Workforce · caregiver_recognition

Federal: Workforce

Official titleNational Family Caregivers Month

Federal · Relevance score 30 of 100 (tangential). low impact.

Informational only

This summary is informational and is not legal advice. Read the source text before acting on it.

The itemStructured facts, then the operational reading.

What this policy change does.

Jurisdiction
Federal
Published
November 26, 2024
Impact score
30 of 100, from analysis of the full text: tangential
Primary source
SAMHSA

Impact on your practice

This observance highlights the role of family caregivers in the mental health ecosystem but does not create new reimbursement, policy, or practice requirements. Therapists may use this as an opportunity to engage families in treatment, but it is not actionable policy.

Key facts

  • National Family Caregivers Month (November) recognizes unpaid family support roles
  • Includes family members providing care for mental health and substance use conditions
  • Acknowledges caregiver burden and support needs
  • Awareness initiative, not a funded program or policy change
The readingGenerated from the full source text, and labelled as analysis rather than fact.

What it would mean for a practice.

National Family Caregivers Month is a recognition initiative without direct reimbursement, policy mandate, or compliance requirements for your practice. However, the underlying acknowledgment that 53 million family caregivers provide $600 billion in unpaid annual care—much of it for mental health and substance use conditions—signals a federal gap you should understand: these families are doing clinical work without professional support, and many are experiencing caregiver burnout that directly affects treatment outcomes. Your patients' progress depends significantly on family system stability, yet most insurance plans do not reimburse family therapy or caregiver support services at rates that make this economically viable for practices. The RAISE Family Caregivers Act (2018) mandates development of a national strategy emphasizing person- and family-centered care, assessment involving caregivers, and respite options—but this is strategy-level language, not funded benefit expansion. You may see state-level movement toward caregiver support (Statewide Family Network grants are mentioned), but these do not directly change your coding, documentation, or reimbursement. The practical implication: family involvement remains undercompensated, and your ability to engage caregivers in meaningful treatment planning depends on your willingness to absorb the cost or your patients' ability to pay out-of-pocket. If you work with children and adolescents, caregiver burden is your treatment variable—but the system does not financially reward you for measuring or intervening on it.

Background

The federal government has long recognized family caregiving as economically and clinically essential, but without corresponding funding or insurance policy reform. The RAISE Act (2018) formalized this recognition by requiring HHS to develop a coordinated national strategy. Five years later, SAMHSA's Office of Recovery continues to highlight the gap: millions of families are providing care for loved ones with behavioral health conditions, experiencing financial strain, isolation, and burnout, while the mental health system treats them as adjuncts rather than stakeholders deserving reimbursable support. This observance reflects growing awareness that the behavioral health crisis (opioid epidemic, adolescent mental illness, aging dementia) cannot be addressed without addressing caregiver capacity and wellbeing. However, awareness does not equal funding. States have flexibility through grants and Medicaid to fund family supports, but federal infrastructure does not mandate parity-equivalent reimbursement for family therapy or caregiver counseling.

What you should do

  • Audit your current family engagement practices: Document how many sessions involve caregivers, which diagnoses benefit most from caregiver participation (note: children with serious emotional disturbance, adults with substance use disorders, and older adults with dementia show strongest outcomes), and whether you are coding and billing appropriately for family therapy vs. individual sessions. This is your baseline before any state-level policy shifts.
  • Review your state's Statewide Family Network grants and family caregiver support programs (typically run by state mental health or SAMHSA liaisons). Determine if your practice or local agencies can refer patients to free caregiver training, respite resources, or peer support—these may be available now and cost you nothing to integrate into discharge planning.
  • If you serve families with children with serious emotional disturbance or substance use disorders, ensure caregivers understand SSI eligibility for their children; SAMHSA provides education resources on this. Families often miss financial support opportunities because providers don't mention them.
  • Document caregiver burden and family system capacity as clinical variables in your treatment planning, even if you cannot bill separately for caregiver sessions under current insurance plans. This creates clinical evidence of family-centered care alignment with RAISE Act principles, which may support future credentialing, grant funding, or contracting discussions.
  • Monitor state Medicaid updates and managed care plan policies over the next 12-24 months. The federal emphasis on family-centered care and caregiver support often precedes state-level benefit expansions or carved-out funding for family therapy and caregiver respite services.

Notable excerpts

"Family caregivers are defined as family members or someone who is identified as 'family' who provide assistance and support to an individual with a chronic health condition – including mental health and substance use conditions, disability, or functional limitation." (SAMHSA, November 2024)
"It is currently estimated that 53 million American family caregivers are providing care to a loved one. The economic value of these unpaid caregivers equals approximately $600 billion per year." (SAMHSA, November 2024)
"In 2018, the RAISE (Recognize, Assist, Include, Support, & Engage) Family Caregivers Act was signed into law and directed the Secretary of the U.S. Department of Health and Human Services to develop a national family caregiving strategy." (SAMHSA, November 2024)
View full source text
Date: November 26, 2024 Category: Families & Caregivers By: Carol W. Cecil, MAEd., Public Health Advisor, Office of Recovery National Family Caregivers Month is celebrated each November to recognize and honor family caregivers across the country. Family caregivers are defined as family members or someone who is identified as “family” who provide assistance and support to an individual with a chronic health condition – including mental health and substance use conditions, disability, or functional limitation. This can include a variety of situations including but not limited to grandparents raising grandkids, teenage son or daughter assisting their parent with a significant health issue, and a parent who is raising their children while taking care of an elderly parent with dementia. As a parent/caregiver who raised four children, two of whom faced significant behavioral health challenges, I know firsthand how fulfilling, and how exhausting, it can be to raise a family, work full-time, run a household, and meet the specialized needs of children with disabilities. My family and I were fortunate to have a strong support system, including family, a church community, and providers who offered guidance and respite. Even with this support, caregiving impacted our mental wellness, daily decisions, and work-life balance. My own caregiving experience has been a driving force in my 25-year journey of supporting other caregivers and in my role today as a Public Health Advisor at SAMHSA’s Office of Recovery. It is currently estimated that 53 million American family caregivers are providing care to a loved one. The economic value of these unpaid caregivers equals approximately $600 billion per year. By 2034, for the first time in history, people over 65 will outnumber those under 18, making family caregivers even more essential. Providing care to a loved one can affect the caregiver in many complex ways: financial stressors, emotional exhaustion, physical fatigue, social isolation, relationship struggles and so much more. In 2018, the RAISE (Recognize, Assist, Include, Support, & Engage) Family Caregivers Act was signed into law and directed the Secretary of the U.S. Department of Health and Human Services to develop a national family caregiving strategy. An advisory council was created that includes both federal agency representatives as well as non-federal members who have lived experience or represent those with lived experience as family caregivers. The strategies include: - Promoting greater adoption of person- and family-centered care in all healthcare and long-term service and support settings, with the person and the family caregiver at the center of care teams; - Assessment and service planning (including care transitions and coordination) involving care recipients and family caregivers; - Information, education, training supports, referral, and care coordination; - Respite options; and - Financial security by addressing workplace issues. SAMHSA has long recognized that caregivers need special support to be successful and healthy while taking care of their loved ones and such supports may include: - Statewide Family Network grants provide financial infrastructure for statewide family-run organizations in supporting parents who are raising children, youth, and young adults with serious emotional disturbances (SED) and/or co-occurring disorders. - SSI Eligibility for Parents Caregivers (3 minutes, 52 seconds) video which provides parents and caregivers with a basic understanding of the Social Security Administration’s eligibility requirements for children under the Supplemental Security Income (SSI) program. - The “Talk. They Hear You” campaign aims to reduce underage drinking and other substance use among youths under the age of 21 by providing parents and caregivers with information and resources they need to address these issues with their children early and often. - Resources for Families Coping with Mental and Substance Use Disorders recognizes the importance family members play when their loved ones are experiencing changes in mood or behavior. Being able to offer support, family members can connect those in need with treatment, resources, and services to begin and stay on their recovery journey. SAMHSA’s Office of Recovery values the importance of family caregivers in supporting their loved ones on the journey of recovery. Since it was established two years ago, SAMHSA’s Program to Advance Recovery Knowledge (SPARK), has convened policy and practice meetings to improve caregiving supports, conducted training webinars on family supports, and encouraged the meaningful involvement of families in policy and practice improvements. Please join us in celebrating National Family Caregivers Month!
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Read the original policy source.

Primary source text, linked directly.

https://www.samhsa.gov/blog/national-family-caregivers-month

Analysis by
Therapy Companion policy engine
Confidence
high
Analyzed
July 28, 2026
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