sandwich generation

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© 2013 Griswold International, LLC

A Time ofFamily Transition

& Reinvention

The


July isNational SandwichGenerationMonth

Caring Support & Solutions' purpose is to provide services

to ALL who care. We work with family caregivers, medical practices,

community providers, and most importantly healthcare consumers.

We specialize in providing innovative caring support to meet the specific needs of our clients

and anyone involved in the caring process.

Thank you for your courage, energy, and dedication!

Professional CaregiversHealthcare Providers

Family Caregivers Living in the Sandwich Generation



Our Goal for TodayValidate the challenges faced by all members of multigenerational families and provide tools that

drive effective planning, healthy transition, and positive solutions


Presented by:

Chris Kelly, MEd Director of Learning & DevelopmentGriswold Home Care

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Belena Butler, RN MSN CCMCare SpecialistCaring Support & Solutions, LLC

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Social Media

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Solutions Webinar & Toolkit


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Brainwriting is…• a fun, engaging way to brainstorm• sharing as many ideas as possible within a short timeframe Brainwriting Process• Listen for our questions• When prompted, enter your solutions using the webinar chat function• Don’t overthink or agonize…There are no right or wrong answers Brainwriting Outcomes• Peer-to-peer learning and sharing• A publication that benefits others who are living in the Sandwich Generation Important• Avoid sharing any information that you would not want others to see

BRAIN WRITINGSolutions

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About the “Sandwich Generation”

The term “Sandwich Generation” was coined by Dorothy Miller in 1981 and is defined as…

“A segment of the middle-aged generation that provides support to both young and older family members yet does not receive reciprocal support in exchange.” (D. Miller, 1981)

© 2013 Griswold International, LLChttp://sw.oxfordjournals.org/content/26/5/419.abstract

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A More Holistic Perspective


A challenging time where all three generations experience simultaneous life transition and role change:

DualCaregivers

“Mid-Life Transition”

Children

“Quarter-Life Transition”

AgingParents

“Late-Life Transition”

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Understanding the“Dual Caregiver”

A “Mid-Life Transition”

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Lit Review "When a child orfamily member needs careand there is no one but you

who can give it, it isimpossible to focus on work.The stress and worry aboutcaring for your child or the

elder who needs care isall-consuming.”

Dual caregiver quote(The Consulting Practice at Bright Horizons, 2013)

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Feel overwhelmed and exhausted from career and caregiver roles

Adjusting to new/ shifting family roles as children/ parents age

Feel the need to reinvent themselves given role changes but experience guilt…grief

Lament their own signs of aging and think more about mortality

Anxiety and depression

Financial pressures

Desire to focus on self

Little time for self

…All of this happeningduring a mid-life transition

CORE INSIGHTS

Lit ReviewA Time of Chaos, Transition and Reinvention

Workpressures

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Understanding the“Child”

A “Quarter-Life Transition”


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Lit Review “When young adultsemerge at graduation from

almost two decades of schooling,during which each step to take isclearly marked, they encounter anoverwhelming number of choices

regarding their careers, finances, homes,and social networks. Confronted by an

often shattering whirlwind of newresponsibilities, new liberties, and

new options, they feel helpless,panicked, indecisive,and apprehensive.”

Alexandria Robbins – Investigativejournalist and author

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Lament financial dependence on parents

Desire autonomy yet lack confidence

Feel Indecisive and uncertain about college/ career path

Struggle to find a job due to a poor economy

Overwhelmed with new/ increased responsibilities

Highest prevalence of anxiety and depression compared to family segments

Struggle to form new relationships

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CORE INSIGHTS

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© 2013 Griswold International, LLC© 2013 Griswold International, LLC

Understanding the“Older Adult orGrandparent”

A “Late-Life Transition”

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Lit Review“Half of older

Americans report havingsomeone they consider to bea caregiver in their lives –

and close to one-third(28 percent) of seniors say they

serve as a caregiver forsomeone else.”

http://bit.ly/18yHbLo

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Remain intheir home

Ability to adjust to change

To be productive

Financial security

Independence

Optimisticoutlook

Live in the moment; enjoy life

Stay active with friends

Value time with family

Not be a burden

Desire toget out

CORE INSIGHTS

Concerns aboutsafety

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Social Media


“My dad has Alzheimer’s, mom has heart trouble, mother in law has

emphysema...as the oldest children inboth families we are the ‘go to’ ones as well. I have an incredibly stressful jobon top of it all...I try and get my sibs involved and delegate responsibilities.

We made med books for them and keep them up to date. We involve the neighborsas well. I also have three kids, grandkids...

and their problems to deal with.”

Dual caregiver quote

http://bit.ly/14mX0lD

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Social Media

“I'm a 26 y.o. male, living at home with my dad and younger brother..

I have a bachelor's degree in businessadministration, but unfortunately alow paying job, student loan bills,credit card bills and car expenses haven't yet afforded me the ability

to move out on my own yet.”

Young adult child quote

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http://bit.ly/10pDHF3

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Social Media


“My one daughter has all these responsibilities with her job andshe has her children. I don't feel

that they should have to take care of us. They should see us more

because we are getting older. But like I said, they got big houses to

take care of. They got yards to keepclean and they're workaholics.”

Grandparent quote

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http://1.usa.gov/19Ia9VO

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“Many of us help older, sick, or disabled family members

and friends every day…we are glad to do this and feel rewarded by it, but if the demands are heavy, we

can also become exhausted and stressed. We think we should be able

to handle caregiving roles on top of busy work and family

schedules and begin to feel guilty and depressed as our

stamina wanes.”

Advocacy

http://bit.ly/14yNlZkQuote from a family caregiver

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"Role strain is

by far one of the

leading factors in a dual

caregiver role."

Advocacy"As a dual caregiver,

I feel guilty when I

can't be what I want

to be for myself

and others."

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Advocacy

© 2013 Griswold International, LLC© 2013 Griswold International, LLC© 2013 Griswold International, LLC© 2013 Griswold International, LLC© 2013 Griswold International, LLC© 2013 Griswold International, LLC© 2013 Griswold International, LLC

Social Worker or FamilyCoach/Therapist

Home Care

“Back-up” Caregivers (Friends/Family)

Geriatric CareManager

GuidanceCounselor/Job Coach

WellnessInstructor/

Coach

Financial Advisor

Family TransitionCare Team

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Breaking through the barriers to find real solutions


“Mourning is the first step towards Reinvention”

Kathryn Betts Adams, PhD, MSW (2013)http://www.psychologytoday.com/blog/mid-life-what-crisis/201305/mourning-and-reinvention-in-mid-life


Solutions Webinar Action Plan


Reflect

Learn

ShareandValidate

Plan

Act

Evaluate

Take the time to acknowledge and mourn losses. Write down hopes, goals, needs, and concerns.

Use the following toolkit to learn more about multigenerational family transition.

Hold a family meeting and have each member of the family unit share goals/needs/ concerns. A family therapist can play an important role in helping your family to work through transition. Friends can also be a great source of support for you and your family. Ensure that all members of the family feel heard/understood.

Develop a plan for reaching personal/family goals. Start small and set short-term realistic goals that can be achieved. Think about ways that the family can work together to achieve goals.

Put your plan into action. Expect bumps in the road. If this occurs, adjust your plan.

Set a date for a follow-up meeting and evaluate your progress. Celebrate success!



American Association forMarriage & Family Therapy

National Councilon Aging

http://bit.ly/15NJin8

The SandwichGeneration

http://bit.ly/124Q2uRhttp://bit.ly/11NSEld

For Health Providers:

Family SolutionsToolkit




Quarterlife Crisis QLC Message Boardshttp://bit.ly/13cpkrE

QLC Work Resourceshttp://bit.ly/18kScyUhttp://amzn.to/16F0WMi

Supporting Children:




Life Reimagined Caregiveraction.orghttp://bit.ly/112CxSv

Caregiver.orghttp://bit.ly/17DbZWQhttp://bit.ly/12rg0gc

AARP Videoshttp://bit.ly/11NSVEO

Caring Support & Solutionshttp://bit.ly/15ZLls3http://bit.ly/124QcCy

Supporting Dual Caregivers:


Caregiving.org



Eldercare.govhttp://1.usa.gov/17HUg4B

CDC.govhttp://1.usa.gov/1ame6SZ

http://bit.ly/15NLfA9 http://1.usa.gov/124QUzuhttp://bit.ly/19IcmAANCOA AARP USA.gov

Supporting Grandparents:



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http://bit.ly/17pE8B7AARP

http://on.wsj.com/1ameBMZWall Street Journal

http://bit.ly/12rhQxCCaregiver.org


Family MeetingTools


Key Takeaways

Points to remember

Sandwich Generation families are experiencing simultaneous life transitions and role changes

Effective communication, planning, and support are critical to successful family transition and positive outcomes

All segments of the Sandwich Generation family can benefit from education, tools, and support


Open Q&A

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