Have you already decided that Finding a live-in caregiver is the right choice for your loved one? Whether you’re continuing your journey from our previous guide on deciding to hire a caregiver or just starting your research, you’re in the right place.
New to the caregiving journey? We strongly recommend starting with our previous guide first. It will help you understand if Finding a live-in caregiver is the right choice for your situation and walk you through the important initial decisions.
Already read our first guide? Welcome back! Now that you’ve made the decision to hire a caregiver, this guide will walk you through the crucial next steps – finding, interviewing, and Finding the right person for your loved one.
Introduction
Finding the right caregiver for your loved one is one of the most crucial decisions you’ll make in their care journey. This guide focuses specifically on the recruitment process – how to find, interview, and hire a foreign live-in caregiver in Israel. We’ll explore the entire process, from initial search to final hiring, ensuring you have all the information needed to make informed decisions at each step.
Why This Guide Matters?
The relationship between a caregiver, the senior, and their family is complex and multifaceted. Foreign caregivers take on this challenging work primarily as an economic opportunity, earning significantly more than they could in their home countries. The reality is that providing 24/7 care is incredibly demanding, especially when caring for seniors with physical disabilities, cognitive impairments, or other health challenges.
Adding to this complexity is the fact that many seniors may not be able to fully articulate their needs or provide accurate feedback about their potential caregiver. This makes the selection process particularly critical – it requires careful consideration not just of skills and experience, but also of personality fit and long-term sustainability of the caregiving relationship.
What This Guide Covers?
In this comprehensive guide, we will:
Compare hiring an experienced foreign caregiver already in Israel versus bringing a new caregiver from abroad
Walk through the different methods of finding and screening potential caregivers
Provide detailed guidance on the interview process
Explain the finding a live-in caregiver procedures and legal requirements
Outline the costs and financial assistance options available
Timeframes to Consider
When planning to hire a caregiver, it’s important to understand the typical timeframes:
Hiring an experienced caregiver already in Israel: Usually takes 2 – 4 weeks, depending on the caregiver’s availability and current employment situation
Bringing a new caregiver from abroad: Typically requires 6 – 12 weeks, including visa processing, travel arrangements, and orientation
A Note on Caregiver Origins
Foreign caregivers in Israel primarily come from several regions: Eastern Europe (particularly former Soviet Union countries), South Asia (primarily India and Nepal), Southeast Asia (predominantly the Philippines) ,Other regions as approved by Israeli immigration authorities. Each region brings its own cultural background, work approach, and typical skill sets to the caregiving relationship.
Let’s proceed through each stage of the recruitment process, ensuring you have the knowledge and tools to make the best choice for your family’s specific needs.
Understanding Your Finding a Live-in Caregiver Options
When Finding a Live-in caregiver in Israel, you’ll typically choose between two main paths: hiring an experienced caregiver who is already working in Israel or bringing a new caregiver from abroad. Each option comes with its own set of advantages and considerations that need to be carefully weighed against your specific situation.
Experienced Caregivers Already in Israel
These are foreign caregivers who have already worked with one or more Israeli families. Here’s what you need to consider:
Advantages
Important Considerations
Familiarity with Israeli culture and healthcare system
Generally command higher salaries due to experience
Experience navigating local medical facilities
May have specific preferences about work conditions
Basic Hebrew language skills
Often more selective about their placements
Can typically start work more quickly
Might prefer less physically demanding cases
Understanding of local customs and expectations
Could have established work patterns that are harder to modify
Established references from Israeli families
Limited availability as they’re usually employed
No adaptation period needed
May have specific requirements about who they work with
Finding a Live-in Caregiver from Abroad
Advantages
Important Considerations
Larger pool of candidates to choose from
Longer process (6-12 weeks) for visa and arrival
More flexibility in matching to your needs
Need time to adjust to Israeli culture and systems
Often more adaptable to your family’s routines
May require more guidance and support initially
Generally more accepting of various work conditions
Language barriers might be more pronounced
Available for immediate long-term commitment
Training levels can vary significantly
More competitive initial salary expectations
Need time to learn the local healthcare system
Fresh energy and motivation for the role
Cultural adaptation period required
Bridging the Waiting Period
If you decide to bring a new caregiver from abroad, the waiting period (6-12 weeks) can be challenging. One common solution is to arrange for a temporary reliever caregiver who can provide care during this transition period. This option will be discussed in detail in the following sections of this guide.
Making Your Choice Finding a Live-in Caregiver
The decision between these options often depends on several key factors:
Urgency of Need
Immediate need might favor experienced caregivers
Planned future need allows time for bringing someone from abroad
Level of Support You Can Provide
New caregivers need more initial guidance
Experienced caregivers require less orientation
Care Requirements
Complex medical needs might benefit from experienced care
Basic care needs might work well with either option
Long-term Plans
Consider the potential length of employment
Think about future care needs and adaptability
Remember that regardless of which option you choose, the success of the caregiving relationship depends largely on proper matching, clear communication of expectations, and ongoing support for both the caregiver and your loved one.
Finding a Caregiver: Methods and Processes
The process of finding a foreign caregiver in Israel varies significantly depending on whether you’re looking for someone who is already in Israel or bringing a new caregiver from abroad. Each path has its own unique requirements, challenges, and considerations.
Finding a Live-in Caregiver Caregiver Already in Israel
When searching for a caregiver who is already in Israel, you have two main options: conducting a private search or working with professional agencies. Let’s examine both approaches in detail.
Private Search Process
While private searching gives you direct control over the process, it comes with significant challenges and time investments. Here’s what you need to know:
Online Platforms and Communities:
Specialized Job Boards: Platforms specifically designed for caregiving positions in Israel: iSavta: A dedicated platform connecting families with caregivers, Helpbook: is a leading Israeli platform that connects families with caregivers for various needs, including senior and disabled care.
Social Media Networks: Facebook Groups, WhatsApp Communities, Telegram Channels.
A private search can be overwhelming, challenging, and time-consuming for several reasons:
You’ll need to screen numerous candidates, many of whom may not match your requirements
Verifying credentials and work history requires significant effort and expertise
Understanding labor laws and requirements can be complex
Without experience, it’s difficult to evaluate caregiver competencies effectively
The process can take weeks or months of active searching
You may encounter language barriers during the screening process
There’s a risk of missing important red flags that experienced professionals would catch
Professional Agency Assistance
Working with professional agencies like HappySeniors offers a comprehensive, guided approach that goes far beyond simple caregiver placement:
Professional Assessment: A dedicated social worker case manager who:
Conducts a thorough evaluation of your loved one’s needs
Considers family dynamics and preferences
Assesses the living environment and care requirements
Helps define the ideal caregiver profile for your situation
Comprehensive Matching Process:
Access to a pre-screened database of qualified caregivers
Background verification and reference checks
Skills and experience validation
Personality matching with your loved one
Cultural compatibility assessment
Administrative Support:
Assistance with Bituach Leumi (National Insurance) applications
Help securing available funding and benefits
Guidance through all required paperwork
Coordination with relevant authorities
Ongoing Support:
Regular monitoring of the caregiving situation
Conflict resolution when issues arise
Guidance for both family and caregiver
Assistance with any necessary adjustments
Support throughout the entire caregiving period
Bringing a Caregiver from Abroad
When bringing a caregiver from abroad, working with licensed agencies is not just recommended – it’s required. Here’s what you need to understand:
Agency Requirements
Only licensed agencies can legally facilitate bringing foreign caregivers to Israel
The process must comply with Israeli immigration and labor laws
Agencies handle visa applications and necessary documentation
Pre-arrival screening and preparation is conducted in the caregiver’s home country
Process Timeline and Steps
Initial Consultation and Assessment
Meeting with agency representatives
Evaluation of care needs
Documentation of requirements
Financial arrangements discussion
Candidate Selection
Review of potential candidates
Video interviews with shortlisted caregivers
Background checks and credential verification
Final selection and agreement
Immigration Process
Visa application and processing
Travel arrangements
Arrival coordination
Initial orientation and setup
The Importance of Professional Guidance
Whether choosing a caregiver already in Israel or bringing someone from abroad, professional guidance offers significant advantages:
Time and Stress Reduction: Professionals handle the complex processes while you focus on your loved one
Risk Mitigation: Expert screening reduces the likelihood of unsuitable matches
Comprehensive Support: Assistance extends beyond initial placement to ongoing care management
Legal Compliance: Ensures all arrangements meet Israeli legal requirements
Problem Resolution: Professional support for handling any issues that arise
Resource Access: Connection to additional services and support systems as needed
The choice between finding a caregiver already in Israel or bringing someone from abroad depends on various factors, including urgency of need, specific care requirements, and long-term plans. Professional agencies like HappySeniors can help you evaluate these factors and choose the most appropriate path for your situation.
Finding a Live-in Caregiver: The Interview Process – Finding a Right Match
The interview process is perhaps the most crucial step in finding the right caregiver for your loved one. This is your opportunity to evaluate not just professional qualifications, but also the personal qualities that will make the caregiving relationship successful. Whether you’re interviewing an experienced caregiver already in Israel or speaking with a potential caregiver from abroad, a structured and thorough approach is essential.
Before the Interview: Essential Preparation
Successful interviews don’t happen by chance – they require careful preparation. Before you begin interviewing candidates, take time to document your specific needs and expectations. This preparation phase is crucial for both private interviews and agency-guided processes. First, create a detailed care requirements document that includes not just physical care needs, but also psychological and emotional considerations:
Daily care tasks and responsibilities
Medical procedures or treatments needed
Physical assistance requirements
Dietary needs and food preparation expectations
Schedule and time-off arrangements
House rules and living arrangements
Psychological and emotional needs, including:
Senior’s personality traits and preferences
Communication style and emotional triggers
Social interaction preferences
Daily routines and habits
Anxiety or stress factors
Cognitive state and mental health /considerations
Family dynamics and relationships
This document serves two purposes: it helps you stay focused during the interview and ensures you communicate clear expectations to potential caregivers.
Setting Up the Interview
The interview setting matters significantly, whether it’s in person or virtual. For local caregivers, try to conduct the interview in the home where they will be working. This gives candidates a clear picture of the environment and allows you to observe their reactions and comfort level.
For caregivers abroad, video interviews are essential. Here’s how to make them effective:
Schedule at a time that works for both time zones
Test your video connection beforehand
Have a backup communication method ready
Ensure good lighting and clear audio
Have a translator available if needed
Core Interview Topics
The interview should cover several key areas that will determine the success of the caregiving relationship:
1. Professional Experience and Capabilities
Begin with a thorough discussion of the caregiver’s professional background. Ask about:
“Tell me about your experience caring for elderly patients. What types of conditions have you managed?”
Look for detailed responses that demonstrate:
Understanding of medical conditions
Familiarity with relevant medical equipment
Experience with similar care situations
Problem-solving abilities in medical emergencies
Knowledge of proper care protocols
2. Personal Approach to Caregiving
Understanding how a caregiver approaches their work is crucial. Explore this through questions like:
“Can you describe a challenging situation with a previous patient and how you handled it?”
Listen for responses that show:
Patience and empathy
Problem-solving skills
Emotional intelligence
Ability to maintain professional boundaries
Respect for the elderly
3. Cultural Compatibility and Communication
Cultural fit and communication abilities are essential for a harmonious household. Discuss:
Language abilities in relevant languages
Understanding of local customs
Dietary knowledge and restrictions
Religious observance if relevant
Comfort with local cultural norms
Red Flags and Warning Signs
During the interview, stay alert for potential warning signs that might indicate future problems:
Concerning Responses – Watch for:
Vague or evasive answers about past experience
Reluctance to provide references
Inconsistent information about work history
Unclear explanations about gaps in employment
Dismissive attitudes toward previous employers
Behavioral Red Flags – Watch for:
Poor punctuality for the interview
Inappropriate dress or presentation
Constant interruptions or checking phone
Reluctance to discuss certain topics
Overly focused on money or time off
The Agency-Guided Interview Difference
Working with professional agencies like HappySeniors transforms the interview process into a structured, professionally guided experience that significantly increases your chances of finding the right match. Professional agencies bring years of experience in matching caregivers with families, understanding both the obvious and subtle factors that contribute to successful caregiving relationships.
The agency-guided process begins with comprehensive pre-screening. Before you meet any candidate, the agency conducts thorough background checks, verifies documentation, and assesses both professional skills and personal qualities. This preliminary screening saves you time and ensures you only meet qualified candidates who match your basic requirements.
During the interview phase, agency professionals serve as expert facilitators. They guide the conversation to cover all crucial areas, help bridge language gaps, and provide valuable cultural context that might affect the caregiving relationship. Their presence allows you to focus on assessing personal compatibility while they ensure all professional qualifications are properly evaluated.
Perhaps most importantly, agencies provide crucial post-interview analysis. They help you:
Evaluate candidates objectively against your requirements
Compare different candidates’ strengths and weaknesses
Identify potential issues that might not be immediately apparent
Assess long-term compatibility factors
Make informed decisions based on both professional criteria and personal fit
This professional guidance is particularly valuable when interviewing multiple candidates, as it helps maintain consistent evaluation standards and provides an objective perspective to complement your personal impressions.
Multiple Interview Approach in Finding a Live-in Caregiver
Finding the right caregiver is a process that shouldn’t be rushed or simplified. Multiple interviews with several candidates are essential for making an informed decision. This comprehensive approach should include:
Initial Screening Interviews
Interview multiple candidates to create a shortlist
Assess basic qualifications and compatibility
Compare different approaches and personalities
Follow-up Interviews
Conduct deeper discussions with promising candidates
Include other family members for additional perspectives
Observe how candidates respond to different family dynamics
Senior Meeting and Observation
Arrange meetings between candidates and your loved one
Observe interactions and chemistry
Notice how candidates respond to specific care situations
Assess communication styles and patience levels
Take detailed notes after each interview and meeting. Pay attention to how different family members respond to each candidate and how comfortable your loved one feels with them.
Making Your Final Decision Finding a Live-in Caregiver
Selecting a caregiver is one of the most important decisions you’ll make for your loved one’s care. This decision requires careful consideration of multiple factors and shouldn’t be rushed. Take time to gather input from all family members involved and carefully weigh the pros and cons of each candidate. The interview process is crucial in finding the right caregiver for your loved one. Take the time to conduct multiple interviews, involve all relevant family members, and carefully evaluate each candidate. Remember that the next phase of the process – handling finding a live-in caregiver procedures and legal requirements – is equally important and should be approached with the same level of attention to detail
Remember that the interview process is just the beginning of the caregiving relationship. Taking time to conduct thorough interviews and carefully evaluate candidates will help ensure a successful long-term care arrangement for your loved one.
Finding a Live-in Caregiver Procedures and Legal Requirements
After selecting a suitable caregiver, you’ll need to navigate the employment and registration process. Understanding your options and their implications is crucial for making an informed decision that best serves both your loved one’s needs and your financial considerations.
Employment Options and Their Implications
Direct Employment (העסקה ישירה)
Direct employment can offer significant cost savings – up to 30% compared to agency employment – but requires more administrative responsibility on your part. Under this arrangement:
You are the direct employer of the caregiver
You handle salary payments and benefits directly
You manage work schedules and time off
You maintain all required documentation
You must still register with a licensed manpower agency (תאגיד) for supervision
The cost savings come primarily from: Elimination of agency management fees, Direct handling of salary payments. More flexible arrangement of work hours, Direct negotiation of terms within legal requirements.
Agency Employment (through חברת סיעוד)
Working through a nursing care agency provides comprehensive management but at a higher cost. The agency:
Takes full responsibility as the employer
Handles all salary calculations and payments
Manages vacation days and substitutes
Ensures compliance with all labor laws
Provides ongoing support and problem resolution
Handles emergency situations and replacements
Offers professional guidance and supervision
Combined Employment Model
An important option often overlooked is the ability to split the employment between: Agency management for hours covered by Bituach Leumi and direct employment for additional care hours
This hybrid model can help:
Optimize costs while maintaining professional support
Ensure proper management of government benefits
Provide flexibility in care arrangements
Balance administrative burden with cost savings
The Role of Manpower Agencies (תאגיד) in Finding a Live-in Caregiver
All foreign caregivers must be registered with a licensed manpower agency, regardless of employment method. These agencies provide crucial oversight and support:
Regular monitoring of employment conditions
Social worker visits and assessments
Documentation verification and maintenance
Mediation in conflicts or problems
Ensuring compliance with labor laws
Visa status monitoring
Social Worker Visits: The agency must provide periodic visits by a social worker who: Evaluates the caregiving situation, Assesses the senior’s wellbeing ,Reviews living and working conditions ,Provides professional recommendations, Documents any concerns or needs, Ensures quality of care standards
Initial Costs and Registration Process in Finding a Live-in Caregiver
Registration Fees
Manpower Agency Registration: Approximately 2,800 NIS
Additional administrative fees may apply
Visa processing fees where applicable
Required Documentation
For Employers:
ID (תעודת זהות) and copies
Proof of residence
Bank account details
Power of attorney (if applicable)
Medical documentation for care recipient
For Caregivers:
Valid passport
B/1 work visa
Professional certification
Medical examination results
Israeli bank account for salary transfers
Previous employment records
Additional Considerations
While this guide covers the main aspects of finding a live-in caregiver procedures, there are several other important areas you’ll need to understand as you move forward with employing a caregiver. Monthly salary calculations and benefits can be complex, varying based on hours worked and specific arrangements. Bituach Leumi eligibility and benefits play a crucial role in determining your care coverage and financial support options. Additionally, there are numerous legal rights and obligations, along with specific labor laws and requirements that govern the employment of foreign caregivers in Israel. For comprehensive information about these topics, we recommend referring to our dedicated articles or reaching out to HappySeniors for professional guidance tailored to your specific situation.
Throughout this process, professional agencies like HappySeniors can provide invaluable assistance, helping you navigate the complexities of caregiver employment while ensuring compliance with all legal requirements. Their expertise can help you avoid common pitfalls and create a smooth transition into the caregiving relationship.
How “Happy Seniors” Can Assist You Finding a Live-in Caregiver
Navigating the complexities of finding a live-in caregiver from abroad can be challenging for families and seniors alike. At Happy Seniors, we are dedicated to easing this burden by providing comprehensive support and professional case management. Our experienced social workers are here to guide you through every step, helping you secure the best funding and care options available.
Our Services Include:
Personalized Case Management: Tailored assistance to meet your family’s unique needs.
Funding Assistance: Guidance in obtaining government funding for elderly care.
Emotional Support: Providing compassionate support to families during this transition.
Care Setting Consultation: Helping you find the most suitable care environment for your loved one.
At Happy Seniors, our mission is to ensure that your loved ones receive the highest quality care in the most appropriate environment, along with the financial assistance they deserve. Let us help you navigate this journey with confidence and peace of mind.
Sarah sat across from her mother’s neurologist at Ichilov Hospital, trying to process what she just heard. Her mother, once a vibrant retired teacher from Haifa, was showing significant signs of cognitive decline. “You should consider applying for guardianship through Beit Mishpat,” the doctor suggested gently. Sarah felt overwhelmed – what exactly would this mean under Israeli law, and how would it affect both their lives?
If you find yourself in a similar situation, this guide will help you understand guardianship in Israel, its importance, and the responsibilities it entails. This article builds upon our previous guide about the guardianship application process in Israel.
What is Guardianship in Israel?
Under Israeli law (The Legal Capacity and Guardianship Law 5722-1962), guardianship (אפוטרופסות) is a legal arrangement where the court (Beit Mishpat) appoints a person or corporation to make decisions for another person who is unable to make sound decisions about their health, safety, or property. In Israel, this typically applies to:
Elderly individuals with cognitive decline
Adults with disabilities
Minors in certain circumstances
Individuals unable to manage their affairs
Why is Guardianship Important in the Israeli Context?
The Israeli legal system places strong emphasis on protecting vulnerable individuals while preserving their dignity and rights. Guardianship serves several crucial purposes within this framework:
Legal Protection: Provides legal authority recognized by all Israeli institutions
Healthcare Access: Enables interaction with Kupot Holim (Israeli HMOs) and hospitals
Financial Management: Allows handling of National Insurance Institute (Bituach Leumi) benefits and other financial matters
Property Protection: Ensures proper management of assets under Israeli law
Social Services: Facilitates access to Israeli social services and benefits
Signs That Indicate the Need for a Guardianship in Israel
Consider David’s case: his daughter Marina noticed he was repeatedly forgetting to pay his Arnona (municipal tax), leaving food burning on the stove, and making unusual withdrawals from his bank account. These are common signs that might indicate the need for guardianship. Key indicators include:
Medical/Personal Care Signs:
Inability to communicate effectively with medical staff at Kupat Holim
Consistent neglect of personal hygiene
Failure to take necessary medications
Inability to maintain a safe living environment
Financial/Property Signs:
Making poor financial decisions
Becoming victim to scams (unfortunately common among Israeli seniors)
Inability to manage basic bill payments (Arnona, utilities, etc.)
Significant changes in spending patterns
Types of Guardianship in Israel
Under Israeli law, there are two main types of guardianship:
1. Guardian of the Person (אפוטרופוס לגוף)
Responsibilities include:
Making healthcare decisions within the Israeli healthcare system
Ensuring proper living arrangements
Coordinating with Kupot Holim and hospitals
Making decisions about social activities and lifestyle choices
Working with Israeli social services when needed
2. Guardian of Property (אפוטרופוס לרכוש)
Responsibilities include:
Managing bank accounts and investments in Israel
Paying bills and taxes (including Arnona, income tax, etc.)
Maintaining property and insurance
Managing pension and Bituach Leumi benefits
Filing required reports with the Israeli Administrator General (האפוטרופוס הכללי)
Implementing Guardianship Responsibilities in Israel
For Guardian of the Person:
Create a Care Plan
Coordinate with Israeli healthcare providers
Arrange necessary medical care through Kupat Holim
Establish daily care routines
Plan for future care needs within the Israeli healthcare system
Coordinate Care Services
Work with Israeli healthcare providers
Arrange for in-home care (metaplot) if needed
Schedule regular medical check-ups
Monitor medication management
Maintain Documentation
Keep medical records from Israeli healthcare providers
Document important decisions
Maintain communication records with healthcare providers
Keep copies of all legal documents
For Guardian of Property:
Initial Assessment
Create inventory of assets as required by the Administrator General
Review existing bills and obligations
Identify sources of income (including Bituach Leumi benefits)
Evaluate insurance coverage
Financial Management
Set up guardian accounts at Israeli banks
Create a budget considering Israeli living costs
Pay regular bills
Manage investments according to Israeli regulations
Maintain detailed financial records as required by law
Regular Reporting
Submit annual reports to the Administrator General
Document major financial decisions
Keep receipts and statements
Monitor for any suspicious activity
Best Practices for Guardians in Israel
Understanding Legal Requirements
Familiarize yourself with guardianship in Israel laws
Maintain compliance with Administrator General requirements
Stay updated on legal changes affecting guardianship
Communication
Keep family members informed
Maintain contact with social workers and care providers
Document all significant decisions
Build relationships with relevant Israeli authorities
Seeking Professional Help
Consult with Israeli legal experts when needed
Work with social workers from the Ministry of Welfare
Join guardian support groups
Attend training sessions when available
Important Legal Considerations in Israel
Recent amendments to Israeli guardianship laws emphasize the ward’s autonomy
Guardians must consider less restrictive alternatives when possible
Regular reporting to the Administrator General is mandatory
Significant decisions may require special court approval
Guardians must maintain separate accounts for ward’s funds
Remember Sarah from our opening story? She successfully navigated the Israeli guardianship system and now effectively manages her mother’s healthcare through Maccabi Healthcare Services while maintaining careful records for the Administrator General.
How We Can Help
Navigating the complex process of appointing a guardian can be challenging for families and the elderly. “Happy Seniors” is here to ease the burden by providing comprehensive support and case management with the help of an experienced social worker, to assist you in obtaining the best funding and care options.
At “Happy Seniors,” our mission is to support families by managing the process of obtaining government funding for elderly care. We also provide emotional support to families and help them find the most suitable setting for their loved ones. Our goal is to ensure that your loved ones receive the highest quality care in the most appropriate environment, along with the financial assistance they deserve.
Guardianship is a legal process designed to protect individuals who are unable to manage their own affairs, whether due to age, medical condition, or other circumstances. In Israel, this process is regulated by the Legal Capacity and Guardianship Law, 1962, with the goal of ensuring the welfare of the wards and protecting their rights.
Key Concepts and Terms
Guardian: An individual or entity appointed by the court to manage the personal, medical, or financial affairs of someone who is unable to do so themselves (the ward). The guardian’s role includes making decisions on behalf of the ward, considering their best interests and wishes as much as possible.
Ward: A person who has been declared by the court as incapable of managing their affairs, thus requiring the appointment of a guardian.
Durable Power of Attorney: A legal document that allows a person to appoint someone to act on their behalf in the future, should they become unable to make decisions themselves. This is an alternative to appointing a guardian, allowing the individual to plan ahead for the future.
Why Is Guardianship Necessary?
Guardianship is intended to protect vulnerable individuals, such as:
Elderly people with dementia
Individuals with mental or physical disabilities
Minors without parents
People with complex medical conditions
Without a guardian, these individuals may be at risk of exploitation, neglect, or violation of their basic rights. A guardian ensures that the ward receives the care, support, and protection they need.
The process begins by submitting a petition to the Family Court or Magistrate’s Court.
The petition can be filed by family members, welfare authorities, or anyone concerned with the ward’s welfare.
A court fee must be paid when filing the petition.
Attaching Supporting Documents:
The petition must include up-to-date medical documents (no older than 6 months).
Professional opinions from a psychiatrist, geriatrician, or neurologist, as applicable.
A social worker’s report, if relevant.
Certificates proving the need for the appointment of a guardian.
Court Hearing:
The court examines the petition and hears the involved parties.
Sometimes, the court appoints an investigator to examine the circumstances.
The proposed ward has the right to express their opinion, if they are capable of doing so.
Appointment of a Guardian:
If the court is convinced of the need, it appoints a suitable guardian for the ward.
The decision takes into account the personal relationship and the ability of the guardian to fulfill the role.
The court defines the scope of the guardian’s powers.
Receiving an Appointment Order:
After the decision, the court issues an official appointment order.
The guardian must declare before the court their willingness to fulfill the role.
Registration and Reporting:
The guardian must register with the General Guardian.
Periodic reports must be submitted on the ward’s condition and the management of their affairs.
Handling Extreme Cases
Lonely Individuals:
In cases where an individual has no family, welfare authorities or the General Guardian can apply to the court.
Sometimes, a professional guardian or a public body, such as “The Foundation for Care of Wards,” is appointed.
Hospitalized Individuals:
The medical staff can initiate the guardianship process through the hospital’s social worker.
In urgent cases, a temporary appointment can be requested until a full court hearing.
Individuals in Geriatric/Rehabilitation Institutions:
The institution can assist in initiating the process for appointing a guardian, in cooperation with the family or authorities.
A professional opinion from the institution’s care team must be attached.
Individuals Unable to Make Decisions (e.g., suffering from dementia):
A detailed medical opinion proving the inability to make decisions is required.
The extent of impairment in decision-making ability should be assessed, and the scope of guardianship adjusted accordingly.
Minors without Parents:
Welfare authorities or family members can request the appointment of a guardian.
The best interests of the minor should be considered, preferably appointing a family member when possible.
Rights of the Ward
It is important to remember that even after the appointment of a guardian, the ward has rights:
The right to express their wishes and opinions.
The right to receive information about their affairs.
The right to request the court to change or revoke the guardian’s appointment.
Alternatives to Guardianship
Durable Power of Attorney: Allows a person to appoint someone in advance to handle their affairs in the future, if they become unable to do so themselves. The durable power of attorney takes effect only when the individual loses their decision-making capacity, providing flexibility and control over their future.
Supported Decision-Making: A model aimed at helping an individual make decisions as independently as possible, with support from a social network or a person who assists them. The support focuses on information and advice without taking away the individual’s final right to decide.
Advance Directives: A document detailing a person’s wishes regarding future medical treatment in case they cannot express their opinion. These directives can include decisions about types of medical treatments, place of residence, and more.
Partial or Specific Guardianship: In some cases, it is possible to appoint a guardian for a specific matter only, such as managing property or making medical decisions, rather than for all aspects of life. This solution allows the ward to retain as much autonomy as possible in areas where they are capable of making decisions.
Summary
The guardianship process in Israel is an essential tool for protecting the rights and interests of individuals who cannot care for themselves. Through an orderly legal process, it is possible to ensure that every person receives the support, protection, and care they deserve.
Important to Remember: Appointing a guardian is a significant responsibility that requires utmost consideration for the ward’s best interests. It is recommended to seek professional legal advice and be actively involved in the process.
How We Can Help
Navigating the complex process of appointing a guardian can be challenging for families and the elderly. “Happy Seniors” is here to ease the burden by providing comprehensive support and case management with the help of an experienced social worker, to assist you in obtaining the best funding and care options.
At “Happy Seniors,” our mission is to support families by managing the process of obtaining government funding for elderly care. We also provide emotional support to families and help them find the most suitable setting for their loved ones. Our goal is to ensure that your loved ones receive the highest quality care in the most appropriate environment, along with the financial assistance they deserve.
Are you or your loved ones eligible for long-term care benefits? Have you heard about the option to receive these benefits in cash instead of services from care companies? In this article, we’ll explain the concept of “long-term care benefits in cash,” examine its advantages and disadvantages, and show you how to make the most of this option.
What are Long-Term Care Benefits in Cash?
Long-term care benefits are allowances provided by the National Insurance Institute to elderly individuals who need assistance with daily activities due to their health and physical condition. Traditionally, these benefits are provided in the form of services from care companies. However, since 2008, there has been an option to receive the benefits in cash directly to the beneficiary’s bank account.
Options for Receiving Long-Term Care Benefits in Cash
Employing a Full-Time Caregiver: You can use the benefits to employ a full-time caregiver who will provide necessary services, including daily care, supervision, assistance with daily activities, and medical accompaniment as needed.
Funding Aids and Services: The money can be used to fund additional aids and services such as technological aids, nursing care products, and consulting services.
Help from Family Members: In certain cases, the cash benefits can be used to compensate family members who provide care, in accordance with National Insurance regulations.
Advantages of Receiving Long-Term Care Benefits in Cash
Maximum Flexibility: Receiving benefits in cash allows you to choose the most suitable caregiver, including a family member or private caregiver.
Budget Control: You decide how to use the money in a way that best suits your specific needs.
Improved Care Quality: The ability to directly choose and manage the caregiver can lead to higher quality care.
Less Bureaucracy: There’s no need to deal with care companies and complex reporting.
Cost Savings: Sometimes, you can save money by directly employing a caregiver.
Transparency: A higher level of transparency and control over the family budget.
Disadvantages and Challenges
Increased Responsibility: You need to manage all aspects of employing the caregiver, including salary payments and social benefits.
Risk of Misuse: You must ensure that the money is indeed used for its original purpose – nursing care.
Lack of Backup: If the caregiver you chose is absent, you need to find an alternative solution on your own.
Who is Eligible to Receive Long-Term Care Benefits in Cash?
Eligibility for receiving long-term care benefits in cash depends on several conditions:
The beneficiary receives long-term care benefits at level 3 or above (out of 6 levels).
A full-time caregiver is employed (at least 6 days a week, 12 hours a day).
The caregiver is not a first-degree family member (except in special cases).
The beneficiary or their family member is capable of managing the nursing care independently.
Fill out a special application form on the National Insurance website or at your nearest branch.
Attach confirmations of employing a full-time caregiver.
A National Insurance clerk will review the application and decide whether to approve it.
Comparison: Cash Benefits vs. Services from Care Companies
Cash Benefits
Services from Care Companies
Maximum flexibility in choosing a caregiver
Professional and experienced caregivers
Full control over the budget
Professional management of care
Increased responsibility for the family
Less responsibility for the family
Potential for cost savings
Fixed cost without savings potential
Need for independent employment management
Employment managed by the company
Personalized service customization
Less flexibility in types of services
How to Use Long-Term Care Benefits in Cash
Budget Planning: After receiving approval, it’s important to manage the budget in an organized manner.
Caregiver Selection: Carefully choose a suitable caregiver, considering the specific needs of the beneficiary.
Employment Management: Ensure that all employment processes are carried out in accordance with regulatory guidelines.
Monitoring and Control: Monitor the quality of care and use the flexibility to make changes as needed.
Using Consulting Services: Utilize professional consulting services for efficient benefit management.
How HappySeniors Can Help
HappySeniors specializes in providing dedicated services to the elderly population, including consulting and guidance in the process of receiving long-term care benefits in cash. Here’s how we can assist:
Professional Consulting: HappySeniors experts can help you decide if cash benefits are the right option for you.
Close and Personal Guidance: We take care of every stage of the process in a transparent and personalized manner.
Bureaucratic Assistance: We’ll help you fill out the required forms and submit the application correctly.
Human Resource Management: We’ll assist in locating, screening, and employing suitable caregivers.
Financial Management: We provide tools and advice for efficient management of the nursing care budget.
Ongoing Support: Our team of experts is available for any questions or issues that may arise.
Technological Solutions: Our digital platform assists in efficient management of nursing care.
Additional Services: We offer a wide range of additional services to improve quality of life, such as caregiver placement, consulting services, and technological aids.
Summary
Receiving long-term care benefits in cash offers many advantages for those seeking to manage the nursing care of their loved ones in a more flexible and personalized way. It is an essential tool for ensuring high quality of life tailored to the specific needs of the care recipient. However, it requires careful management and significant responsibility.
HappySeniors is here to assist you every step of the way. We invite you to contact our team of experts to receive personal advice and discover how we can help you navigate the nursing care path in the best way possible.
Contact us today and let us make nursing care simpler for you!
Galit, a nurse who works full-time at a geriatric center. She remembers very well the time when she had to communicate for the first time with a dementia patient from the department where she worked. She was a young nurse at the time and had just finished her bachelor’s degree in nursing. The patient she had to communicate with for the first time was called Shoshana. A 70-year-old woman, who was diagnosed in the early stages of the disease, about two years ago. After working in the geriatric department for several months, one thing was very clear to her: there are many caregivers who are still not sufficiently aware of how to properly communicate with dementia patients.
A nurse makes eye contact with an elderly woman suffering from dementia – illustration picture.
Tips for effective communication with dementia patients-
Remove all the environmental factors that may hinder you from communicating with the person with dementia such as: an open television, a beeping cell phone, a radio, and more.
Speak slowly and clearly, use simple words.
Ask him closed questions and make sure that all the questions you ask can be answered yes or no. Instead of asking, what would you like to have for lunch? Ask, would you like to eat a sandwich with cheese?
Speak clearly and use the names of the people and things you are talking about. Instead of using body words such as: she, he, they – did you like it? Ask did you like the cake?
Try to have short conversations with him. People with dementia may lose the sequence of the conversation, if you have long conversations with them.
Give the dementia patient time to respond to your questions. Try to avoid frustration, if the time you have to wait for an answer is longer than expected.
More tips for effective communication with dementia patients –
Talk to the dementia patient at eye level. Address him by his first name, to make sure you have his full attention.
Try to have one-on-one conversations with him. If you cannot avoid talking in a group, try to make sure that you talk to one person at a time.
Try to avoid finishing the sentence for the dementia patient. If he insists on finding the right word, think about the topic of the conversation and ask a question that should help and stimulate what he wanted to say. If the dementia patient tells you – I want… I want… ask a question such as – do you want to go for a walk?
During the conversation, never say to the dementia patient, “I told you so before.” It is important to remember that if the person starts repeating the things he said before, and asks you repeated questions. It is possible that, he simply forgot that he asked the same question before.
Try not to argue with the dementia patient, as this will make them feel anxious. It is much more effective to accept what he says as the truth and continue the conversation.
If the dementia patient has behavioral disturbances, help them gain control. Think of tasks or activities he can do that can help him feel appreciated. For example, daily activities that he used to do and enjoy. Activities he can do at home such as: folding clothes, or cutting vegetables before dinner.
An elderly woman tries to remember – photo illustration.
Latest tips for proper communication with dementia patients-
Give the person with dementia clear and helpful instructions. When his cognitive (mental) state continues to deteriorate, control must be maintained with him through simple and effective communication. If you ask him directly – “Can you make me a cup of coffee please?” The request can cause him frustration. On the other hand, if you offer him to make coffee together with you and guide him through simple instructions. This way, you can give him back his sense of control. Instead: “Can you make me a cup of coffee please?” “Please fill the kettle with water”, “Boil the water”, “Take the coffee beans out of the cupboard” etc.
I will be flexible to their world! Many people who live with dementia lose track of time. If the dementia patient is not ready to talk to you at that moment, try to understand the reason for this. It’s possible that he just woke up, or he was up all night, or he’s just not in the mood to talk, or he wants to rest and watch TV. It is important to remember that, if you do not receive any response from the dementia patient, you must continue to talk with him patiently and respectfully. All this, in order to avoid frustration and a feeling of lack of appreciation.
It is very useful to find sources of mental support! When dementia worsens, it is important to have someone to talk to. You have to take breaks and gather strength for the rest of the way.
Know when to walk away! If the dementia patient becomes irritable or threatening, take a deep breath and walk away. Remember that living with a dementia patient is not easy – you can always come back and try to deal with it later.
In conclusion-
You must remember that the dementia patient is not always responsible for his actions. It is the terrible disease that causes his behavior and the gradual deterioration of his brain functions. I really hope that one day there will be a cure for this disease. But, now you must learn how to deal with its consequences. The best way is to focus on the positive things you achieve with the person dealing with dementia. Try to spend every day with him as much as possible.
Written by Irit Rabinowitz – attorney with a master’s degree in the field of health and rehabilitation – with extensive experience with mentally ill and nursing patients.
I started my work in nursing homes, in 2008. First in small nursing homes, and then I moved to work in a relatively large nursing home in the northern region. I really enjoyed working in community, individual and group work with the tenants and also, I enjoyed helping the families of the elderly, both in emotional support and in exercising their rights in front of the various offices.
What did I enjoy least about my work in nursing homes?
From the gray exceptional events, from the fact that I could not always work according to the ethics rules of the profession, because I was subordinate to management that preferred to hide (not all managements).
But, of course, I didn’t give up and where it was necessary to report, I insisted on reporting even if it resulted in criticism towards me or even dismissal.
Lack of manpower in the wards and the fact that sometimes as a result, the work of the treating staff led to those unusual events. The reluctance of the care teams to receive training and professionalize, just because they had to stay another hour at their own expense.
All this, made me gradually lose my desire to continue working in nursing homes.
In this article, I’m going to scan the state of nursing homes in Israel, with an emphasis on long-term nursing homes. Of course, not all nursing homes in Israel are in the same situation, some are of better quality and there are less, and I am going to give general information about what is happening in the nursing homes in Israel both from the literature and from my personal experience.
The shortage of nursing personnel in nursing homes –
A woman takes care of an elderly woman
It is no secret that the shortage of personnel in nursing homes and hospitals is high. As a result, the care given to the elderly staying in nursing homes is sometimes deficient. As proof of this, a quote from an article in Globes-
In the administrative petition, it was claimed by the Association of Nursing Homes in Israel that the reduction in the number of foreign workers in Israel, through the Population and Immigration Authority, resulted in a great shortage of nursing care workers for tens of thousands of elderly people who need it. According to the petitioner union, the construction industry did not suffer from the lack of foreign workers, because it was important for the state to solve the housing crisis in Israel, but tens of thousands of the state’s nursing and mentally exhausted elders were abandoned by it.
Lawyers Bombach and Ronen add and write, on behalf of the nursing homes, that
The population in the world, and in Israel in particular, is living longer and longer. But at the same time, the attention of the decision makers in Israel was not drawn to this, and the emphasis was not placed on finding a systemic-national solution for the treatment of the aging population.
The phenomenon of abuse in nursing homes-
The phenomenon of abuse of residents Among the staff members, it was found that the auxiliary forces are the group of caregivers who are at high risk of abuse of residents, as a result of the abrasive nature of their work (Shannan-Altman and Cohen, 2009).
These caregivers are professional support workers, who are required to exercise basic skills in care and their work involves physical care of the elderly, assistance in fulfilling their mental and social needs and maintaining their quality of life.
In studies carried out in the United States and Israel, it was found that the nursing profession in Israel and the United States is characterized by low status, little income, poor employment conditions, lack of promotion opportunities and low job security.
What causes therapists to become frustrated and how can this be overcome?
All that was said above, causes people involved in this profession a lot of frustration and confusion. They come to work reluctantly and have nothing to make them want to continue working.
Institutions, which have learned to understand this, organize fun days for those therapists, rewarding them with bonuses for good work. It will also not hurt to pay a salary that is above the minimum wage. Also, organizations that will give more paid training to those caregivers, will cause more responsiveness on the part of the caregivers to participate in that training.
Another testimony that causes the phenomenon of abuse in nursing homes was given by Dr. Tova Band Winterstein, from the Gerontology Department at the University of Haifa.
In the research I have conducted over the past 16 years, I have witnessed the high risk of the elderly population for abusive and neglectful behavior.” According to her, this is a population that depends on the staff members and is subject to the procedures and routine of life at the institution. This dependence, combined with stereotypical age attitudes that see the elderly as a burden, transparent, and irrelevant, allow in certain situations the existence of abuse and neglect.” She says and adds that Many times the atmosphere and the demanding organizational climate cause a great burnout of the staff, a great deal of stress and therapeutic burden that can cause lack of compassion.
Who are the factors enforcing this problem and how?
Another problem related to the phenomenon of abuse in the nursing homes comes not only from the nursing homes and caregivers, but also from the police and supervisory authorities. The police encourage family members to file complaints on this issue, in many cases it is difficult to convict due to a lack of evidence. In addition to that, the physical condition of the nursing elderly does not allow them to testify, or they are afraid to testify due to their proximity and dependence on caregivers.
Therefore, many times even the professional workers who come to talk with them, do not always receive information on this subject from the elderly. In addition to reporting to the police, it is also possible to report to the regional welfare officer, especially when it comes to grayer cases, where it is not possible to collect clear evidence from the elderly or his environment regarding any suspicion of abuse. Even after reporting to the relief officials, the cases are not always handled optimally, this is due to the heavy burden on the relief officials and the social workers handling this issue.
According to the data of the Ministry of Welfare in Israel, each social worker dealing in this field handles hundreds of cases. One of the important mechanisms to deal with this phenomenon is through a relief official in the elder service. Due to the load, the treatment is lacking and there is insufficient monitoring of the cases of abuse reported to the welfare officer.
It should be noted that there is a procedure that the follow-up will be on the part of the abuse committee, which is obliged to take place once every three months by the members of the committee for the prevention of abuse, which consists of the multi-professional team of the institution. Of course, it is mandatory that a lawyer, a doctor and a nurse, the other professional employees participate, depending on the reported case.
What is the process of hiring caregivers for the nursing home?
In addition to this, there is a very problematic phenomenon in the recruitment of caregivers to nursing homes. Due to the lack of auxiliary staff, there is no regulated and professional selection process for accepting people who wish to work as caregivers in the nursing homes. As a result, anyone interested in being accepted to work as a therapist enters the job, without a thorough examination of their personality and experience. In addition, many therapists who were negligent in their duties in a certain institution, were fired and moved to work in another institution.
They were hired due to the lack of caregivers. It should be noted that if it is a large institution – with several departments – if the caregiver is suspected of certain negligence, he will not be fired immediately, the first few times, he will be transferred to another department in the same nursing home. This is in order to preserve it, because again the problem that repeats itself in this case too: there are not enough experienced therapists who want to work in a nursing home.
Supervision of the Ministry of Health or Welfare –
The roles of the Ministry of Health and Welfare-
The Ministries of Health and Welfare, their role is to issue procedures to the institutions under their supervision and supervise them in the various controls. There are private nursing homes that are not supervised by these ministries and the clients pay for them privately and there are nursing homes that are under the supervision of these ministries and most of the clients who come to them receive funding through them.
The Ministry of Health supervises institutions for nursing and debilitated people and the Ministry of Welfare supervises institutions for the independent and debilitated. If you are interested in getting to know the different functional conditions and the funding process for them, you are invited to enter the article on functional conditions in the third age.
Reporting Obligation-
When there is any suspicion of any negligence or abuse, it is mandatory to report to the Ministry of Health or Welfare depending on the nursing home where the elderly person is staying.
The Ministry of Health or Welfare, their role is to contact the responsible attorney and the abuse committee at the nursing home and find out about the case.
Also, to follow up on the case and how it is handled. To tell the truth, this follow-up is not always done, but the Ministry of Health does check in controls whether the members of the abuse committee, which is also their role, do follow up on the reported cases of abuse.
The review of the Ministry of Health-
In addition to this, there is an audit by the ABA Nursing Homes Association on the conduct of the Ministry of Health in the nursing homes:
The Ministry of Health is the one that pays for most nursing beds Says Roni Ozari, chairman of the ABA (Association of Nursing Homes and Sheltered Housing in Israel), which represents over 200 public (non-profit) and private nursing homes and shelters where about 25,000 residents live. “But in fact he pays 30% of the actual expenses of the nursing homes. He wants to save money at the expense of nursing homes.
A situation has arisen where those who are not good survive and exist. It should be understood that this is not substandard.
The standards are correct, but there is no manpower to fulfill them. I expect the Ministry of Health to lift the glove and do two things immediately: He will approve another 2,000 foreign workers out of the 5,000 required for the nursing industry as a start and then he will establish a forum led by an economist, which will determine the rate for the day of hospitalization, so that we will not reach what we have reached so far. That way the criminals also knew they had something to lose.
Background data from the Taub Center for the Study of Social Policy in Israel on the subject of nursing care indicate that the system for long-term geriatric hospitalization has approximately 21,000 beds in 333 geriatric institutions.
About 70% of the beds are occupied by hospitalized patients financed by the Ministry of Health according to law. The rest of the beds are financed by the hospitalized patients and their families privately.
About two-thirds of the nursing homes are privately owned and the rest are publicly owned, but they all operate according to the professional guidelines of the Ministry of Health and serve as the operational arm of the Ministry of Health, that is, It is the state that is obligated to give the elderly the good, adequate and proper nursing care in the last chapter of their lives. It is she who determines the mandatory therapeutic guidelines through the Geriatrics Division of the Ministry of Health, which dictates the guidelines and supervises their implementation, and she is the one who bears the brunt of the ongoing failure.
In conclusion-
According to the data of the Population and Immigration Authority, in many developed countries there is a very serious shortage of local personnel in the nursing sector.
This is mainly due to the rapid pace of the aging of the population and a change in the family structure, which resulted in a considerable reduction in the informal workforce.
According to an analysis of demographic, economic and social trends, this shortage will get worse in the coming decades. As a result, policy makers must intervene in market forces and look for creative solutions in order to stabilize the level of demand and supply of personnel in the nursing field. Also, it is very important that the police treat the reported cases more seriously and not close almost every case reported to them by the nursing home due to lack of evidence.
Standards must also be increased among public service workers in the field of aging: more relief clerks, because their role is important and decisive in locating and treating cases of abuse in nursing homes. Paid therapist training, more bonuses, fun days, discounts and fair treatment of the institution’s management towards the therapists. Strict selection of employees.
And in addition, changing the way social workers are paid in order to avoid a conflict of interest: The social workers working in nursing homes will receive their salary from the Ministry of Health and not from the managers of the nursing homes. That way, they would be less afraid to speak up for fear of being fired. But, for now it’s just a dream
