Abstract
Little is known about the population of caregiving youth in the United States. We sought to describe the participation rates, demographics, and caregiving tasks among sixth graders served by the American Association of Caregiving Youth (AACY) in its Caregiving Youth Project (CYP) in Palm Beach County, FL and evaluate the perceived benefit of AACY services. Sixth grade enrollment data from eight middle schools between 2007 and 2013 were obtained from The School District of Palm Beach County and the AACY. Data were obtained using a retrospective review of AACY program participant files. These files contained responses to evaluative questions from both students and family members. Overall, 2.2 % of sixth graders enrolled and participated in the program. Among the 396 caregiving sixth graders studied, care recipients were predominantly a grandparent (40.6 %) or parent (30.5 %). Common activities included providing company for the care recipient (85.6 %), emotional support (74.5 %), and assistance with mobility (46.7 %). Youth reported a median of 2.5 h caregiving on weekdays and 4 h on weekend days, while families reported fewer hours (1.6 and 2.3, respectively). At the end of the school year, the sixth graders reported improvement in school (85.5 %), caregiving knowledge (88.5 %), and self-esteem (89.5 %). Slightly over 2 % of sixth graders participated in the CYP. While support services may mitigate the negative effects of the time spent by caregiving youth, more prospective research is needed to better define the true prevalence, tasks, and time spent caregiving among this subpopulation.
Similar content being viewed by others
Abbreviations
- AACY:
-
American Association of Caregiving Youth
- CYP:
-
Caregiving Youth Project
- ADL:
-
Activities of daily living
- IADL:
-
Instrumental activities of daily living
- LOR:
-
Level of responsibility
- IQR:
-
Interquartile range
References
American Association of Caregiving Youth. (2015) Welcome to the American Association of Caregiving Youth. Retrieved from aacy.org.
Hunt, G., Levine, C. & Naiditch, L. (2005). Young caregivers in the US: Findings from a national survey. Retrieved from http://www.caregiving.org/data/youngcaregivers.pdf.
The National Alliance for Caregiving (NAC) and the AARP Public Policy Institute. (2015). 2015 report: Caregiving in the US. Retrieved from http://www.aarp.org/content/dam/aarp/ppi/2015/caregiving-in-the-us-research-report-2015.pdf.
Feinberg, L., Reinhard, S., Houser, A., & Choula, R. (2011). Valuing the invaluable: 2011 update—The economic value of family caregiving in 2009. Retrieved from http://www.aarp.org/relationships/caregiving/info-07-2011/valuing-fs.html.
Schulz, R., O’Brien, A. T., Bookwala, J., & Fleissner, K. (1995). Psychiatric and physical morbidity effects of dementia caregiving: Prevalence, correlates, and causes. Gerontologist, 35(6), 771–791.
Braun, M., Mikulincer, M., Rydall, A., Walsh, A., & Rodin, G. (2007). Hidden morbidity in cancer: Spouse caregivers. Journal of Clinical Oncology, 25(30), 4829–4834.
Adelman, R. D., Tmanova, L. L., Delgado, D., Dion, S., & Lachs, M. S. (2014). Caregiver burden: A clinical review. JAMA, 311(10), 1052–1060.
Fives, A, Kennan, D, Canavan, J, Brady, B, & Cairns, D. (2010). Study of Young Carers in the Irish population: Main report. Retrieved from http://www.childandfamilyresearch.ie/sites/www.childandfamilyresearch.ie/files/studyofyoungcarers-main_report.pdf.
The Children’s Society. (2013). Hidden from view: The experiences of young carers in England. Retrieved from: http://www.ccinform.co.uk/research/hidden-from-view-the-experiences-of-young-carers-in-england/.
Cass, B., Brennan, D., Thomson, C., et al. (2011). Young carers: Social policy impacts of the caring responsibilities of children and young adults, Report prepared for ARC Linkage Partners.
Legislation.gov.uk. Children and Families Act 201: Young carers and parent carers. Retrieved from http://www.legislation.gov.uk/ukpga/2014/6/part/5/crossheading/young-carers-and-parent-carers/enacted.
Carers Australia (n.d.).Young Carer Bursary Programme. What is the Young Carer Bursary Programme? Retrieved from http://bursaries.youngcarers.net.au/content/what-young-carer-bursary-programme.
Office for National Statistics. (2013). Providing unpaid care may have an adverse effect on young carers’ general health. Part of 2011 census, detailed characteristics for local authorities in England and Wales release. Retrieved from http://www.ons.gov.uk/ons/rel/census/2011-census-analysis/provision-of-unpaid-care-in-england-and-wales–2011/sty-unpaid-care.html.
Bray, J. R. (2012). Young carers in recipient of carer payment and carer allowance 2001 to 2006: Characteristics, experiences and post-care outcomes. Retrieved from https://www.dss.gov.au/sites/default/files/documents/02_2013/op47_text_print_ready.pdf.
United States Census Bureau. (2015). American Community Survey. Retrieved from http://www.census.gov/programs-surveys/acs/about.html.
American Association of Caregiving Youth. (2015). About us- our core values: Compassion, innovation, responsiveness, collaboration, empowerment. Retrieved from http://aacy.org/index.php/about-us1.
Siskowski, C. (2006). Young caregivers: Effect of family health situations on school performance. The Journal of School Nursing, 22, 163–169.
American Association of Caregiving Youth. (2015). Caregiving youth project. Retrieved from http://aacy.org/index.php/caregiving-youth-project-159.
Sable, J., Plotts, C., & Mitchell, L. (2010). Characteristics of the 100 largest public elementary and secondary school districts in the United States: 2008–09 (NCES 2011-301). US Department of Education, National Center for Education Statistics. Washington, DC: US Government Printing Office.
National Alliance for Caregiving and the American Association of Retired Persons. (1997). Family caregiving in the US: Findings from a National Survey. Retrieved from http://www.caregiving.org/pdf/research/finalreport97.pdf.
Corona, R., Stevens, L. F., Halfond, R. W., Shaffer, C. M., Reid-Quinones, K., & Gonzalez, T. (2012). A qualitative analysis of what Latino parents and adolescents think and feel about language brokering. Journal of Child and Family Studies, 21, 788–798.
Weisskirch, R. S. (2013). Family relationships, self-esteem, and self-efficacy among language brokering Mexican American emerging adults. Journal of Child and Family Studies, 22, 1147–1155.
Rainey, V. R., Flores, V., Morrison, R. G., David, E. J. R., & Silton, R. L. (2014). Mental health risk factors associated with childhood language brokering. Journal of Multilingual and Multicultural Development, 35, 463–478. doi:10.1080/01434632.2013.870180.
Roche, K. M., Lambert, S. F., Ghazarian, S. R., & Little, T. D. (2015). Adolescent language brokering in diverse contexts: Associations with parenting and parent–youth relationships in a new immigrant destination area. Journal of Youth and Adolescence, 44, 77–89.
Aldridge, J., & Becker, S. (1993). Children as carers. Archives of Disease in Childhood, 69(4), 459–462.
Cohen, D., Greene, J. A., Toyinbo, P. A., & Siskowski, C. T. (2012). Impact of family caregiving by youth on their psychological well-being: A latent trait analysis. The Journal of Behavioral Health Services & Research, 39, 245–256.
Dearden, C, & Becker S. (2000). Growing up caring: Vulnerability and transition to adulthood—Young carers’ experiences summary. Joseph Rowntree Foundation. Retrieved from http://www.jrf.org.uk/knowledge/findings/socialpolicy/630.asp.
Shifren, K. (Ed.). (2009). How caregiving affects development: Psychological implications for child, adolescent and adult caregivers. Washington, DC: American Psychological Association.
Thomas, N., Stainton, T., Jackson, S., Cheung, E. Y., Doubtfire, S., & Webb, A. (2003). “Your friends don’t understand”: Invisibility and unmet need in the lives of “young carers”. Child and Family Social Work, 8, 35–46.
Frank, J. (1995). Couldn’t care more: A study of young carers and their needs. The Children’s Society, London. Retrieved from http://www.youngcarer.com/sites/default/files/couldnt_care_more.pdf.
UK Department for Education. (2013). Working together to safeguard children: A guide to inter-agency working to safeguard and promote the welfare of children. Retrieved from http://webarchive.nationalarchives.gov.uk/20130401151715/https://www.education.gov.uk/publications/standard/publicationDetail/Page1/DFE-00030-2013.
Hagan, J. F., Shaw, J. S., & Duncan, P., (Eds.). (2008). Bright futures: Guidelines for health supervision of infants, children, and adolescents (3rd ed.). Pocket Guide. Elk Grove Village, IL: American Academy of Pediatrics. American Academy of Pediatrics. Bright futures: prevention and health promotion for infants, children, adolescents, and their families. https://brightfutures.aap.org/Pages/default.aspx.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
This article has never been published elsewhere, though an oral presentation of a preliminary dataset was presented at the American Academy of Pediatrics Annual Meeting in 2014. Afterwards, this presentation was highlighted in the lay media and in an AAP Newsletter article in March, 2015.
This manuscript is not under consideration with any other journals, and will not be submitted to any other journals while under your review. The authors are responsible for the reported research. We have participated in the concept and design, analysis and interpretation of data, and drafting or revising of the manuscript. Each of the authors has approved the final manuscript.
Conflict of interest
Connie Siskowski, RN, Ph.D. is the Founder and President of the American Association of Caregiving Youth for which she is paid a salary. She is a donor to the organization, sits on its Board of Directors and is an in-kind contributor of services. Her contribution as an author is above and beyond her formal job description and there is no expectation of remuneration for this work. Julia Belkowitz, MD has been a donor to the American Association for Caregiving Youth. Dr. Belkowitz is a member of the Advisory Council for the Caregiving Youth Project. The American Association of Caregiving Youth is a 501c3 non-profit corporation. The other authors have no conflicts of interest to disclose or relevant financial relationships.
Research Involving Human Participants
The portion of study involving review of the Caregiving Youth Project records was approved by the University of Miami Institutional Review Board and permission was Granted by the AACY.
Rights and permissions
About this article
Cite this article
Assaf, R.R., auf der Springe, J., Siskowski, C. et al. Participation Rates and Perceptions of Caregiving Youth Providing Home Health Care. J Community Health 41, 326–333 (2016). https://doi.org/10.1007/s10900-015-0100-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10900-015-0100-7