When someone you love suddenly depends on you, where do you begin?Perhaps a parent or longtime caregiver has died, become seriously ill or can no longer provide care. You may be a brother, sister, relative or trusted friend who always knew that one day you might need to step in. And suddenly, that day is here. There may be medications, appointments, government funding, banking, support workers, programs and routines you've never managed before.You don't need to figure everything out on the first day. Start with what is necessary to keep the person safe and supported, and work through the rest one piece at a time.FIRST: Make Sure Immediate Needs Are CoveredStart with the basics:Where will the person live tonight and over the coming days?Who is staying with or supporting them?What medications do they take and when?Are there medical, behavioural, communication or safety needs you need to know immediately?Who are their doctors, pharmacy and support workers?Is transportation needed for a day program, work or appointments?What routines are particularly important to them?Who are the people they know and trust?If the person's living situation or essential care is suddenly at risk, don't wait until you've sorted through all the paperwork before asking for help.CONTACT DEVELOPMENTAL SERVICES ONTARIOIf the person receives or may be eligible for adult developmental services in Ontario, contact their local Developmental Services Ontario (DSO) office. Tell DSO that the person's primary caregiver has died or can no longer provide care and explain what has changed. DSO specifically identifies a situation in which an unpaid primary caregiver can no longer provide care essential to an adult's health and well-being as one circumstance that may create an urgent need for interim developmental services and support.DSO is also the access point for Ministry-funded adult developmental services in Ontario.Find Your Local Developmental Services Ontario OfficeFIND THE IMPORTANT DOCUMENTSYou are essentially trying to learn what the previous caregiver may have managed for years.Look for:health cardbirth certificate and other identificationmedication listdoctors and specialistspharmacyDSO informationODSP information and caseworkerPassport funding informationbanking informationRDSP informationinsurance policieswills and trustsPowers of Attorney or guardianship documentshousing or lease informationsupport agency informationday program or employment informationtransportation arrangementsemergency contactsDon't panic if you can't find everything. Start a folder and add information as you find it.CAREGIVER DOES NOT AUTOMATICALLY MEAN GUARDIANThis is an important distinction.Taking over someone's day-to-day care does not automatically make you their legal guardian or give you authority to make every decision for them. Adults with developmental disabilities do not automatically lose their right to make their own decisions because they have a disability.Ontario law considers capacity in relation to particular decisions. Depending upon the circumstances, there may already be an attorney under a Power of Attorney, a guardian of property, a guardian of the person or another legally recognized substitute decision-maker. Before assuming you have legal authority, find out what arrangements already exist.If you are unsure, obtain appropriate legal advice or information from Ontario's Office of the Public Guardian and Trustee.Ontario – Guardianship InformationCONTACT ODSPIf the person receives Ontario Disability Support Program (ODSP) benefits, locate their ODSP information and determine how their benefits are currently being managed. Don't assume that because a parent previously handled the money, you automatically take over that role.ODSP can appoint a trustee in certain circumstances to assist a recipient with managing income support. A family member, friend or community agency may potentially serve in that role, depending on the circumstances. Contact ODSP to explain the change in circumstances and ask what, if anything, needs to be updated.CHECK PASSPORT FUNDINGIf the person receives Passport funding, find out:which Passport agency administers the fundinghow much funding is availablehow it is currently being managedwhat services are being paid forwho is submitting expenseswhether there are outstanding reimbursementsPassport specifically directs families to contact their Passport agency when there is a different primary caregiver or when they want to change the person managing the funds. DSO should also be contacted when there has been a significant change in support needs, including the serious illness or death of a caregiver.Passport FundingCHECK THE RDSP, TRUSTS AND OTHER FINANCIAL ARRANGEMENTSDetermine whether the person has:a Registered Disability Savings Plan (RDSP)a trustan inheritancelife insurance proceeds intended for their benefitinvestments or savingsother disability-related benefitsDon't move money or change financial arrangements simply because you are now providing care. For example, the rules governing who can be the holder of an RDSP depend upon factors including the beneficiary's age and contractual competence.If substantial assets, an inheritance or a trust are involved, getting appropriate legal or financial advice can prevent an expensive mistake.CONTACT EXISTING SERVICESMake a list of everyone already involved in the person's life.This might include:day programssupported employmentrespite providerssupport workersbehavioural therapistssocial workersphysicians and specialistsdentistoccupational or speech therapiststransportation providersrecreation programscommunity agenciesAsk each organization what information needs to be updated and whether there are forms, consents or authorizations required because the primary caregiver has changed.LEARN THE PERSON - NOT JUST THE PAPERWORKThis may be the most important part of all. A file can tell you someone's diagnosis. It won't necessarily tell you how to care for them.Find out:How do they communicate?What does anxiety look like for them?What calms them?What frightens or overwhelms them?Are there sensory sensitivities?What foods do they love or refuse?What does their morning routine look like?What happens at bedtime?How do they show pain?Who do they trust?Who are their friends?What activities matter to them?What makes them laugh?What makes a good day?What choices can they make independently?What help do they actually want from you?Talk to siblings, relatives, support workers and others who knew the person's routines well. The goal isn't simply to recreate everything the previous caregiver did. It is to understand the person well enough to provide stability while respecting their choices, independence and dignity.REMEMBER THAT THEY ARE GRIEVING TOOIf you stepped into this role because their parent or caregiver died, you aren't simply dealing with a change in services. They have lost someone they love. They may also have lost their home, routines, sense of security or the person who understood them better than anyone else.Grief may appear as sadness, but it can also show up as anxiety, withdrawal, sleep changes, repetitive questioning, anger, behavioural changes or difficulty with familiar activities.Try to preserve familiar routines and relationships while other things are changing.THEN LOOK AT THE LONGER TERMOnce the immediate situation has settled, begin looking ahead.Questions may include:Housing: Is the current home sustainable? Does the person want to remain there? What supports would be required?Care: Can one family member realistically provide everything, or should responsibilities be shared?Services: Are current supports still appropriate?Finances: Is there a sustainable plan for expenses and disability-related needs?Legal arrangements: Does anything need to be reviewed concerning decision-making authority, estate matters or financial management?Future planning: What happens if you become unable to provide care?That last question matters. One of the best things a new caregiver can eventually do is begin documenting what they learn so the next person doesn't have to start from the beginning again.CREATE A CAREGIVER INFORMATION FILEKeep one central record containing the important information you've gathered. Include the official things - medications, doctors, funding, legal documents and contacts. But also record the things no government form will ever ask:What comforts them.What upsets them.Who matters to them.What they look forward to.What they can do for themselves.What they need help doing.What they want their life to look like.Because stepping into someone's care isn't only about managing services. It's about stepping into their life and helping them continue to have a life that belongs to them.Helpful Starting PointsDevelopmental Services Ontario (DSO)DSO OntarioPassport FundingPassport Funding OntarioOntario – Guardianship and Decision-MakingOntario Guardianship InformationOffice of the Public Guardian and TrusteeOntario OPGTThis information is intended as a general starting point for Ontario families and is not legal, financial or medical advice. Every person's circumstances are different. Programs, funding, eligibility and legal requirements can change, so information should be confirmed directly with the appropriate organization or qualified professional.