TODAY, MORE THAN three-quarters of adults who live in the community and need long-term care depend on family and friends as their only source of assistance with activities of daily living (such as bathing, dressing, and eating) or instrumental activities of daily living (such as transportation and managing finances) (Thompson, 2004). Research suggests that the more than 33 million caregivers who provide help to someone age 50 or older (National Alliance for Caregiving & AARP, 2004) often assume these responsibilities for a relative, partner, or friend with little preparation for the role and little ongoing support. The results frequently are poor physical and mental health for the caregiver and preventable institutionalization for her or his loved one. A 2008 Institute of Medicine report, Retooling for an Aging America: Building the Health Care Workforce, emphasizes the need to prepare professionals, paraprofessionals, and informal family caregivers for an older U.S. population (Committee on the Future Health Care Workforce for Older Americans, 2008).