitter-companion services. Sitter-companion services are provided By individuals who are trained to care for children or adults with special needs. Such services might be the project of a service organization or specialized nonprofit agency.

Model 3: Consumer-directed respite. This model involves having a friend or relative provide respite services to a care recipient. The difference with this model is that the care provider has been selected By the family and trained By a respite program or the family itself. In this model, the care provider might be paid or unpaid. If they are paid, it is often through a voucher program offered directly to family caregivers to allow them to locate, hire, train, and pay their own providers.

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