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ATTACHMENT North Carolina Lifespan Respite Program Voucher Award Expiration Date: ___Issue Date:Name Address City, State, Zip Dear ___ We are pleased to provide you this Voucher for Respite Services.
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01
Gather information about the caregiver and the care recipient.
02
Assess the needs and preferences of both the caregiver and care recipient.
03
Develop a plan that meets the needs of both the caregiver and care recipient.
04
Identify available respite care services and resources.
05
Coordinate with the caregiver to schedule and implement the respite care plan.
06
Monitor the effectiveness of the respite care plan and make adjustments as needed.

Who needs implementing a caregiver-directed respite?

01
Caregivers who are experiencing burnout or stress from providing care to a loved one.
02
Caregivers who need a break from their caregiving responsibilities to attend to their own needs.
03
Care recipients who would benefit from being cared for by someone other than their primary caregiver for a period of time.
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Implementing a caregiver-directed respite involves providing temporary care for a person's loved one in order to give the caregiver a break and prevent burnout.
The caregiver or person responsible for providing care to a loved one is required to file implementing a caregiver-directed respite.
To fill out implementing a caregiver-directed respite, you must provide information about the person receiving care, the caregiver, the type of respite services needed, and any relevant medical history.
The purpose of implementing a caregiver-directed respite is to support caregivers in their role, prevent burnout, and ensure the well-being of both the caregiver and the person receiving care.
Information such as the name and age of the person receiving care, the caregiver's contact information, the type of respite services needed, and any relevant medical conditions must be reported on implementing a caregiver-directed respite.
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