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I asked experts to help me craft a contingency plan for my child's care in case I get sick with COVID-19
I asked experts to help me craft a contingency plan for my child's care in case I get sick with COVID-19
Jen HydeApr 13, 2020, 19:37 IST
vorDa/GettyA caregiver contingency plan can prepare your family for short-and long-term scenarios if one of you gets sick.Westend61/Getty Images
Jen Hyde is a writer currently in isolation in New York City with her toddler and 70-year-old mother.
She has become increasingly concerned about what would happen to her son if she or her mom were to contract the coronavirus.
Hyde and her partner decided to prepare a caregiver contingency plan for their son to prepare for short-and long-term scenarios in the case that something happened to them.
It's important to put on paper your child's daily schedule, list of allergies and medications, food preferences, and anything they need or are used to for emotional reasons.
Coronavirus has shaped a reality none of us ever imagined living. In less than a week, I became housebound with my toddler and 70-year old mother. We live in New York City, which has had more than 93,000 confirmed cases of COVID-19, the illness caused by the coronavirus, and where the death toll has surpassed 5,000. Because I have congenital heart disease, I'm worried about what will happen to my son if my mom or I get sick.
I'm married to my son's father, but six months ago he took a job in the Bay Area. Prior to the pandemic, we reunited our family every few weeks. Since this is no longer a safe possibility, we decided to write a caregiver contingency plan to prepare for short and long term scenarios in which our child would live with another relative or friend.
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Courtesy of Jen HydeJen Hyde.
Part of this plan was very straightforward. I drafted my child's daily schedule, made a list of his favorite books, media, and food preferences. I wrote down allergies, medications, and phone numbers for his pediatrician and dentist, and translated many of his idiosyncratic phrases.
While all this is essential, it doesn't consider my son's emotional or financial health. To make my plan more robust, I asked four experts what else to include in the short and long term. Here's what I learned.
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1. Your plan is an ongoing conversation with your family
Dr. Robin Gurwitch, psychologist and professor at Duke University Medical Center advises that once you decide who will temporarily take care of your children, proactively let them know who that person will be. She explains, "It is important for children to know they will always have somebody to take care of them and that their caregiver is doing everything they know how to keep them safe and healthy."
During the COVID-19 pandemic, Dr. Gurwitch suggests beginning this conversation with a more basic one for older children. Try asking your elementary-age child what do you know? If you have a teenager or college-age child, you ask them what do your friends know? Remain calm, listen, and check back a day or two later. For preschool-age children, Dr. Gurwitch suggests following their lead. Explaining why they can't go to daycare or see their friends if they bring it up. Use simple phrases like "we are trying to keep everyone healthy."
2. Provide a way to share and explore emotions
Dr. Arthur Lavin, MD and chair of the AAP Committee on Psychosocial Aspects of Child, explains that "children are already having the emotional experience that we are having," but that "their emotions aren't usually as prized as the facts." If you are sick but expect a full recovery, Dr. Lavin suggests asking your temporary caregiver start a Life Book with your child. For a nonverbal child, under 2-years-old, this could mean pointing to pictures in a magazine or book. A young, verbal child in the 2.5 to 3 year range could draw and narrate images with their caregiver. Dr. Lavin explains that "the Life Book can be fictional, but the point is it allows your child to share their feelings with someone else."
If specific fears arise, a caregiver can alleviate those fears with truthful explanations and provide the child with vocabulary for their emotions. According to Dr. Lavin,"if a child is old enough to imagine an explanation (for your illness), reality will almost always be less scary than what's in their heads." For example, the Life Book might bring up your child's concerns about illness. They may think you are sick because of something they did. In this scenario your child and caregiver can"talk about how it is normal to get sick. And if it comes up, how people can get very sick."
You may also provide your caregiver with a resource to identify your child's distress in other ways. Dr. Gurwitch recommends printing this Coronavirus-specific Parent and Caregiver Guide, written by The National Child Traumatic Stress Network. This guide may help your caregiver identify behavioral patterns and offers coping mechanisms for children of all ages.
3. Determine your child's revenue stream
In the short term, Paco de Leon, Financial Advisor, owner of The Hell Yeah Group, and writer suggests "earmarking money for your child in any way that you can. Ideally you'll put those funds in a high yield money market account where it will earn a higher interest rate." de Leon suggests keeping at least 3-6 months of regular expenses (including diapers, food, day care or preschool tuition) for your child in this account.
If your dedicated caregiver can afford to look after your child while you are ill, de Leon suggests "asking them to use a single credit card and keep meticulous track of expenses. Alternatively you could preemptively transfer a lump sum from your earmarked account to your caregiver."
In the long term, de Leon recommends preparing a medical directive. While de Leon suggests Willing, a simple online service, you may also wish to seek legal advice from a Wills and Estate Attorney. Shirley B. Whitenack, a partner at Schenck, Price, Smith & King, LLP in New Jersey explains that since laws vary from state to state, an attorney will be able to best advise you on the documents you should prepare. During the coronavirus pandemic, Whitenack told me that some attorneys are offering virtual meetings and are finding creative ways to meet clients and process requests, sharing that "some attorneys will stop by a driveway or watch documents get signed through a living room window."
In addition, de Leon recommends purchasing a termed life insurance policy so that your child will have a revenue stream in the worst-case scenario. She recommends Ladder, another online service. While most policies can be approved quickly, policies for individuals with a chronic illness may require an underwriting process and additional time. de Leon also suggests checking your policy's contestability period and planning accordingly because "it's possible your children won't receive income in that time."
I also asked Dr. Lavin about requesting professional mental health support for your child in your medical directive, and planning for it in your emergency funds. He supported this idea.
4. Remember, your plan is an evolving document
Finally, Dr. Gurwitch notes that, "whatever plan you make today you should alter as your child ages to suit their needs." From a financial perspective, de Leon explains that "you may consider your termed life insurance policy as a revenue stream for your family while you build your financial assets," and from a legal perspective Whitenack recommends reviewing your will every 3-5 years. From an emotional perspective, revisiting your plan with your children can provide a source of comfort to everyone in the family. As Dr. Gurwitch points out, "we can't promise nothing will happen to us, but we can help our children know that they will never have to worry that there won't be somebody who loves and cares about them to help take over."
Jen Hyde is a writer who divides her time between Los Angeles and Brooklyn.