Your Caregiver Relationship Contract: How to navigate the minefield of new roles and expectations

By Debra Hallisey – Advocate for Mom and Dad, LLC, 2019

This book is an invaluable resource for anyone who becomes (or anticipates becoming) a caregiver. Debra Hallisey writes from her own experience both as an adult daughter and as a professional caregiver. The “contract” she suggests is not written up with attorneys; rather, it’s a discussion (or discussions) between caregiver and cared-for to identify ways the recipient can benefit from support. The contract they create together at the start needs to be a living document, fluid enough to accommodate changing needs. For family caregivers, initiating this talk can be awkward; both parties are grieving life’s changes and this new reality and are feeling vulnerable. But creating the contract, Hallisey suggests, cements an understanding that will manage expectations for all concerned. Hallisey gives examples of ways to assess the person’s ability to undertake activities of daily living and how to assimilate the feelings that will come up along the way. She includes suggestions for role play and checklists. 

We want loved ones in our care to feel dignity and autonomy but often unwittingly strip that away by using the wrong language. To that end, this book illustrates for caregivers how to pose questions that are nonthreatening and gives us techniques to state our own needs without feeling (as much) guilt. Hallisey’s superpower is understanding the pitfalls of caregiving—like the temptations to try to parent our parents and to neglect self care and asking for help—and she tells us why these can cause resentment for both sides. Hallisey is with us every step of the way.