Multigenerational Care for Mental Health: Benefits & Challenges
Multigenerational care for mental health challenges combines multiple generations in support systems through family caregiving and intergenerational programs, providing evidence-based benefits including reduced isolation, improved well-being, and shared responsibilities, while requiring strategic therapeutic approaches to address unique family dynamics and caregiver stress.
Ever feel like supporting a family member's mental health falls entirely on your shoulders? Multigenerational care offers a different approach—one where families and communities share the load, creating benefits for everyone involved.

In this Article
Multigenerational Care For Individuals with Mental Health Challenges: Potential Benefits And Challenges
Mental health challenges often require increasing levels of support over time, especially for conditions that may worsen without proper intervention. Multigenerational care for those with mental health concerns occurs when more than one generation of individuals is involved in the support system. This can manifest as in-home care in a household where multiple generations live or participation in enrichment activities involving people of various ages, such as community-based support groups.
Both approaches may offer benefits to everyone involved. However, multigenerational caregiving—particularly when all participants are under the same roof—can also pose certain challenges. Read on to learn more about common benefits and difficulties of multigenerational care for people with mental health challenges.
Intergenerational programs for individuals with mental health concerns
Intergenerational programs (IPs) aim to offer strategies for social engagement that promote cooperation and interaction among individuals of two or more generations. They can take almost any form, from art therapy groups to outdoor activities to wellness workshops. Virtually any type of activity designed for enrichment that involves close participation between members of different generations can qualify as an IP.
Potential benefits of IPs for individuals with mental health challenges
Research suggests that people with mental health challenges who participate in intergenerational programs may experience an improved sense of well-being, belonging, and self-esteem.
In addition, studies evaluating the effectiveness of participation in intergenerational programs for individuals with mental health concerns have found the following benefits:
- Increased happiness
- Reduced feelings of isolation
- Reduced anxiety
- Improved quality of life
- Better communication abilities
- Increased stability of their overall mental health condition
Plus, IPs can act as a source of social interaction, which can be crucial for overall well-being. Loneliness is a risk factor for developing or worsening mental health conditions, and studies suggest that social interaction may even help improve cognitive function in individuals with various mental health challenges.
Potential benefits of IPs for younger individuals
Children and young adults generally may lack understanding and empathy for those with mental health challenges, so increasing these two factors is one aim and potential benefit of intergenerational programs. Spending time with individuals experiencing mental health difficulties may reduce misconceptions about these conditions and help younger people build empathy for those affected. They may also build stronger social and communication skills and enjoy other possible benefits of social interaction in general.
Intergenerational family caregiving for those with mental health challenges
According to statistics, individuals with mental health challenges are primarily supported by family members or friends. Many will provide care and support for four years or more, which underscores the need for attention to caregiver health and well-being.
Demands associated with supporting someone with mental health challenges over the longer term may raise the risk of depression, anxiety, burnout, and stress-related conditions and negatively impact one’s quality of life. That’s why attention must be paid to caregiver health and well-being, and another reason why multigenerational caregiving may be beneficial for all involved.
Potential benefits of multigenerational mental health caregiving
In addition to providing regular social interaction for all members, including the person with mental health challenges, and increasing empathy and learning from each other, multigenerational households may help distribute care responsibilities. Instead of all the individual’s support needs falling on one person, multiple family members living at home may be able to pitch in. Responsibilities can be divided up more equally, emotional support may be more readily available, and free respite care from other family members can provide primary caregivers with necessary breaks often.
Research also suggests that “older adults from multigenerational households had, on average, higher levels of cognitive functioning relative to those from two-parent households,” although the findings did not apply to rates of cognitive decline.
Potential challenges of multigenerational mental health caregiving
Despite the potential benefits, supporting an individual with mental health challenges in a multigenerational household can have its difficulties as well. Common challenges may include having little time alone and experiencing family disagreements about issues relating to the person’s care.
To address these complex challenges and improve support for the individual and the well-being of everyone, some helpful strategies to consider might include:
- Delegating tasks and responsibilities to other family members
- Planning regular family meetings to discuss care priorities and challenges
- Making time and space to hear each family member’s perspectives and needs
- Finding a mediator, such as a therapist or trusted neutral party, to help with especially challenging or contentious conversations as needed
- Checking in on each other’s mental health regularly and monitoring for signs of stress, anxiety, and depression
- Making time for healthy habits, such as exercise, mindfulness, and enough sleep
- Spending time with supportive friends outside the home
- Taking time alone when possible
- Sharing what you’re going through with others to receive emotional support
- Acknowledging what you have been able to accomplish
Therapy for addressing the needs of caregivers
Supporting a loved one with mental health challenges can be stressful, whether you’re doing so in a multigenerational household with the support of relatives or not. If you’re experiencing high levels of stress and/or other mental health concerns, you may want to consider engaging in therapy. A licensed clinical social worker can support you in expressing your emotions in a healthy way, addressing challenges related to caregiving and/or mental health, and finding positive ways to cope with stress.
If you don’t have time to look up therapists in your area and then travel to and from in-person appointments, you might find online therapy more convenient. With a platform like ReachLink, you can get matched with a licensed clinical social worker who suits your needs and preferences. You can then attend sessions with them via secure video call from home, work, or anywhere you have an internet connection.
A recent study examined the effectiveness of “telephone-supported” online cognitive behavioral therapy (CBT)—one of many on the broader topic in recent years. The study involved 176 caregivers, and the findings suggest evidence for the effectiveness of phone-supported online CBT.
Takeaway
Multigenerational care for a person with mental health challenges may provide benefits to all generations of a family, from increased levels of empathy to stronger relationships between individuals of different generations. Outside the home, intergenerational programs for individuals with mental health concerns may also provide a variety of benefits for all parties. If you’re finding that the stress of caregiving is taking a toll on your mental health or overall well-being, delegating tasks to family members, practicing healthy habits, leaning on social support, and meeting with a licensed clinical social worker through telehealth services could all be positive practices.
FAQ
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What are the main benefits of involving multiple generations in mental health care?
Multigenerational mental health care offers several key benefits including reduced isolation for individuals struggling with mental health challenges, shared caregiving responsibilities among family members, diverse perspectives and coping strategies from different generations, stronger family bonds through collective support, and access to varied life experiences that can inform treatment approaches.
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What challenges do families face when providing multigenerational mental health support?
Common challenges include generational differences in understanding mental health, conflicting approaches to treatment, communication barriers between age groups, potential for increased family stress, role confusion among caregivers, and difficulty maintaining boundaries between personal and caregiving relationships. These challenges often require professional guidance to navigate effectively.
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How can family therapy help address multigenerational mental health dynamics?
Family therapy provides a structured environment where multiple generations can learn effective communication skills, understand different perspectives on mental health, develop coordinated support strategies, address intergenerational trauma patterns, and create healthy boundaries. Therapists use evidence-based approaches like systemic therapy and multigenerational therapy to help families work together more effectively.
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When should families consider professional therapy for multigenerational mental health concerns?
Professional therapy should be considered when family conflicts increase due to mental health challenges, when multiple family members are experiencing mental health symptoms, if communication patterns become harmful or ineffective, when caregiving responsibilities become overwhelming, or when family members have different views on treatment approaches that create tension.
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What therapeutic approaches work best for multigenerational mental health care?
Effective therapeutic approaches include family systems therapy which addresses relationship patterns across generations, cognitive behavioral therapy (CBT) to help family members develop healthy coping skills, dialectical behavior therapy (DBT) for emotional regulation, narrative therapy to reframe family stories, and psychoeducation to help all generations understand mental health conditions and treatment options.
