Skip to main content

State Responsibilities to Support Rural Caregiving: The Georgia Example

  • Chapter
  • First Online:
Rural Caregiving in the United States

Part of the book series: Caregiving: Research, Practice, Policy ((CARE))

  • 665 Accesses

Abstract

A number of key factors that limit the quality and use of formal community-based services in rural communities are documented in the literature. These barriers include a lack of program funding, an inadequate workforce supply, the geographic distance between service-providers and clients, and caregivers’ reluctance to use formal services and their lack of awareness and understanding about available services (Infeld, 2004; Morgan et al., 2002). Rural caregivers are less likely to use most formal services that might assist them in their caregiving efforts, supporting the overall observation that services are less available in rural areas (Easter Seals and National Alliance for Caregiving, 2006).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    Incorporated into the Older Americans Act as the National Family Caregiver Support Program, Title III, Part E, through reauthorization in 2000.

  2. 2.

    Researchers did not have data from POMP caregivers. Only data from self-directed caregivers were analyzed.

References

  • Easter Seals Disability Services & National Alliance for Caregiving. (2006). Caregiving in rural America, p. 7. Retrieved from www.easterseals.com/ruralcaregiving

  • Georgia State Plan on Aging. (2008). Georgia Department of Human Resources, Division of Aging Services, 13–14.

    Google Scholar 

  • Colaizzi, P. F. (1978). Psychological research as the phenomenologist views it. In R. S. Valle & M. King (Eds.), Existential-phenomenological alternatives for psychology (pp. 48–77). New York: Oxford University Press.

    Google Scholar 

  • Coward, R. T., Netzer, J. K., & Peek, C. W. (1998). Older rural African-Americans. In R. T. Howard & J. A. Krout (Eds.), Aging in rural settings: Life circumstances & distinctive features (pp. 167–185). New York: Springer.

    Google Scholar 

  • Doty, P., & Flanagan, S. (2002). Highlights: Inventory of consumer-directed support programs. Retrieved February 19, 2008, from http://aspe.hhs.gov/daltcp/reports/highlght.htm

  • Dwyer, J. W., Folts, W. E., & Rosenberg, E. (1994). Caregiving in social context. Educational Gerontology, 20, 615–631.

    Article  Google Scholar 

  • Feinberg, L. F., Wolkwitz, K., & Goldstein, C. (2006). Consumer direction in family caregiver support services (no. 2006–09). Washington, DC: National Center on Caregiving, Family Caregiver Alliance, and AARP Public Policy Institute.

    Google Scholar 

  • Fox-Grage, W., Coleman, B., & Blancato, R. (2001). Federal and state policy in family caregiving: Recent victories but uncertain future (policy brief #2). Retrieved February 20, 2008, from http://www.caregiver.org/caregiver/jsp/content/pdfs/op_2001_10_policybrief_2.pdf

  • Gamm, L. D., & Hutchison, L. (Eds.). (2004). Rural healthy people 2010: A companion document to healthy people 2010 (Vol. 3). College Station, TX: The Texas A & M University System Health Science Center, School of Rural Public Health, Southwest Rural Health Research Center.

    Google Scholar 

  • Hughes, S. L., Giobbie-Hurder, A., Weaver, F. M., Kubal, J. D., & Henderson, W. (1999). Relationships between caregiver burden and health-related quality of life. The Gerontologist, 39, 534–545.

    Article  PubMed  Google Scholar 

  • Infeld, D. (2004). States’ experiences implementing consumer-directed home and community services: Results of the 2004 survey of state administrators’ opinion survey and telephone interviews. Retrieved February 20, 2008, from http://www.caregiver.org/caregiver/jsp/content/pdfs/op_2001_10_policybrief_2.pdf

  • Jones, A., & Peters, T. J. (1992). Caring for elderly dependents: Effects on the carer’s quality of life. Psychology and Aging, 21, 421–428.

    Google Scholar 

  • Keicolt-Glaser, J. K., Dura, J. R., Speicher, C. E., Trask, O. J., & Glaser, R. (1991). Spousal caregivers of dementia victims: Longitudinal changes in immunity and health. Psychosomatic Medicine, 53, 345–362.

    Google Scholar 

  • Kodner, D. L. (2003). Consumer-directed services: Lessons and implications for integrated systems of care. International Journal of Integrated Care, 17. Retrieved January 1, 2007, from http://www.ijic.org/publish/articles/000137/article_content.htm

  • Krout, J. A. (1998). Services and service delivery in rural environments. In R. T. Coward & J. A. Krout (Eds.), Aging in rural settings: Life circumstances & distinctive features (pp. 247–266). New York: Springer.

    Google Scholar 

  • Kunkel, S. R., Applebaum, R. A., & Nelson, I. M. (2003–2004). For love and money: Paying family caregivers. Generations, 27, 74–80.

    Google Scholar 

  • Montgomery, R. J. V. (Ed.). (2002). A new look at community-based respite programs. New York: Haworth Press.

    Google Scholar 

  • Morgan, D. G., Semchuk, K. M., Stewart, N. J., & D’Arcy, C. (2002). Rural families caring for a relative with dementia: Barriers to use of formal services. Social Science & Medicine, 55, 1129–1142.

    Article  Google Scholar 

  • Nadash, P. (1998). Independent choices. American Rehabilitation, 24, 15–20.

    Google Scholar 

  • National Pace Association & National Rural Health Association. (2002). Setting the pace for rural elder care: A framework for action. Kansas City, MO: Authors. Retrieved February 28, 2008, from http://www.nrharural.org/pubs/pdf/PACEbrch.pdf.

    Google Scholar 

  • Pedlar, D. J., & Biegal, D. E. (1999). The impact of caregiver attitudes on the use of community services for dementia care. Journal of Applied Gerontology, 18, 201–221.

    Article  Google Scholar 

  • Roff, L. L., & Klemmack, D. L. (2003). The demographics of aging in rural perspective. Journal of Gerontological Social Work, 41, 19–35.

    Article  Google Scholar 

  • Scott, C. B. (1993). Circular victimization in the caregiving relationship. Western Journal of Nursing Research, 15, 230–245.

    Article  PubMed  Google Scholar 

  • Scott, K. (2002). Caregiving in Georgia: A state report from the Georgia caregiver resource center. Atlanta, GA: Division of Aging Services, Georgia Department of Human Resources.

    Google Scholar 

  • Shenk, D. (1998). Someone to lend a helping hand: Women growing old in rural America. Amsterdam: Overseas Publishers Association.

    Google Scholar 

  • Stoller, E. P. (1996). The role of the family in rural long-term care. In G. D. Rowles, J. E. Beaulieu, & W. W. Myers (Eds.), Long-term care for the rural elderly (pp. 35–63). New York: Springer.

    Google Scholar 

  • Stone, R. I. (2000). Long-term care for the elderly with disabilities: Current policy, emerging trends, and implications for the twenty-first century. New York: Millbank Memorial Fund.

    Google Scholar 

  • Tilly, J., Wiener, J. M., & Cuellar, A. E. (2000). Consumer-directed home and community-based service programs in five countries: Policy issues for older people and government. Generations, 24, 74–83.

    Google Scholar 

  • Young, H. M., & Sikma, S. K. (2003). Self-directed care: An evaluation. Policy, Politics & Nursing Practice, 4, 185–195.

    Article  Google Scholar 

Download references

Acknowledgments

 The authors would like to acknowledge Beverly Littlefield, Mary Ball, and Robert Adelman for helpful feedback on an earlier version of this manuscript.

We also wish to thank Michael Lepore, Ramani Sambhara, Keisha Jackson, and Mary Ball, researchers at the Gerontology Institute at Georgia State University, who participated in the Consumer-Directed Care Evaluation Study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Maria Greene MS .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Greene, M., Perkins, M.M., Scott, K., Burt, C. (2011). State Responsibilities to Support Rural Caregiving: The Georgia Example. In: Talley, R., Chwalisz, K., Buckwalter, K. (eds) Rural Caregiving in the United States. Caregiving: Research, Practice, Policy. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0302-9_12

Download citation

Publish with us

Policies and ethics