Each November, we observe National Family Caregivers Month — a time to honor and uplift the many family members, friends, and community members who care for loved ones across Indian Country. This year’s theme, “Plug-in to Care,” reminds us to connect caregivers with the support they need. Nationally, 63 million Americans are now caregivers—a 45% increase over the past decade—with nearly half reporting negative financial impacts and one in five experiencing poor health. In American Indian and Alaska Native communities, caregiving is more than a responsibility — it is a reflection of our values, traditions, and the deep respect we hold for elders, relatives, and those in need.
The Strength of Family and Community
Across generations, Native families have cared for one another through connection, storytelling, and shared responsibility. Today, that spirit continues as family caregivers provide daily support to elders, children, and loved ones living with illness, disability, or injury. Their care preserves not just health and safety, but the cultural knowledge, language, and spiritual well-being that sustain our communities.
Family caregivers may manage medications, coordinate appointments, prepare meals, or provide comfort and companionship, often while working and raising families of their own. Their dedication reflects the heart of Native values: responsibility, service, and resilience.
Caregiving taught me the true essence of love, strength, purpose, and resilience. Though the journey was not easy, ensuring our loved one could remain at home in their final days was an honor beyond measure—one that will stay with us always.
Recognizing the Challenges Caregivers Face
While caregiving is a sacred responsibility, it can also be overwhelming. Many caregivers experience fatigue, stress, financial strain, or health challenges of their own. Research shows that more than half of those providing care do not recognize themselves as caregivers, which can prevent them from accessing vital support and resources. During Family Caregivers Month, we encourage caregivers to remember that caring for themselves is part of caring for their families. Seeking support is a sign of strength, not weakness.
The Indian Health Service, tribes, and urban Indian organizations work together to support caregivers through programs that promote physical, emotional, and spiritual health. Below are key IHS programs and resources that caregivers, elders, and families can access.
Key IHS Programs & Resources for Caregivers
- Elder Care Initiative: The IHS Division of Clinical & Community Services works with tribes and urban Indian organizations to expand access to long-term services and supports (LTSS) for elders and younger people with disabilities. The Alzheimer's Disease and Dementia Program offers culturally responsive caregiver resources, training modules, and support tools for families and care teams.
- IHS, Tribal, and Urban LTSS Programs : Developed in partnership with the Centers for Medicare & Medicaid Services, this resource lists IHS, tribal, and urban programs that provide caregiver and respite services.
Ways to Support Caregivers in Your Community
- Offer Help: Share meals, run errands, or simply spend time with caregivers and their loved ones.
- Encourage Self-Care: Remind caregivers to take breaks, rest, and connect with cultural practices that renew their spirit.
- Share Resources: Help connect caregivers to IHS or local tribal and urban Indian organization programs, respite care, and community support groups.
- Show Gratitude: Acknowledge the hard work and love that caregivers provide every day.
A Message to Caregivers
To all caregivers across Indian Country — thank you. Your compassion and commitment embody the best of who we are as Native people. Your care strengthens families, preserves traditions, and keeps our communities healthy. During this month of recognition, we honor you and the sacred work you do every day.
