Find a starting point
How soon is help needed?
Choose a topic to explore. This is a planning tool, not an eligibility test or a placement decision.
Situation 1 · Planning ahead
Build a backup before it is needed.
Write down daily support needs, familiar routines, and people to contact. Ask about respite, in-home supports, and longer-term options. Check eligibility, approval, and availability rather than assuming a service is ready.
What is our backup if the main caregiver becomes unavailable?
The person, chosen supporters, APD, and any current support coordinator.
Situation 2 · Care cannot continue
Report the change with concrete examples.
Explain the caregiver’s health or capacity, which tasks cannot be done, and what alternatives have been tried. Ask APD whether a crisis review may be appropriate. APD decides whether its requirements are met.
What documentation is needed, and how do we submit it securely?
APD and, for someone already receiving iBudget services, the waiver support coordinator.
Situation 3 · Immediate danger
Use emergency help for an emergency.
If someone is in immediate danger or has a medical emergency, call 911. A waiver request is not an emergency-response service. Once immediate safety is addressed, involve the care team in planning the next supports.
Who can help coordinate support after the immediate emergency?
Emergency services now; the care team and APD for follow-up planning.
When a Caregiver Cannot Continue
Watch the video.
Choose a narration language in the player. Translations still being prepared are clearly marked.
Explore the video seriesTake a guide with you
Your next conversation, on one page.
Keep these six questions with you. Download a fillable PDF to type and save private notes, or print a copy for your meeting.
What has changed
- Which care tasks or hours are no longer manageable?
- What support is still available, and from whom?
Options & documentation
- Which supports could help now or in the future?
- What records does APD need to review the change?
Backup & follow-up
- Who will we call if the caregiver becomes unavailable?
- What is the next action, contact, and follow-up date?
Kreyòl ayisyen
Your notes stay in your saved file; they are not sent to Excellent Care. Share sensitive records only through the secure process your team provides.
Trusted information
Go further when you are ready.
Sources checked September 28, 2026. Processes and availability can change; confirm details with the responsible agency or care team.
