A backup plan works only while someone keeps its names, numbers, and rules current. This guide is about deciding who that someone is before the first gap arrives, and what the list should hold. It does not name or recommend any provider.

Local option: New Plan Care gives families in the St. Louis area in-home help so a parent can stay home: companionship, help with bathing and dressing, meals, and overnight care. Call (314) 405-0887.

Why the list goes stale

A standby list written at the start of care describes that week only. Workers change, office lines move, and neighbors or relatives who agreed to help may become unavailable. A list that no one owns will still look complete on the day it is needed, and be wrong.

Name one owner

Write the owner's name at the top of the page. The owner is the person in the family who checks the list, asks the agency for changes, and makes sure the household copy matches the copy the agency holds. If two family members share the job, name the one who acts first and the one who backs up.

What the list should hold

Keep the agency's office contact for a short-notice gap and its after-hours line, if it has one. Add a named adult who can cover the house or a visit if the agency cannot send a worker, and confirm in advance that this person has agreed. Add a second name for transport to any appointment the household must keep. Write down what the family must do to trigger the backup, so no one has to guess at the moment it is needed.

When to refresh it

Refresh the list whenever the assigned worker changes, whenever the agency changes its office line or its after-hours route, and whenever the household's own circumstances change. Put the owner's name on a standing reminder set by the family, not by the agency.

From the file: the desk's federal in-home care registrations by county can confirm the county an agency is registered under, which helps when a service area changes. A public file does not supply a phone number you can rely on for after-hours calls, so confirm every number directly with the agency.

Questions to ask the agency

What happens when a scheduled worker does not arrive, and who is called first? What must the family do to start a backup, and does that change the terms in the agreement? How will the agency tell the family that its gap plan has changed? Write each answer on the list beside the name of the person who gave it.