Hispanic groups are coming together to encourage people to have end-of-life conversations with their loved ones before illness or tragedy strikes.

The Hispanic Heritage Foundation and the National Hispanic Council on Aging are teaming up with the nonprofit Compassion & Choices to get people talking about end-of-life planning, hospice, life support, medical power of attorney, and medical aid-in-dying.

Dr. Yanira Cruz is president and CEO of the National Hispanic Council on Aging.

"The reality is that Latinos oftentimes do not take care of advanced directives, for example," said Cruz, "so they get to a point where decisions have to be made and there are no directives written or signed by them. "

California is home to more than 15 million Latinos, almost 40% of the population - with more than 1.2 million age 65 or older.

Antonio Tijerino is president and CEO of the Hispanic Heritage Foundation. He said Latinos celebrate those who have passed on Dia de los Muertos, but many are uncomfortable talking about death beforehand.

And yet, he said, it's a must, especially since so many in the community have succumbed to COVID, and Hispanics are less likely than other groups to have health insurance.

"We're dealing with these end-of-life issues at a higher scale than others," said Tijerino. "Yet we're the least likely to have access to resources and information to deal with them."

A report by the American Hospice Association found that Latinos are less likely than white families to use hospice, but may be more likely to need it.

A free End-of-Life Decision Guide Toolkit is available in English and Spanish on the Compassion & Choices website.

As the opioid crisis continues, more New Hampshire grandparents are seeking financial help to raise their grandchildren.

Already struggling with the emotional loss of their own child to an overdose, grandparents are often taking in multiple grandchildren, who struggle with physical and mental health challenges of their own.

Denyse Richter, founder and executive director of Step Up Parents, a group helping caregivers cover immediate financial needs, said grandparents are helping both their families and their communities.

"If these kids can get a better start and live in a loving home and keep the family connection, it is the next best thing," Richter explained.

Richter pointed out an estimated 12,000 grandparents are raising their grandchildren as New Hampshire continues to experience some of the highest rates of drug overdose deaths in the country.

Step Up Parents was formed in 2018, after Richter saw her own friend struggle with the daily challenges of raising grandkids. Since then, Step Up has helped more than 500 families with more than 800 children cover unexpected medical bills, car payments and more.

Richter called the grandparents "unsung heroes," who never expected to be caring for children in their golden years, especially on fixed incomes.

"I think that just means so much," Richter emphasized. "To let them know that they're not alone, and that we do get that this is really difficult and we want to help."

While New Hampshire has dealt with the full force of the opioid crisis, Richter noted it is also considered a model for other states in helping families experiencing this crisis get the resources they need.

With the holiday season already underway, she added it is important to show these families and caregivers just how much they are appreciated.

Many parents complete their families through adoption, and November has been the month to encourage awareness, recognize those still waiting to be adopted and celebrate those who have grown through the process.

About 20 families finalized their adoptions at St. Louis County Family Court this year in Missouri, while more than 75,000 in 400 communities did so nationally.

Julia Hampton, a Missouri Walmart employee and adoptive parent, said it is important to look at the benefits offered by businesses when growing your family through adoption.

"Look into the programs available through the company you're employed with, because it may be they have a program set up to reimburse you for legal fees for the adoption," Hampton recommended. "Then you still get a bonding time, to just spend some one-on-one time with them."

Walmart ranks 46th on the Dave Thomas Foundation for Adoption's annual ranking of the Top 100 Adoption-Friendly Workplaces. It's also in second place for the "Best Impact Breakout," among companies with more than 1,000 employees providing the most financial reimbursement for adoption to the largest number of workers.

Alyssa Harp and husband Jason Harp finalized a rare adoption of older teens at a Michigan Adoption Day ceremony this year. Alyssa said growing her family with the two teen brothers has been rewarding and fulfilling.

"Their hearts are good. They want a family. They bring so much to our lives. They're such good siblings," Alyssa explained. "We're just really excited to be able to help them have a safe place to become amazing adults."

Rebekka Krul, adoption specialist for Legacy Adoption Services, said National Adoption Month is a time for awareness of the many children in foster care waiting for their forever families, which should not end when the month is over.

"You don't have to be rich or married, or you don't even have to have a house," Krul pointed out. "As long as you have a safe space and you have love in your heart for kids, we'll welcome you."

Nationally, more than 113,000 children are waiting to be adopted from foster care. They include more than 12,600 in Missouri.


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CORRECTION: The funding source for this program is federal. An earlier version indicated that Montana state tax dollars were funding it, which is not the case. (9:20 p.m. MST, Oct. 30, 2023)


The state of Montana has allocated nearly $1 million to help settle domestic cases before they ever get to court.

The Montana Family Transition Project is for couples who are separating and have children. The program offers mediation, a formula for calculating child support, and legal advice for parents who need a parenting plan as part of their family law case.

Saumya Thomas, program coordinator for Montana Legal Services, explained that a mediator is a neutral third party trained to help people reach an agreement - and stay out of court.

"We take on a range of cases," she said. "We've worked with high-conflict parties who've been in court for a long period of time, and we've been able to shorten that process by going through mediation. Or we also just take really simple cases that can just take three to four hours of mediation time."

The family mediation program costs the state more than $944,000, but is free to couples who qualify. One or both people in the relationship must have incomes at 200% of the Federal Poverty Line.

The program is being funded with leftover federal COVID relief dollars. Thomas said it will save the state money in reduced court expenses, since it will keep many of the higher-conflict cases from winding up in court. That should drastically reduce judicial costs and save judges' time. She added that it is also designed to keep both partners and their children safe.

"If there's any domestic violence involved, they will make sure that the party is as comfortable as possible," she said. "It's their choice whether they participate at all and mediation can stop at any time. It's helpful for Montanans, and I think it gives them a lot more choices moving forward."

The family mediation program also offers self-help resources and other services. Applications are online at mtlsa.org.