Decisions: From Independent Households to Extended Family Households

You may recall the days when parents lived with their grown children (think The Walton’s).  Many cultures adopted this arrangement for financial or traditional reasons. Then an era of independence became more common.  I recall my grandmother wanting her own household in the sixties. Over time, changes in society have caused us to re-examine independent households in favor of extended family households.  The 2008 recession, living longer, and managing chronic conditions have been catalysts for change.  The fact is, living with family is becoming more popular.

Is it right for you?*

We spoke with a few families who have made the change.

Kathy and her husband, Richard lived very close to Kathy’s father, Bill.  The grandchildren enjoyed frequent visits to Grandpa’s house.

One day, they found Grandpa Bill unresponsive on the kitchen floor.  Fortunately, he was okay, but Kathy and Richard agreed it was enough of a scare to start the conversation. There was no reason why Dad couldn’t live with them.

It took Bill, a widower, a little while to get used to the idea. But when he thought about the future and his daughter’s responsibilities, he felt it would be a wise move.

“What really helped my father accept a new living arrangement was having a lot of control.  He helped hire an architect and Dad directed most of the in-law addition designing.  Dad was still sharp. He listened to our ideas, and he enjoyed the process.”

When I asked Kathy how they prepared to combine lifestyles, she said it was pretty easy.  Richard, the son-in-law, worked during the week and Kathy was able to spend some time with Dad.  When the weekend came, Grandpa Bill respected their family time.  Richard had no problems with his father-in-law being around. There were some shared meals, by invitation only. Grandpa Bill always knocked on their door in the morning just to say Hi and I’m okay.

What really worked out well is the in-law suite. It was very private and self-contained.  Hiring a good architect made all the difference, according to Kathy.

To finance the home addition, Grandpa Bill paid for most of it. Kathy and Richard were able to create an upper level master suite and bath, so they agreed to pay a portion of the renovation taking into consideration future home equity.

What didn’t work so well, according to Kathy, was her brother’s  response.

“During this time, my brother had to learn that I was the Executor of my Dad’s estate and that I was named as having Power of Attorney. I let my Father have that conversation with my brother.  But I knew my brother didn’t want the responsibility of caring for Dad full-time and everything that comes with it.  Eventually everyone came to terms with the financial implications.”

Parents Living with Dementia

Kathy’s family was blessed with a relatively smooth arrangement.

Other families have a more complicated situation. For instance, when memory loss affects one or both parents.

The person living with dementia may experience confusion, suspicions, and even more severe behavior issues. Some families assume resistance is stubbornness. Most of the time, it is fear of the change and a new environment.

The trigger to change living arrangements? When one-on-one caregiving becomes necessary, many older adults move in with their families.  Without some forethought, the primary caregiver, usually a daughter and her family, can find the arrangement burdensome to a point of compassion fatigue.

Did the Walton’s have the right idea? In our next blog, we will discuss questions, expectations and boundaries.

If you or someone you know is exploring living and care arrangements for a loved one, we can help make the transition a little easier. 571-488-9396 [email protected]

*Names are fictitious.




Local Mental Health Resources Are Available

I often find our local, northern Virginia government confusing and overwhelming.  We hope that if you need mental health resources that you will contact our Aging Life Care Professionals at 571-488-9396 or reach out to the entities below:

Local Resources:

  • Fairfax-Falls Church Community Services Board offers help for mental health, substance abuse, and developmental disabilities. Click here for a flyer on getting help during COVID-19, or call 703-383-8500 for more information and to apply for services.
  • Prince William County Community Services Board provides mental health, developmental disability, substance abuse, emergency services and early intervention programs for residents of Prince William County. You can visit their website for more information, or call 703-792-7373 (Woodbridge) or 703-792-5241 (Manassas) if you need assistance.
  • PRS provides skills training and supports to individuals living with mental illness, substance use disorders, mild intellectual disabilities, autism spectrum disorders  throughout Northern Virginia and in the District of Columbia. For more information on services offered in Virginia, call 703-536-9000 or click here.
  • If you need mental health support, or assistance with other essentials like finding food and paying rent/mortgage, dial 211 to be connected with someone who can help.

For Immediate Help:

  • Disaster Distress HelplineCall 1-800-985-5990 or text TalkWithUs to 66746.The Disaster Distress Helpline (DDH) provides crisis counseling and support for anyone in the U.S. experiencing distress or other behavioral health concerns related to any natural or human-caused disaster, including public health emergencies.
  • National Suicide Prevention LifelineCall 1-800-273-TALK (8255) or click here to chat online. Offers 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals.
  • Caregiver Help DeskContact Caregiver Action Network’s Care Support Team by dialing 855-227-3640. Staffed by caregiving experts, the Help Desk helps you find the right information you need to help you navigate your complex caregiving challenges. Caregiving experts are available 8:00 AM – 7:00 PM ET.  
  •   If you are in an emergency, call 911.

For LGBTQ+ Individuals:

  • LGBT National Help CenterCall 800-246-7743 or visit glbthotline.org. Offers a talkline and weekly chatrooms for youth, providing confidential peer-support, information, local resources and community. 
  • The Trevor ProjectCall 1-866-488-7386 or text START to 678678. A national 24-hour, toll free confidential suicide hotline for LGBTQ youth.
  • Trans LifelineDial 877-565-8860. Trans Lifeline’s Hotline is a peer support service run by trans people, for trans and questioning callers.

For Survivors of Assault and Abuse:

  • National Domestic Violence HotlineFor any victims and survivors who need support, call 1-800-799-7233 or 1-800-799-7233 for TTY, or if you’re unable to speak safely, you can log onto thehotline.org or text LOVEIS to 22522.

For Veterans

  • Veteran Crisis LineCall 1-(800) 273-8255 and press 1, text 838255, or click here to reach a qualified responder with the VA.

Please continue to take care of yourselves and each other, and remember that my office is here to help. Be sure to visit the COVID-19 page on my website for more information and resources. If you have any questions or concerns, or if you need assistance, please don’t hesitate to call us at (703) 256-3071.

Sincerely,

Gerald E. Connolly
Member of Congress