Things You Should Know

Support group participation

The more actively support group members participate in the group:

  • The higher their levels of satisfaction
  • The greater their coping skills
  • The more positive their attitude toward the problem or issue

Barriers to participation in support groups

  • reluctance to disclose personal problems to strangers
  • perception of joining a group as a sign of weakness
  • fear of becoming overwhelmed by other people's problems
  • lack of information on availability of groups
  • lack of support from family and friends
  • lack of information on how to start a group
  • geographic distance
  • age — older adults are less likely to seek outside help
  • ethno-cultural background
  • mobility restrictions
  • Traditional support groups and self-help groups
    These are usually informal groups of individuals with similar concerns who meet, on a regular basis, to exchange information and provide peer support. The group leader may be a peer or a professional facilitator. The group may be self-organized or part of a larger organization.
  • Telephone networks
    Telephone networks can be particularly effective for people who need one-on-one support but are unable to attend regular support group meetings.
  • Self-help networks
    Self-help networks consist of support groups that have banded together to form a larger organization. This usually provides a strong base for fundraising initiatives and advocacy and lobbying activities. Self-help networks usually have a single focus or cover a specific geographic location.
  • Self-advocacy groups
    Self-advocacy groups focus on educating the public about the group's priority issues and lobbying decision-makers to bring about legislative, policy and program changes and initiatives.
  • Online support and self-help groups
    • Discussion groups on the Internet
      Individuals can post messages and respond to messages on bulletin boards or enter "live" chat rooms.
    • Newsgroups on e-mail
      Individuals can post and respond to messages on bulletin boards.
    • E-mail mailing lists
      Subscribers to a specific e-mail account share ideas, feelings and information.

Successful support groups

  • provide a safe, secure, welcoming environment
  • respect the confidentiality of members' discussions
  • encourage members to be respectful towards each other
  • emphasize emotional support and practical coping skills and strategies
  • encourage active participation and active listening on the part of all members
  • encourage members to give and receive help
  • are open to all members of the public who share a common experience
  • hold meetings on a regular basis, preferably free of charge
  • have an organizational framework
  • are run by and for group members
  • use peer members as facilitators and educators
  • invite professionals to participate as guest speakers and to play a consultative role
  • have strong community links
  • share their collective knowledge about a wide range of resources

How to Care: Locating a Support Group


Questions to ask

  • Is this the right group for you? Does it address your concerns?
  • Do you need to meet face to face with others?
  • Will telephone or online support suffice?
  • Are you comfortable sharing your intimate feelings with others?
  • Are you willing to listen to other people's difficulties?
  • Are you deriving benefit from the group?
  • Does the group leader maintain control or do meetings lose focus, leaving you frustrated?

Note: Too many caregivers claim they don't have the time to attend support groups. Please make the time; it's critical for your survival.

Steps to take

  • Determine what you need from a support group.
  • Find out if there is an existing group that meets your needs.
  • Discover sources of information about support groups
    • self-help clearinghouses and resource centres
    • social service agencies
    • volunteer bureaus
    • community agencies
    • health, disease and disability associations
    • seniors' centres
    • churches and other religious institutions
    • hospitals, clinics and healthcare facilities
    • professional therapists
    • newspaper listings
    • community services directories
    • community services listings
    • the Internet
  • Visit support groups with similar concerns
  • Join the group that best meets your needs
  • Start your own support group, if necessary.


Starting a Support Group

Questions to ask

  • Is there an existing support group that addresses your concerns?
  • Do you have the time and energy to start a support group?
  • Do you have the support of family members and friends?
  • Can you handle the extra demands of organizing a support group?
  • Are there other organizations that the new support group can align with?
  • Are there other caregivers willing to share responsibilities?
  • Are there professionals you can call on to help with start-up?
  • Are there professionals you can call on to provide topical advice and information?
  • How will you publicize the formation of the group?
  • What community resources are available?
  • What are possible sources of financial support?
  • Where will the group meet? When? How often?
  • How will the group be led — by peer leadership, professional facilitation, shared leadership?
  • How will group responsibilities be shared?
  • How will the group be structured — as a stand-alone group or as part of a larger organization?
  • Will it be an informal group or legally registered?

Steps to take

  • Visit support groups with similar concerns
  • Talk with experienced group leaders
  • Find out what they have found to be most effective
  • Obtain how-to packages from established groups
  • Contact a self-help clearinghouse for information on how to start a support group
  • Find out about available community resources
  • Seek out opportunities to create strategic partnerships
  • Find out about potential funding sources
    • Service clubs
    • Community and social service agencies
    • Businesses
    • Grant-awarding agencies and foundations
    • Professional associations
    • Gifts in kind
    • Donations from individuals, families, bequests
  • Form an organizing committee
  • Arrange a planning meeting
  • Establish the group's focus
  • Define the aims and objectives of the group
  • Decide who can join the group
  • Define the group's relationship with professionals
  • Establish the purpose of the first meeting
  • Arrange a meeting to launch the group
  • Publicize the launch meeting. Target potential members
  • Collect resource information and materials to display or exchange at the launch
Running a Support Group

Questions to ask

  • Is the meeting content relevant to the members' needs?
  • Is the meeting location convenient and accessible to the majority of members?
  • Is the meeting schedule adequate for members?
  • Are members satisfied with the conduct of the group?
  • Are members satisfied with their level of participation in the group?
  • Have the members' needs changed?
  • How will the group publicize its availability to potential new members?

Steps to take

  • Select a group leader or rotating schedule of leaders and/or facilitators
  • Establish clear ground rules:
    • Confidentiality — Keep discussions between group members only.
    • Respect — Let each person speak without interruption.
    • Guest speakers — Keep introductions short; let guest speakers present their topics.
    • Patience — Be patient towards group members, especially those in need.
    • Constructive discussion — Confine group discussions to issues and coping strategies specific to the group. Deal with external matters privately.
    • Group ownership — It's your group. Speak out, be respectful, stay on track.
    • Finish meetings on time but let attendees arrive as they can.
  • Select a meeting place, schedule and meeting format
  • Hold regular meetings
  • Solicit feedback from members on the effectiveness of the group
  • Make group decisions about changes, as necessary.

Sample discussion topics for caregiver support groups

  • Responsibilities and rewards of caregiving
  • How to handle day-to-day problems
  • Information on community and support services
  • Self-advocacy
  • Advocating for the care recipient
  • Effects of change and loss on marital and family relationships
  • Learning about health boundaries
  • Warning signs of caregiver stress
  • Ways to relieve caregiver stress
  • Taking care of yourself
  • What to say and do when you can no longer be a full-time or part-time caregiver
  • Long distance caregiving
  • Coping with your feelings
  • Dealing with grief and moving on
  • Facing the day when placement in long term care is a necessity