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Editorial Team

Editor-in-Chief
Amy Colver, MSSA, MA, LISW, OSW-C

Editor
Katherine Easton, MSW, LCSW, OSW-C

AOSW Communications Director
Brittany Hahn, LCSW

Managing Editor
Patricia Sullivan

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2026 Themes

February: The Evolving Oncology Social Worker
MayAdolescent and Young Adult (AYA) Psychosocial Oncology

AugustComplementary and Integrative Therapies

NovemberHealth Equity

Threads of Support: Nurturing Resilience for Cancer Caregivers

November 14, 2025
Caregivers

Caregiving for someone with cancer is a profound act of love, yet it can also be overwhelming—an adjective few caregivers admit to feeling. From providing emotional support to coordinating medical care, caregivers often carry a heavy load while trying to maintain their own health and well-being. Data from the Cancer Support Community’s (CSC) Cancer Experience Registry illuminates both the challenges caregivers face and the resilience they demonstrate every day. 

The Scope of Caregiving 

Between October 2021 and May 2025, 861 caregivers contributed to the Cancer Experience Registry: 

  • 58% are currently providing care, and 42% have provided care in the past; 27% are bereaved 
  • Care recipients are often spouses/partners (50%), parents (21%), children (12%), or other loved ones (15%) 
  • 64% provide care seven days a week, averaging nearly 9 hours per day 

Caregiving responsibilities are diverse: 

  • 87% provide emotional support 
  • 80% talk with the patient about cancer, treatment options, and prognosis 
  • 77% discuss care goals and treatment preferences 
  • Many also assist with household chores, transportation, symptom management, and finances 

Despite these efforts, only 16% of caregivers have received formal training, and of those, 41% wanted additional training. When asked about feeling prepared to manage a patient’s emotional needs, only 41% felt pretty well or well prepared. Yet most continue to show up for their loved ones, often at personal cost. 

Emotional Impact and Distress 

Caregiving can take a significant toll on mental and physical health: 

  • 58% report worsened emotional/mental health 
  • 56% report poorer sleep 
  • 49% report lower energy levels 

At the same time, caregiving can bring growth and meaning: 

  • 45% report improved relationships with the patient 
  • 35% note strengthened spirituality or faith 

Registry data also show high levels of distress: more than half (52%) are at risk for depression, 42% are at risk for anxiety, and 61% express moderate to serious concern about the future. Around a quarter of caregivers identify unmet needs related to managing difficult feelings like guilt or anger (26%), balancing caregiving with personal life (25%), and maintaining their own mental health (23%). 

Barriers, Disparities, and Emerging Needs 

Social and economic factors magnify caregiving challenges. Caregivers with lower incomes face difficulties accessing respite care, mental health support, and workplace accommodations. Those providing care for specialized treatments, such as bone marrow transplants, or for aging adults, may struggle when informal caregiver networks are limited. CSC’s 2020 data also highlight financial stress: over 50% of caregivers expressed needing help managing health benefits and finances. 

Emerging trends indicate that recognition and support for caregivers are critical. As CSC CEO Sally Werner notes, 2025 is “The Year of the Caregiver,” reflecting increased awareness of caregivers’ evolving roles and needs. 

Evidence-Based Support: CancerSupportSource—Caregivers 

CSC is advancing caregiver support through the CancerSupportSource—Caregivers (CSS—Caregivers) program, a distress screening and referral initiative adapted from the validated CancerSupportSource® program for patients. Caregivers were engaged at every stage of development, including focus groups to identify primary responsibilities and stressors—covering self-care, caregiving roles, and patient experiences—and cognitive interviews to ensure clarity and relevance. 

Support Programs and Resources 

Caregivers benefit from flexible, multi-dimensional support. CSC and Gilda’s Club offer free programs, including: 

  • Support groups for peer connection and emotional space 
  • Educational workshops, such as Push the Pause Button – Supports for Caregivers and Cancer Transitions: Caregiver series 
  • Digital platforms, like MyLifeLine, enable caregivers to request help, track appointments, and connect with community support 
  • Financial navigation, including workshops (Frankly Speaking About Cancer: Coping with the Cost of Care) and one-on-one guidance via the Cancer Support Helpline 

Programs are offered in in-person, virtual, and hybrid formats to accommodate caregivers’ busy schedules and diverse responsibilities. 

Collaboration and Advocacy 

Organizations like CSC play a key role in convening caregivers, providing peer support, education, and advocacy. Effective programs are creative, accessible, and tailored—recognizing that one size does not fit all. Advocacy amplifies caregivers’ voices, especially around financial and health equity, ensuring caregivers receive the support they need to thrive. 

A Message for Caregivers 

Whether you call yourself a caregiver, carer, care partner, co-survivor, or something else, CSC encourages you to care for your own physical, emotional, and spiritual needs. Support is available through programs, peers, and professional resources. 

Caregiving can be both challenging and rewarding. By acknowledging the dual nature of caregiving, addressing unmet needs, and connecting caregivers with meaningful support, we can nurture resilience and break barriers—ensuring that those who give so much are also sustained and supported. 

For tips and resources on caregiver self-care, visit Cancer Support Community – Caregivers. 

About the Authors

Kelly Hendershot, LGSW, LMSW
Vice President, Mission Delivery
Cancer Support Community
Arlington, Virginia
khendershot@cancersupportcommunity.org
Kelly Hendershot works across the Cancer Support Community (CSC) to ensure that everyone’s interactions with our network partners go smoothly. This includes helping drive innovation and increasing the reach of the network. She joined the CSC headq...
Kelly Hendershot, LGSW, LMSW
Vice President, Mission Delivery
Cancer Support Community
Arlington, Virginia
khendershot@cancersupportcommunity.org

Kelly Hendershot works across the Cancer Support Community (CSC) to ensure that everyone’s interactions with our network partners go smoothly. This includes helping drive innovation and increasing the reach of the network. She joined the CSC headquarters team in August 2020. As the lead liaison for patient and family programming across CSC’s growing network, Kelly ensures that programming is effectively implemented and meets quality standards. In addition to her role at CSC, she is Chair of the Comprehensive Cancer Control National Partners (CCCNP) and serves on the membership and educations committees for the Association of Oncology Social Workers (AOSW). Kelly is also a member of the National Association of Social Workers (NASW). 

Erica Fortune, PhD
Vice President, Research
Cancer Support Community
Erica E. Fortune, PhD, joined Cancer Support Community (CSC) in 2020 as the Director of Research at our Research and Training Institute (RTI). Holding a PhD in Cognitive and Experimental Psychology from the University of Georgia (2013), Erica brin...
Erica Fortune, PhD
Vice President, Research
Cancer Support Community

Erica E. Fortune, PhD, joined Cancer Support Community (CSC) in 2020 as the Director of Research at our Research and Training Institute (RTI). Holding a PhD in Cognitive and Experimental Psychology from the University of Georgia (2013), Erica brings a wealth of academic and professional experience to her role. Prior to joining CSC, she served as a tenured Associate Professor of Psychology at Arcadia University in Glenside, PA. Erica’s research is deeply rooted in cognition, decision-making, and risk-taking, with a recent focus on patient experiences, outcomes, and communication within healthcare settings. Erica has experience with various clinical populations including cancer, HIV, and addictive disorders, and her expertise extends to psychometrics as well as advanced analytical techniques. 

 

At CSC, Erica has been instrumental in several key initiatives. She spearheaded CSC’s longitudinal cohort study during the COVID-19 pandemic and played a pivotal role in the development and validation of the CancerSupportSource suite of tools and the VOICE measure. Moreover, she leads efforts in program evaluation, assessing the impact of CSC programming and support on individuals and communities. Additionally, Erica is deeply committed to addressing health disparities, particularly within Spanish-speaking Hispanic and Latino communities. 

Erica enjoys baking, exercising, reading, traveling, and meeting new people when she’s not spending time with her husband and cats. 

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