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VA TAKES BOLD STEPS TO IMPROVE SUPPORT FOR CAREGIVERS

News Sections: Caregivers, Health, Top Stories

Published On: June 3rd, 2022|645 words|2.2 min read|

Colleen M. Richardson, Psy.D., is the executive director of VA's Caregiver
Support Program

As part of the VA MISSION Act of 2018, VA’s Caregiver Support Program (CSP) has
undergone bold steps and improvements to enhance the program and increase access
to Veterans and their caregivers.

“President Biden has charged us with fighting like hell for Veterans, and that
includes their caregivers,” said VA Deputy Secretary Donald Remy. “We’ve come a
long way in supporting caregivers, and we have more work to do.”

EXPANDING SUPPORT FOR CAREGIVERS

In 2020, the Program of Comprehensive Assistance for Family Caregivers (PCAFC)
expanded to Veterans who served before May 5, 1975. This added over 22,000
caregivers of Veterans to PCAFC, more than doubling the program’s size. PCAFC is
set to expand to Veterans of all eras beginning October 1, 2022.

Additionally, the resources available in VA’s Program of General Caregivers
Support Services (PGCSS) – the core of VA’s caregiver support program – are also
undergoing enhancement and expansion.

REASSESSING PROCESSES, REDESIGNING CARE

As VA expanded PCAFC to new eras of Veterans under the MISSION Act, VA began
reassessing caregivers and Veterans already enrolled in PCAFC. Through this
reassessment process, it became apparent the new criteria may not meet the needs
of Post-9/11 Veterans and their family caregivers. At that point, VA put a halt
on discharges for all legacy applicants, legacy participants, and their family
caregiver based on reassessment; it also undertook an effort to put meaningful
solutions in place that will have an immediate and positive impact on the
caregivers and Veterans participating in PCAFC.

TAKING ACTION TO IMPROVE SUPPORT

Over the past several months, VA has taken the following actions:

 * Halted discharges for all legacy applicants, legacy participants, and their
   family caregiver based on reassessment. Legacy participants, legacy
   applicants and their family caregivers will remain enrolled in PCAFC and
   continue to receive support and services under PCAFC, unless revoked or
   discharged for a reason unrelated to the reassessment.
 * Engaged with Veteran Service Organizations, Military Service Organizations,
   caregivers, CSP staff and other strategic stakeholders via listening
   sessions.
 * Redesigned the PCAFC wellness contact process to better capture the caregiver
   and Veteran’s overall needs, and to decrease the length of the contact.
 * Expanded PCAFC to the Northern Mariana Islands, allowing access to caregivers
   supporting Veterans in all US States and Territories.
 * Expanded the definition of the Safety, Protection, and Instruction (SPI)
   standard, focusing on inclusivity.

VA is also actively working to:

 * Address the need for better transparency and understanding in PCAFC decisions
   by updating its notification letter to inform applicants of the granular
   reasoning behind approval or denial.
 * Streamline its approach to the PCAFC assessment process by reducing the
   number of questions to ease the burden of completing reassessments, and
   continuing to further simplify the assessment process.
 * Create a caregiver and Veteran experience survey that will be used to make
   ongoing improvements.
 * Work across CSP, Office of Mental Health and Suicide Prevention, Geriatrics
   and Extended Care and other VHA offices to provide wrap-around support to
   caregivers and Veterans in addition to expanding and enhancing the resources
   available in VA’s Program of General Caregivers Support Services (PGCSS).
 * Recruit staff needed to fulfill three CSP priorities: timely processing of
   new applications, appeals of disagreements, and support to caregivers.

There’s a lot to do to build on these steps, and we’ll continue to provide
updates throughout this process. VA will stop at nothing to make sure Veterans
and their caregivers get the support they need and deserve.

As VA’s Deputy Secretary Remy stated at a recent National Caregiver Convening,
“Trust is earned, it’s not given. We hope we can earn your trust through these
continued efforts as we work to be good caretakers of the caregiver program.”

FIND MORE INFORMATION ABOUT THE VA CAREGIVER SUPPORT PROGRAM HERE:

 * VA Caregiver Support Program website;
 * PCAFC reassessment news;
 * Find your local Caregiver Support Program team;
 * Sign up to receive email updates and information about VA Caregiver Support
   Program services.

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Keywords: Caregivers Program of Comprehensive Assistance for Family Caregivers
Program of General Caregivers Support Services VA Caregiver Support Program

SHARE THIS STORY, CHOOSE YOUR PLATFORM!





3 COMMENTS

 1. Elisa Zanni James June 6, 2022 at 1:16 pm - Reply
    
    This program has been a lifesaver for my husband, and allowed me to get at
    least a little stipend since I have to monitor him 24/7, handle and order
    all of his medical appointments, medication and needs. In the program since
    2014 at the highest tier, the feeling of betrayal after the reassessment
    when we found misrepresentation and lies on the record has been a lot to
    deal with. VISN 7 and 8 need to get it together. You can’t discharge a 100%
    P&T who doesn’t drive or handle meds, and has hallucinations and S.I. and
    also has a fiduciary because of incompetency. I am grateful for Dr.
    Richardson. She really understands our struggles and needs, and she can get
    this right and fair for all of us.

    
 2. Maria Davison June 6, 2022 at 9:40 am - Reply
    
    I love this program. They are vary great about including me In my husbands
    care and I applied for respite and get many days a year in help.
    
    The team at the hospital are a total lifesavers. Thank you!
    
    * Teresa June 8, 2022 at 7:14 pm - Reply
      
      None of this will help my husband and I if the pcp doesn’t document in
      their notes. I can’t make them and apparently denial is certain if there
      is no documentation by pcp.
    
      
    


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