We live in a remote rural area and we have been offered 3 hrs a week of a home health aide. We tried it before and it didn't work because dad needs a companion to socialize and to protect him from memory problems. Home health aides are more for specific medical or hygiene needs. The time spent scheduling an aide without meeting them to see if dad will be able to talk to him, the time spent isn't worth having someone who may not be any help. What is needed is someone who will come less often for a longer time. The last one we ended up helping him more than vice versa. How can we decline this while still maintaining the very real need we have for dad's caregiver to get some time off AND dad to talk to someone besides just his caregiver? I think the only option of choice is to hire someone out of pocket. We are in NJ and he needs aide and attendance I guess but don't have it yet.