What to Expect

The early days in each case are a period of adjustment for both clients and families. They may be wary because past attempts at treatment that have been unsuccessful have led them to question the process and its viability over the long term. It is not unusual for this adjustment phase to take as long as eight weeks. Our experience is that clear evidence of results is unlikely to become apparent during this time.

During this initial phase, clients commonly express varying degrees of ambivalence about, and resistance to, someone suddenly becoming so entwined in the intimate details of their daily lives. This can manifest itself in various ways. Frequently seen, are:

  • Manipulative behaviors, including inaccurate allegations of tardiness, theft, inattentiveness of staff, personality conflicts, etc.
  • Complaints about meals, dislike of specific care givers, criticism of a care giver’s personal style or grooming, etc.
  • Heightened emotions such as sadness/depression, anger, social withdrawal, aggressive behavior

In addition, family members experience discomfort as they learn to trust the care team, and return to their normal relationship and roles with the client prior to the onset of the client’s need for care.

Eight-Week Adjustment Phase


  • Assessment and preliminary recommendations made
  • Initiation meeting with all stakeholders such as family, financial advisors, attorneys, doctors, therapists, etc.
  • Assign each stakeholders to gather client history documentation
  • Initial care plan is created
  • Assign staff and start working with client
  • In-home care begins or in-patient admission as indicated.
Roundup Meeting
  • Meet with the client, family and all relevant stakeholders
  • Review status of assignments and deliverables from initiation meeting
  • Review of core plan, staffing, concerns and questions
  • Follow-up tasks for each stakeholder are agreed and commited to
Customised Care Schedule & Ongoing Assessment
  • Create a schedule customized to each client and family, designed to provide all the information they want on progress
  • Provide for continuing adjustments
  • Ensure ample occasions for client and their families to ask questions and have concerns addressed going forward.
Ongoing Care Plan Adjustment Meetings
  • Make adjustments to care plan and staffing needs that have arisen during the first month
  • Schedule additional meetings, as needed
  • Intergrate legal, financial and clinical resources as relevant, ensuring that they all have the information, documentation and progress resources they need over the long term