Unpaid Caregiving and Aging in Place in the United States: Advancing the Value of Occupational Therapy

Author:

Fields Beth1,Rodakowski Juleen2,Jewell Vanessa D.3,Arthanat Sajay4,Park Melissa5,Piersol Catherine Verrier6,Schepens Niemiec Stacey L.7,Womack Jennifer8,Mroz Tracy M.9

Affiliation:

1. Beth Fields, PhD, OTR/L, BCG, is Assistant Professor, Department of Kinesiology, University of Wisconsin–Madison; befields2@wisc.edu

2. Juleen Rodakowski, OTD, MS, OTR/L, FAOTA, is Associate Professor, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA.

3. Vanessa D. Jewell, PhD, OTR/L, is Associate Professor, Department of Occupational Therapy, Creighton University, Omaha, NE.

4. Sajay Arthanat, PhD, OTR/L, ATP, is Professor, Department of Occupational Therapy, University of New Hampshire, Durham.

5. Melissa Park, PhD, is Associate Professor, School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada.

6. Catherine Verrier Piersol, PhD, OTR/L, FAOTA, is Professor, Department of Occupational Therapy, Thomas Jefferson University, Philadelphia, PA.

7. Stacey L. Schepens Niemiec, PhD, OTR/L, is Associate Professor, T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.

8. Jennifer Womack, PhD, OTR/L, FAOTA, is Professor, Division of Occupational Science and Occupational Therapy, University of North Carolina at Chapel Hill.

9. Tracy M. Mroz, PhD, OTR/L, is Assistant Professor, Department of Rehabilitation Medicine, University of Washington, Seattle.

Abstract

Abstract Unpaid caregivers are often expected to help family members or friends overcome activity limitations and participation restrictions to successfully age in place. Caregivers assume multiple responsibilities, such as managing their own physical and psychosocial needs and navigating a complex health care system, and many feel ill equipped to fulfill the necessary health care responsibilities for their care recipients. Underprepared caregivers may cause poor outcomes for care recipients. Federal and state policy proposals call attention to the need to better support caregivers, especially as their numbers increase. Occupational therapy practitioners are well positioned to effectively engage caregivers as they navigate the health care system. The occupational therapy process looks broadly at the functional abilities, environmental contexts, and occupational demands that play a pivotal role in successful aging in place for clients and better outcomes for their caregivers. Now is the time to define occupational therapy’s distinct value to this area.

Publisher

AOTA Press

Subject

Occupational Therapy

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