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| | !<big>Caregivers can bear the financial costs of care</big> | | !<big>Caregivers can bear the financial costs of care</big> |
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| − | === '''Caregivers acquire reliable information and skills to perform care → Caregivers are equipped with information and skills on caregiving''' ===
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| − | === '''Caregivers are in physical health and psychosocial well-being''' '''→ Caregivers can sustainably care for disabled care recipients to the best of their capabilities and capacities''' ===
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| − | * '''There are some community-based support services for caregivers, though caregivers have difficulty finding time to access them — they continue to report stress from care work, and the need for self-care.'''
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| − | {| class="wikitable"
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| − | | style="width: 33.3%;" |'''<big>Programmes</big>'''
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| − | | style="width: 33.3%;" |'''<big>Gaps</big>'''
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| − | | style="width: 33.3%;" |'''<big>Ideas</big>'''
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| − | |'''[https://www.sgenable.sg/uploads/Caregiver%20Support%20Service%20Matrix.pdf Community Counselling/Emotional Support Services]'''
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| − | *14 agencies provide these services as of 02 August 2018
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| − | | rowspan="4" |Caregivers reported a lack of opportunity for respite, especially when care recipients require round-the-clock care.<ref>https://ink.library.smu.edu.sg/cgi/viewcontent.cgi?article=1007&context=lien_reports</ref>
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| − | *EM3 (Recommendation 13)
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| − | **To expand the continuum of support and respite options, including the implementation of caregiving leave, and to build trust between caregivers and formal respite services
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| − | **Ease access to counselling services, such as counsellors, social workers or volunteers - be it coming to terms with diagnoses of disabilities or assistance with job placement, social assistance and marriage counselling
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| − | **Create more opportunities for caregivers to meet each other as a source of informal support, such as leveraging existing support networks to reach out further
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| − | **For service providers to take family relationships into consideration, as family dynamics are affected if a member has a disability. This could mean designing
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| − | |'''[https://www.sgenable.sg/uploads/Caregiver%20Support%20Service%20Matrix.pdf Community Support Groups]'''
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| − | *13 agencies provide these services as of 02 August 2018
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| − | |'''[https://www.sgenable.sg/uploads/Caregiver%20Support%20Service%20Matrix.pdf Caregiver Activities in the Community]'''
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| − | *14 agencies provide these services as of 02 August 2018
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| − | |'''[http://www.cwa.org.sg/get-help/counselling Caregiving Welfare Association - Caregiver Counselling Services]'''
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| − | *For family caregivers providing care for a senior with physical or mental disabilities
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| − | |}
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| − | ==='''Caregivers can access financial support → Caregivers can bear the financial costs of care'''===
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| − | * '''Financial services such as tax reliefs, training subsidies and grants/concessions are available, though relative to the total expenses required to support a child/person with disability, it may not be enough.'''
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| − | {| class="wikitable"
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| − | | style="width: 33.3%;" |'''EXISTING RESOURCES'''
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| − | | style="width: 33.3%;" |'''GAPS AND THEIR CAUSES'''
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| − | | style="width: 33.3%;" |'''POSSIBLE SOLUTIONS'''
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| − | |'''[https://www.silverpages.sg/CTG Caregivers Training Grant]'''
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| − | *$200 annual subsidy for caregivers, per care recipient, every financial year, to attend training
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| − | |'''[https://www.aic.sg/financial-assistance/Home%20Caregiving%20Grant%20(HCG) Home Caregiving Grant]'''
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| − | *Replaced the Foreign Domestic Worker (FDW) Grant from October 2019.
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| − | *$200 monthly cash payout to support your loved ones with at least permanent moderate disability, i.e. always require some assistance to perform 3 or more Activities of Daily Living (ADLs). This grant can be used to defray the costs of caregiving expenses, such as the costs of eldercare and caregiver support services in the community, or hiring of a Foreign Domestic Worker (FDW).
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| − | | rowspan="2" |
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| − | *Even after subsidies, the remaining cost to hire an FDW is still more than many low-income families can afford<ref name=":16">https://ink.library.smu.edu.sg/cgi/viewcontent.cgi?article=1007&context=lien_reports</ref>
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| − | *Employers must be of sufficient mental capacity to hire an FDW, and cannot have a disability that impairs mental capacity to this degree<ref name=":16" /><ref>https://www.mom.gov.sg/passes-and-permits/work-permit-for-foreign-domestic-worker/eligibility-and-requirements/employer-requirements</ref>
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| − | |'''[https://www.silverpages.sg/financial-assistance/Foreign%20Domestic%20Worker%20(FDW)%20Levy%20Concession Foreign Domestic Worker Levy Concession]'''
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| − | *Lets families pay a monthly foreign domestic worker levy of just $60, instead of $265
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| − | |-
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| − | |'''[https://www.sgenable.sg/uploads/Caregiver%20Support%20Service%20Matrix.pdf Community Long Term Care / Financial Planning Services]'''
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| − | *4 agencies provide these services as of 02 August 2018
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| − | |Can we quantify how much financial schemes alleviate total expenses for caregiving? See Chia Ngee Choon’s [https://www.straitstimes.com/opinion/how-to-nudge-couples-to-have-more-kids op-ed] for example
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| − | |'''Additional Financial Support for Care Recipients with Disabilities'''
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| − | *'''[https://www.sgenable.sg/pages/content.aspx?path=/schemes/equipment-technology-home-retrofit/assistive-technology-fund/ Assistive Technology Fund (ATF)]'''
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| − | *(from 2020) '''[https://www.moh.gov.sg/careshieldlife/about-careshield-life CareShield Life]'''
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| − | *'''[https://www.moh.gov.sg/careshieldlife/about-eldershield ElderShield]'''
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| − | *'''[https://www.silverpages.sg/SMF Senior's Mobility and Enabling Fund]'''
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| − | *'''[https://www.msf.gov.sg/Comcare/Pages/default.aspx ComCare]'''
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| − | |'''[https://www.iras.gov.sg/IRASHome/Individuals/Locals/Working-Out-Your-Taxes/Deductions-for-Individuals/Qualifying-Child-Relief--QCR--/-Handicapped-Child-Relief--HCR-/ Handicapped Child Relief (HCR)]'''
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| − | *Eligibility: Child is below the age of 16, and parent earns less than $4,000, which includes income from bank interest, dividends and part-time jobs.
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| − | *$7,500 per child
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| − | *Raise or remove the 16-year old limit cap, in the case of single parents as marital breakdown is more common among parents of special needs children, and single parents from the middle/low income group will face additional stress to raise their children single-handedly
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| − | |}
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| − | ==='''Caregivers do future care planning → Caregivers are equipped with information and skills at different steps of the care journey'''===
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| − | *'''Although long-term care planning services exist, caregivers worry about the lack of supply of such services and the lack of options beyond loved ones in residential homes.'''
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| − | {| class="wikitable"
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| − | | style="width: 33.3%;" |'''EXISTING RESOURCES'''
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| − | | style="width: 33.3%;" |'''GAPS AND THEIR CAUSES'''
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| − | | style="width: 33.3%;" |'''POSSIBLE SOLUTIONS'''
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| − | |'''[https://www.sgenable.sg/pages/content.aspx?path=/caregiver-support/assisted-deputyship-2/ Assisted Deputyship Application Programme (ADAP)]'''
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| − | *Helps parents of graduating cohorts in Special Education (SPED) schools apply to Court to be deputies for their child, so that they can continue to make legal decisions for their child after he or she turns 21
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| − | *"Demand for affordable deputyship applications greatly exceeds supply of available help, including NUS Law undergraduates - in MINDS, the waiting list runs to a few hundred parents"
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| − | *EM3 (Recommendation 14)
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| − | **To simplify deputyship and Lasting Power of Attorney processes for caregivers
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| − | ***MINDS is heading a pilot to simplify deputyship applications for caregivers of graduating SPED students
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| − | *For the government to take up the mantle of facilitating deputyship applications, free-of-charge if possible
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| − | |-
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| − | |[https://www.sntc.org.sg/Pages/Home.aspx '''Special Needs Trust''' '''Company (SNTC) Trust''']
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| − | *Allows family members to set aside money and assets in SNTC accounts, and aims to safeguard these assets to enhance the beneficiary's financial security and well-being
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| − | *447 SNTC accounts have been opened, out of 117,000 estimated people who might require it ([http://www.straitstimes.com/singapore/few-set-up-trust-fund-to-care-for-kin-with-disabilities ST 29 Mar 2017])
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| − | *While caregivers acknowledged that SNTC was a good start, they were worried about the lack of options for future care needs and planning, beyond placing their loved ones in Adult Disability Homes<ref name=":122" />
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| − | |EM3 (Recommendation 14)
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| − | *To raise awareness of importance of legal, financial and care planning, and services.
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| − | **SNTC to continue expanding outreach to caregivers, and consider partnering agencies providing direct services to disabled people for more integrated and holistic support to caregivers
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| − | **Service providers, including the Office of the Public Guardian and Law Society, to educate caregivers on legal/financial matters such as applying for deputyship
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| − | **To create a system of support at caregivers' natural touchpoints, that would help them in future care planning such as identifying the next caregiver and transitioning of the caregiver role when the time comes, and including documenting and passing on caregiving knowledge.
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| − | *Enable disabled care recipients to make more independent decisions for themselves for the future, something which caregivers tend to do. Depending on the disability type and functioning level, some caregivers can unintentionally prevent their care recipients from learning useful independent living skills through mollycoddling.
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| − | |'''[https://www.sntc.org.sg/Pages/snss_about.aspx?MainMenu=Special%20Needs%20Savings%20Scheme Special Needs Savings Scheme]'''
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| − | *Enables parents to set aside CPF savings for the long term care of children with special needs
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| − | *Parents may nominate their loved one with special needs to receive a regular stream of fixed pay-outs upon the parent’s demise.
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| − | |}
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| | <references /> | | <references /> |