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Frequently Asked Questions about Congregational Care Teams

 
         
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  What is a Presbyterian care team?

A Presbyterian care team (PCT) provides a way for your congregation to respond to the real-life needs of individuals and families. This team is a group of volunteers working together to offer practical, emotional, and spiritual support to those in need. These needs may result from a developmental or physical disability, a prolonged physical or mental illness, limitations brought on by the aging process, or other life challenging situations, or, they may be temporary, due to an accident or episodic illness.
 
         
  Photo: As congregation members are aging, care teams are needed to provide support for individuals requiring assistance and for family caregivers.   Care team members receive training in how to appropriately handle sensitive issues and in suggested ways to respond in situations they may encounter. They work from an established and coordinated plan—always as part of a team effort. The team, as well as the care partner and appropriate family develop a plan unique to each care partner's individual needs and support requirements.  
     
  care teams do not replace the pastor and the care and spiritual comfort pastors share with members of their congregations. Care teams are intended to provide needed services that assist the care partner (the care recipient) in activities of daily living, whether the partner is at home, living with a relative or concerned other, or, residing in a nursing home situation.

As part of this team, you are empowered to use your particular gifts and available time to offer secondary care that is a concrete expression of the "hands and feet" of the gospel.
 
     
 
  What are some of the tangible things that care teams do?  
     
 

Care teams help with real life needs, such as:

  • Household chores
  • Yard work
  • Errands
  • Meals
  • Transportation
  • Respite care
  • Baby-sitting
  • Social outings
  • Phone calls
  • Ministry of being or presence
 
     
 
 

Who makes up a care team?

The team is made up of trained volunteers who are committed to working together on a team and following the guidelines of the Presbyterian care team community;

The team responds to the life needs of a person facing a life-challenging situation by providing services and assistance through special care (as distinct from care delivered by your pastor and professional medical care);

The team is clear about when and how it is able to respond to the needs of those served with the skills and time offered (working from a pre-arranged plan which spells out what services are appropriate and agreed upon confidentiality assurances, boundaries and limitations);

The team is organized. Members have established procedures for keeping one another informed of the implementation of the care plan and updated on any changes in the physical condition or living situation of the care partner.

 
     
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  Why are care teams needed?  
     
 
  • The number of persons with a long-term illness or needs arising from health issues at home is increasing.
  • Congregation members are living longer and many wish to continue to live independently as long as possible, through the use of support services.
  • Families with two wage earners often do not have the opportunity to provide routine services because of work schedules.
  • Fewer caregivers are available to care for the increasing number of persons with long-term needs.
  • Families and congregations often do not know how or where to find and organize volunteers to work with persons who have long-term needs.
  • Congregation members respond more readily to short-term crises.
 
     
 
 

How are Presbyterian care teams supported?

The Presbyterian care team community is a nation-wide system of congregationally-based care teams connected by a vision of encircling care and a shared approach to care team ministry. Working in tandem with other "caring" ministries such as pastoral care, parish nursing, and other health-related ministries, the Presbyterian care team design provides a framework to help congregations set up and structure a service that can touch, enhance and sustain the lives of many people.
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The Presbyterian care team community and individual Presbyterian care teams formed by congregations are sustained by regional trainers and consultants, national support staff, and, a Web page for resources, support, and linkages with others engaged in care team ministry.

 
     
 
 

How can a congregation develop care teams?

Each congregation is unique. The care team model begins with an evaluation of what is already happening in the congregation and an assessment of the needs, time and talent of all its members. Often a care team forms around a person known to some of the care team members. Other individuals are invited to join the team because of their gifts, interests and willingness to serve. The nature and size of the care team may change and adapt as circumstances and situations change.

A team approach can be integrated into any existing program such as homebound ministry, crisis ministry, deacon or outreach ministry, women's, men's, or youth programs.

The care team model provides an intentional framework allowing all members regardless of age, status, or condition to live out their discipleship as part of a caring community.

Leadership training is offered regionally throughout the United States to teach persons how to develop care teams in their congregations or communities.

 
     
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How do care teams work with parish nurses?

The health ministry of a parish nurse program in a local congregation can definitely be enhanced by the additional support of care teams. Often the parish nurse will identify needs for supportive care for families and individuals. The parish nurse assessment of the family or individual's situation would be vital information for the formation of effective care team outreach. Both ministries can be an integral part of the congregation's comprehensive strategy to care for persons with a wide range of holistic health care needs in any size congregation.

Here are just a few of the important collaborations of the parish nurse and a care team:

 
     
 
  • The parish nurse can serve as one part of a congregation's professional support and provide an ongoing professional nurse consultant to the care team and care partner. It is important to remember that the parish nurse does not provide direct hands-on nursing care to care partners such as wound care, medication administration, or baths. Parish nurses make referrals to community health nursing agencies and other services for direct nursing and health care services.
  • The parish nurse can assist the care partner in developing a long term care plan for receiving complete assistance with changing holistic health care needs. Additional community health services could be added to the situation as desired. This might help the care team avoid situations where needs and services become unmanageable or beyond the scope of the supportive secondary care of any care team.
  • The parish nurse can be a potential holistic health educator for the care team meetings and for individual members of the care team. For example, a parish nurse could provide educational topic discussions and support for grief and loss, a variety of new disease conditions in the life of a care partner, self care support for care team members, or information on community resources available.
  • A parish nurse can be one of the spiritual growth supports for the care team. The parish nurse could pray for the team, meet with care team members with spiritual questions as they care for others, and support the spiritual journey of the care partner.
  • The parish nurse can be an additional confidential communication link for care team, care partner, professional pastoral care staff, and the congregation, when appropriate. There are already meetings of parish nurse and other staff pastors for communicating ongoing care needs in the congregation. Care team reports could be added to the agenda of these ongoing meetings so that all remain informed of the important team ministry of all caring together in Christ's love!
 
     
 
  Additional questions and answers about congregational care teams  
     
 
  1. Doesn't my pastor already do the work of a care team?
 
 

Pastoral care is very different than the care delivered by a care team. Care team members, while often motivated from a "spiritual" place, provide services that assist their care partner in the activities which are a part of daily living, transportation, washing windows, grocery shopping, etc. While it is likely that prayer with your care partner may be a part of the time you spend together, as a care team member, your primary service will be through helping your partner with companionship and service.

 
     
 
  1. We already have a homebound ministry. Why do we need care teams?
 
 

Both homebound and care team ministries focus on the elderly and others who have long-term healthcare needs. Most congregational homebound ministry consists of monthly visits for emotional and spiritual support. If a person's needs are met by these visits, there really isn't a need for a care team for that individual. But if there is an on-going need for practical, as well as emotional and spiritual support, on a weekly or daily basis, a care team is a more effective way to organize ministry because of the increased frequency of need.

 
     
 
  1. How much time will I be expected to give to the care team?
 
 

There are no time requirements. You decide on a month-to-month basis how much time you have to give by taking responsibility for specific tasks requested by the care partner. For the sake of continuity, it is suggested that the care team covenants to work together for a year at a time. At the end of the year, team members may, if they wish, re-covenant for another year.

 
     
 
  1. How much training is involved?
 
 

Each local congregational care team trainer, after participating in a regional training session, determines the schedule and length of the training. Usually, the training is completed in one day or a couple of evening sessions. Training is followed by continuing education during regular team meetings.

 
     

 

  1. That doesn't sound like much training. Will I be ready to serve?
 
 

Remember that a care team does not provide either direct medical care or direct financial services. A care team provides secondary care, such as help with transportation or housekeeping.

The strength of the care team is in the team members, the care plan and the individual member commitment to follow the guidelines (including the boundaries and limits) of the program. You alone decide what you are ready to do, based on your abilities and the specific needs and requests of the care partner.

 
     
 
  1. Is there more than one care team model?
 
 

There is one basic model with an almost infinite number of variations. Care team ministry is an approach and is intended to be adapted by congregations to meet their needs. Care teams at other churches may operate differently than the care teams in your congregation. Those who substantially adapt the model should be careful that consideration is given to the various elements that make up this model and the suggested operating procedures.

 
     
 
  1. Where do I find a regional trainer?
 
 

The Office of Health Ministries maintains a list of regional care team trainers. To find one near you, either call the HM Office at (888) 728-7228, x8011or send us an email.

 
     
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