dementia moves to an assisted living residence or a nursing home, the help provided by his or her family caregiver usually changes from the comprehensive care summarized in Table 7 (see page 38) to providing emotional support, interacting with residential care staff and advocating for appropriate care. However, some family caregivers continue to help with bathing, dressing and other ADLs.436-437 Duration of Caregiving In 2014, 86% of dementia caregivers provided assistance for at least the past year.A9 According to another study, well over half (57%) of family caregivers of people with Alzheimer’s or other dementias living in the community had provided care for four or more years.391 Hours of Unpaid Care and Economic Value of Caregiving In 2021, the 11.3 million family and other unpaid caregivers of people with Alzheimer’s or other dementias provided an estimated 16 billion hours of unpaid help. This number represents an average of 27.1 hours of care per caregiver per week, or 1,413 hours of care per caregiver per year.A10 With this care valued at the average of the state minimum wage and the median hourly cost of a home health aide,A11 the estimated economic value of care provided by family and other unpaid caregivers of people with dementia across the United States was $271.6 billion in 2021. Table 8 shows the total hours of unpaid care as well as the value of care provided by family and other unpaid caregivers for the United States and each state.