Are Rich and Famous Among the Concierge Clients Who Can Afford Long Term Care?

March 11, 2020

Four types of aging families can afford geriatric care management, home care, and long term care because they have financial resources, usually over a million dollars in assets. Part of this is drawn from Claudia Fine and Nick Newcombe excellent chapter ” Entitlement in the Aging Family”, Care Managers Working With the Aging Family, Jones and Bartlett)

Rich and Famous-Entitled Families:

These families are identified by the aging parents’ socioeconomic, financial and political prominence. ( example President Reagan)They are families in which all basic needs, services, resources, and creature comforts are obtained via income, assets, abundant discretionary cash flow and/or come from the political position, station or power. The entitlement of the family is passed from the parent to the child, like a virus, who in turn brings these behaviors and actions to the caregiving milieu and care management relationship.

Entitlement That Abuses Family With Riches

In this category, the entitlement arises out of a family that is accustomed to purchasing everything. They look to paid others to meet their needs (as opposed to families who must themselves find and orchestrate ways to meet basic and complex needs themselves or with the help of the extra-familial system). Often these families have household staff, i.e., nannies, butlers, drivers, private pilots, cooks, and maids. They may have available to the business and family lawyers and accountants, as well as, teams of medical professionals and concierge physicians. Consequently, in almost all situations they are uninvolved in processes, especially those that are difficult, stressful and time-consuming. ( Fine and Newcombe- Entitlement in the Aging Family, Care Managers Working with the Aging Family)

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Who They Are- 4 Types

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How to reach this target audience
How to design products that exactly meet Concierge Clients needs
How to obtain adult children’s buy-in
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What To Expect Narcissistic Entitled Families Who Call a Care Manager

March 10, 2020

Four types of aging families, who can afford geriatric care management and private duty home care as they have the financial resources, will call you to inquire about your services. You need to have excellent clinical skills to manage these families.

Two are dysfunctional aging families who take extensive psychodynamic skills. One is the narcissistic entitled family.

Part of this is drawn from Claudia Fine formerly of Senior Bridge and Nick Newcombe excellent chapter ” Entitlement in the Aging Family”, Care Managers Working With the Aging Family, Jones, and Bartlett)

Narcissistic-Entitled Families:

Entitlement in these families usually develop from a specific kind of “not good enough parenting” in which the parents themselves have struggled with personality disorders. Typically, in this type of family, narcissistic borderline personality .( example President Trump)the parent had a borderline personality that went undiagnosed or was formally diagnosed and untreated. The narcissistic or borderline parent essentially does not experience the child/children as separate and discreet from themselves and, moreover, uses the child/children to serve parental needs. This parent-child relationship is characterized by severe boundary issues in which seduction and abandonment are ever-present dynamics and where emotional unpredictability and instability are constant.

What Will Take Your Great Clinical Skills With These Families?

Fine and Newcombe point out the adult child finds him or herself in is either of two categories. They can be elevated to the” perfect” child in the mental health challenged mother or father’s eyes, so that the parent feels worthwhile.
These children grow up to be your client’s family and the person who usually calls the care manager. If they hire you they are demanding because they are afraid if they are not inflexible with you they will get nothing from your services.
Or the second category where the child is devalued by the parent so that the narcissistic entitled mother or father feels superior ” perfect” and all-powerful. They will present, according, to Claudia Fine and Nick Newcombe, as needy and insatiable, and easily ” injured” by the care manager who is attempting to help them.

Both types of adult children who interact with you are frequently angry to care for the parent who never cared for them, gave little to them as a child, thus demanding and needy themselves. All this repulsion comes from never having a mother or dad who was there for them so in response will be difficult family caregivers to work with.

( Fine and Newcombe- Entitlement in the Aging Family, Care Managers Working With the Aging Family)

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Who They Are- 4 Types

How to Locate them in your service area

How to create a strategic marketing plan to sell to them

How to Develop Gold Standard GCM Products and Services

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Start-Up Aging Life Geriatric Care Management-Have an Operational Design???

January 21, 2020

What is Organizational Design and Why Do Start-Ups Need to Do It?

IT Is the Framework that aging life or geriatric care management agency use for their business to:

Distinguish power and authority roles and
responsibilities
Show how information flows through the organization.
See future growth before a crisisWhat are the 3 basic Steps?

1.Organizational Structure

First, you tackle organizational structure.

Organizational structure is a system used to define a hierarchy within an organization. It identifies each job, its function and where it reports to within the organization. … The structure is illustrated using an organizational chart.

Second, you do your organization’s design

Once an organization has chosen its structure, you can move on to selecting the design. Organizational Design is the process by which managers assess the tasks, functions, and goals of the business, allowing them to make decisions about how to group people together to best and most efficiently achieve their objectives.

In the start-up aging life or geriatric management business, it is what is the Care Manager’s director’s role, job description and how their power and authority flows down to care managers. It follows with the care manager’s who report to her /him, it describes what is their roles, job descriptions and how they take direction from the Care Manager director, their supervisor. You should also add clinical supervision here. Then you design your Administrative Assistant’s role and marketing director’s role if you are going to hire one.

Create a Flow Chart

Following that, a flow-chart or organizational chart with administration and roles mapped out.

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Doing this is critical to your aging life or business success because you are designing the ” whole” and all the parts of your aging life or geriatric care agency and how power and authority flow through them -to give the most premium, concierge services to your client.

Check out my new Online GCM Business Class which includes 10 modules on starting your GCM Business including one module on Organizational Design with job descriptions for every role in a GCM agency, recruitment tools

Skills you will learn

GCM organizational design skills to create your business flow chart and job descriptions, and outline how power flows down your staff to deliver gold standard care to clients

GCM marketing survey skills to pinpoint your area’s upper 10% clients and 3rd-party referrals to market to, to make your business profitable
GCM competitive analysis skills to set the fee per hour your market will bear for your services and to gather information from each, to position your services vs your competition’s so clients will choose you
GCM timeline skills to identify and list (in a manageable, doable order), major tasks to complete before you open your business
GCM business planning skills to write a 13-part business plan to create a blueprint of measurable goals for your business’s financial success
GCM marketing skills to create a marketing plan to develop lead sources, conduct lead generation, launch social media and conduct content marketing to gain new customers
GCM sales skills to position your agency to sell your menu of services
through benefits to 3rd parties and clients through cold calling, 1-1 sales meetings, and inquiries, by knowing how to close the sale and sign the contract
GCM ALCA billing skills to develop a billing system that allows you to bill 85% of your time, control your cash flow, invoice promptly to make a profit
GCM financial forecasting skills to develop a 3-year financial forecast Excel spreadsheet to track your basic profit and expenses and to track the number of clients and billable hours needed to break even make a profit, pay back loans, hire new staff, and take a salary yourself
All this for an introductory price of $450.00, set for a start-up GCM Budget

What Types Concierge Clients Can Afford Paid Care Besides Donald Trump On the Holidays?

December 17, 2019

Types of aging families who can afford care management

Families who can afford geriatric care management and home care long term can do so because they have the financial resources, which are usually over a million dollars in assets.. Part of this is drawn from Claudia Fine and Nick Newcombe excellent chapter ” Entitlement in the Aging Family”, Care Managers Working With the Aging Family, Jones and Bartlett)

Narcissistic-Entitled Families:

Entitlement in these families usually develops from a specific kind of “not good enough parenting” in which the parents themselves have struggled with personality disorders, most typically, in this type of family, narcissistic borderline personality ( example President Trump)They struggled with a borderline personality that went undiagnosed or was formally diagnosed and untreated. The narcissistic or borderline parent essentially does not experience the child/children as separate and discreet from themselves and, moreover, uses the child/children to serve parental needs. This parent-child relationship is characterized by severe boundary issues in which seduction and abandonment are ever-present dynamics and where emotional unpredictability and instability are constant. ( Fine and Newcombe- Entitlement in the Aging Family, Care Managers Working With the Aging Family)

Rich and Famous-Entitled Families:

These families are identified by the parents’ socioeconomic, financial and political prominence. ( example President Reagan)They are families in which all basic needs, services, resources and creature comforts are obtained via income, assets, abundant discretionary cash flow and/or come from the political position, station or power. Once again, the entitlement of the family is passed from the parent to the child who in turn brings these behaviors and actions to the caregiving milieu and care management relationship. In this category, the entitlement arises out of a family that is accustomed to purchasing everything. They look to paid others to meet their needs (as opposed to families who must themselves find and orchestrate ways to meet basic and complex needs themselves or with the help of the extra-familial system). Often these families have household staff, i.e., nannies, butlers, drivers, private pilots, cooks, and maids. They may have available to the business and family lawyers and accountants, as well as, teams of medical professionals and concierge physicians. Consequently, in almost all situations they are uninvolved in processes, especially those that are difficult, stressful and time-consuming. ( Fine and Newcombe- Entitlement in the Aging Family, Care Managers Working With the Aging Family)

Well-heeled seniors,

according to the New York Times, may be middle-class retirees who buy shoes from Payless but have a defined pension can afford care at home when they need it and private care management. They rode the post-war economy, held jobs long term and through that defined pension (no 401K) face a very healthy financial picture in aging. They worked for city, county, state government are teachers, truck drivers, social workers or were union members in all trades. They had a career at Xerox, IBM, Campbell Soup and big Fortune 500 companies.

Professionals- Physician, Attorneys, CPAs

This group made a very healthy living during the late 20^th Century, probably had a defined pension and have very lucrative investments that allow them to afford home care and care management. They usually come from nearly normal families and have been well parented although you will find a mixture of dysfunctional aging families. Their adult children tend to be supportive of their parents, although again you will find a mixture of dysfunctional families in this category.

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Four Types of Aging Entitled Families Who Will Call a Care Manager on the Holiday

November 12, 2017

Four types of aging families, who can afford geriatric care management and home care long as they have the financial resources, will call you over the holidays. Mom is unable to pull off the ritual of either Thanksgiving, Hannukah, Christmas or New Years or usually all four.You need to have excellent clinical skills to manage these families- get them through the holiday season and stabilized as the ongoing client after the first of the year.

The first two are dysfunctional aging families and take extensive psychodynamic skills. The last two are nearly normal aging families must have the crisis solved and shown tools and resources to arrange care in the future. Many times they can handle themselves after you have established care and a GPS to access the future care they need. But they may also want to remain as your clients for you to manage their care.

Part of this is drawn from Claudia Fine and Nick Newcombe excellent chapter ” Entitlement in the Aging Family”, Care Managers Working With the Aging Family, Jones and Bartlett)

Narcissistic-Entitled Families:

Entitlement in these families usually develop from a specific kind of “not good enough parenting” in which the parents themselves have struggled with personality disorders, most typically, in this type of family, narcissistic borderline personality .( example President Trump)They struggled with borderline personality that went undiagnosed or was formally diagnosed and untreated. The narcissistic or borderline parent essentially does not experience the child/children as separate and discreet from themselves and, moreover, uses the child/children to serve parental needs. This parent-child relationship is characterized by severe boundary issues in which seduction and abandonment are ever-present dynamics and where emotional unpredictability and instability are constant. ( Fine and Newcombe- Entitlement in the Aging Family, Care Managers Working with the Aging Family)

Rich and Famous-Entitled Families:

These families are identified by the parents’ socioeconomic, financial and political prominence. ( example President Reagan)They are families in which all basic needs, services, resources and creature comforts are obtained via income, assets, abundant discretionary cash flow and/or come from the political position, station or power. Once again, the entitlement of the family is passed from the parent to the child who in turn brings these behaviors and actions to the caregiving milieu and care management relationship. In this category, the entitlement arises out of a family that is accustomed to purchasing everything. They look to paid others to meet their needs (as opposed to families who must themselves find and orchestrate ways to meet basic and complex needs themselves or with the help of the extra-familial system). Often these families have household staffs, i.e., nannies, butlers, drivers, private pilots, cooks, and maids. They may have available to the business and family lawyers and accountants, as well as, teams of medical professionals and concierge physicians. Consequently, in almost all situations they are uninvolved in processes, especially those that are difficult, stressful and time-consuming. ( Fine and Newcombe- Entitlement in the Aging Family, Care Managers Working with the Aging Family)

Well-heeled seniors,

According to the New York Times, may be middle-class retirees who buy shoes from Payless but have a defined pension can afford care at home when they need it and private care management. They rode the post-war economy, held jobs long term and through that defined pension (no 401K) face a very healthy financial picture in aging. They worked for city, county, state government are teachers, truck drivers, social workers or were union members in all trades. They had a career at Xerox, IBM, Campbell Soup and big Fortune 500 companies.

Professionals- Physician, Attorneys, CPAs

This group made a very healthy living during the late 20^th Century, probably had a defined pension and have very lucrative investments that allow them to afford home care and care management. They usually come from nearly normal families and have been well parented although you will find a mixture of dysfunctional aging families.Their adult children tend to be supportive of their parents, although again you will find a mixture of dysfunctional families in this category.