This manual is intended for caregivers of homebound patients with Alzheimer's disease and others who are mentally impaired. It deals with the nature of Alzheimer's, the decline in a patient's abilities, information about available services, and legal and financial issues. The manual provides guidance and suggestions to lessen the daily stress experienced by caretakers and it focuses on the dual nature of the caregiver role--patient care and self-care. The manual has five objectives: (1) to understand Alzheimer's and dementia-related diseases; (2) to understand the progressive stages of Alzheimer's disease in terms of patient traits and reactions; (3) to deal more effectively with caregiver and patient needs; (4) to acquire skills to help in caregiving role; and (5) to obtain greater knowledge of community resources. Four chapters offer information to the caregiver: (1) what is Alzheimer's disease; (2) the role of the caregiver; (3) dealing with the decline in patient's ability; and (4) where to go for help and assistance. Twenty-one references, addresses for 13 local New York chapters of the Alzheimer's Association, the New York City Department for the Aging's Alzheimer's resource center, 7 New York State Assistance Centers, and 60 Local Offices for the Aging in New York are included. (NLA)