Dementia Respite Grant

Geographic Scope: Southeastern Vermont

Program Overview

The Dementia Respite Grant provides financial assistance to unpaid caregivers of individuals with dementia or Alzheimer's Disease to help them access respite care and support services.

Eligibility Requirements

• Care Recipient: Must have a physician's diagnosis of Alzheimer's Disease OR another progressive, irreversible dementia
• Primary Applicant: Must be an unpaid caregiver (family member or non-relative) providing care to the individual with dementia
• Caregiving Commitment: Applicant must provide care weekly or more frequently

Focus Areas / Approved Uses of Funds

• Personal Care / Assistance with Activities of Daily Living (ADLs)
• Homemaker Services / Chore Companion Services
• In-home Respite Care
• Home Health Care (Medical/Health Maintenance)
• Adult Day Program Services
• Short-term Care in Residential / Nursing Home
• Caregiver Counseling / Support / Training
• Transportation
• Assistive Technology
• Home Modifications
• Financial assistance for supplemental services (emergency response systems, incontinence supplies)
• Self-directed care (hiring private/non-agency help)

Contact Information

Senior Solutions Council on Aging for Southeastern Vermont

• Address: 38 Pleasant Street, Springfield, VT 05156
• HelpLine: 802-885-2669 (staffed 8:30 AM - 4:30 PM, Monday-Friday)
• Phone: 802-885-2655
• Email: info@seniorsolutionsvt.org
• Fax: 802-357-4721

How to Apply

1. Access the Application Form
   • Online application available at seniorsolutionsvt.org
   • Form titled: "2026 Dementia Respite Grant Application"
2. Required Information - Section I: Care Recipient Information
   • Preferred name and legal name
   • Residential and mailing address
   • Email and phone number(s)
   • Date of birth and age
   • Gender and marital status
   • Monthly or yearly gross income
   • Physician diagnosis information (Alzheimer's Disease or other progressive dementia)
   • Information about current services: Choices for Care Medicaid, VA VDP program, Attendant Services Program, Adult Day Program participation
3. Required Information - Section II: Primary Unpaid Caregiver Information
   • Preferred name and legal name of caregiver
   • Residential and mailing address (if different from care recipient)
   • Email and phone numbers (daytime and evening)
   • Date of birth and age
   • Gender and marital status
   • Ethnicity and race
   • Relationship to care recipient (wife, husband, significant other, daughter, son, grandchild, sibling, parent, other relative, non-relative)
   • Preference for receiving information on support groups and education resources
4. Required Information - Section III: Caregiver Profile and Needs Assessment
   • Check all applicable statements from Primary Unpaid Caregiver Profile:
   • Provides care weekly or more (daily)
   • Assists with Activities of Daily Living (ADLs)
   • Employment affected by caregiving
   • Quit or lost employment due to caregiving
   • Needs education/training for caregiving
   • Solely responsible for caregiving
   • Needs assistance with own needs
   • Also provides care to other individuals
   • Has chronic health condition or recent health crisis
   • Primary need is stress/burden relief
   • Check all applicable reasons for needing respite services
   • Check all intended uses of respite funds
5. Signatures and Consent
   • Care recipient signature (if available and able to sign)
   • Primary caregiver signature (required)
   • Both dated
   • Consent for Senior Solutions to share information with organizations offering support groups, education programs, and other services
6. Optional Referral Information
   • Referring source contact person name and phone number
   • Referring source email
7. Submission
   • Complete application and submit online through website
   • For assistance, contact HelpLine: 802-885-2669