A caregiver can be one of the biggest barriers to doing a caregiver assessment. A trigger for a care manager to do a caregiver assessment is at the initial intake, when you begin services with the client. You will do a psychosocial and functional assessment on the care receiver and ask to do a caregiver assessment next visit, if the caregiver shows sign of stress and burnout.
But a large barrier to doing a caregiver assessment is whether the family caregiver will pay for this additional assessment process. In the initial intake visit, the GCM agrees contractually to assess the older client. To take this extra step and assess the caregiver makes the process more nuanced and expensive.
The caregiver may balk at both time and cost. One roadblock here is that many caregivers do not see themselves as caregivers but as family, so they may find the assessment confusing and unneeded. Often they do not see themselves as part of the client problem, but the major solution, so assessing them may be rejected. Caregivers also classically neglect themselvesand their own health in favor of the care receiver and so may balk at spending extra money to repair their own safety net.