Full Description
An understudied aspect of the HIV/AIDS epidemic is the creation of hundreds of thousands of grandparent-headed households that have become home to children bereft of one or both of their parents. Such "skip-generation parenting" presents a host of challenges to the families involved and the social programs designed to assist them. Despite this unprecedented caregiving responsibility, older surrogate parents remain relatively invisible, hidden in the shadows of HIV care and the demands of raising a child. The primary goal of Invisible Caregivers is to generate, support, and guide program and policy initiatives designed to meet the needs of elder surrogates and their families. Most social service programs are not able to identify the needs of older surrogates, often because these surrogate parents in HIV-infected families are reluctant to make their needs known for fear of social stigma or possible reductions of benefits. Multiple systemic barriers to case management and other services also frustrate attempts to bring available resources to elder caregivers.
These barriers include professional ignorance or denial that HIV affects surrogates, eligibility restrictions through CARE, limited funding and age restriction on OAA, and a fragmented health and human service system. Because the issues facing elder caregivers are many and varied, this collection covers a host of issues: community health, aging, HIV services, child welfare, education, public policy, and mental health.
Contents
Preface Acknowledgments List of Contributors 1. Introduction, by Daphne Joslin 2. Caregiving Profiles, by Carol Mevi-Triano and Elizabeth Paskas 3. Stigma, Isolation, and Support for HIV-Affected Elder Parental Surrogates, by Cynthia C. Poindexter 4. Death and Bereavement Issues, by Joan Levine-Perkell and Bert Hayslip, Jr. 5. Physical Health and Emotional Well-Being, by Daphne Joslin and Ruth Harrison 6. Stress and Social Support in Older Caregivers of Children with HIV/ADS: An intervention Model, by Phyllis Shanley Hansell et al. 7. Caring for the HIV-Infected Child, by Jenny Grosz 8. Their Second Chance: Grandparents Caring for Their Grandchildren, by Lockhart McKelvy and Barbara Draimin 9. Custody and Permanency Planning, by Jan Hudis and Jerome Brown 10. Case Management Challenges and Strategies, by Carol DeGraw 11. Caregivers and the Educational System, by Matilda B. Catarina 12. Immigrant and Migrant Families, by Terence I. Doran, Howard Lune, and Rachel Davis 13. Policy Implications for HIV-Affected Older Relative Caregivers, by Nathan L. Linsk, Cynthia C. Poindexter and Sally Mason 14. Global Implications, by Namposya Nampanya-Serpell 15. Conclusion, by Daphne Joslin Index
