Caregiving has emerged as a critical issue in the second half of the life cycle. With the growth of the older population, there have been dramatic increases in the number of people needing care and assistance. The responsibility for care typically falls on families at a time when they have limited resources to meet these needs. At a societal level, the need for care for growing numbers of disabled elders poses a major challenge for how to organize supportive services in an efficient and responsive system.

Bringing together multiple perspectives on caregiving, the authors' explore informal and formal family caregiving and the pivotal issue of how these systems interface and interact. An overview of this variation is provided by examining family caregiving from three perspectives:

* the effects of culture on helping patterns and family responsibility,

* how different disabilities affect patterns of family care, and

* longitudinal perspectives on the impact that caregiving has on family members.

part |168 pages

Informal Systems of Care

chapter |2 pages

Introduction to Part I

BySteven H. Zarit, Leonard I. Pearlin, K. Warner Schaie

chapter 1|26 pages

Caregivers of the Cognitively Impaired and the Disabled in Shanghai, China

ByYu Elena, William T. Liu, Zheng-Yu Wang, Paul S. Levy, Robert Katzman, Ming-Yuan Zhang, Qu Guang-Ya, Fen-Fui Chen

chapter |8 pages

Caregiving Families and Cross-Cultural Perspectives

ByRichard Morycz

chapter 4|32 pages

The Impact of Caregiving: Comparisons of Different Family Contexts and Experiences

ByWilliam R. Avison, R. Jay Turner, Samuel Noh, Kathy Nixon Speechley

chapter |12 pages

Issues in the Examination of the Caregiving Relationship

ByAnne Martin Matthews

chapter 5|22 pages

Changes in Depression Among Men and Women Caring for an Alzheimer’s Patient

ByRichard Schulz, Gail M. Williamson, Richard Morycz, David E. Biegel

chapter |14 pages

Caregiving Research: Juggling While Walking

ByMichael A. Smyer

chapter 6|14 pages

Research into Informal Caregiving: Current Perspectives and Future Directions

ByLeonard I. Pearlin, Steven H. Zarit

part II|148 pages

Formal Systems of Care

chapter |2 pages

Introduction to Part II

BySteven H. Zarit, Leonard I. Pearlin, K. Warner Schaie

chapter |8 pages

Are SHMOs Remedies to Bureaucracy?

ByDiane Brannon

chapter 8|16 pages

Québec Home-Care Services: A Program at the Local Community Level

ByLouise Lévesque

chapter 9|20 pages

Barriers to the Use of Formal Services Among Alzheimer’s Caregivers

ByJoseph T. Mullan

chapter 10|20 pages

Family Caregiving Policies: Insights from an Intensive Longitudinal Study

ByRosalie A. Kane, Joan Dobrof Penrod

chapter 11|14 pages

Family Caregiving: Integrating Informal and Formal Systems for Care

BySteven H. Zarit, Leonard I. Pearlin