Providing care to injured and impaired survivors of gun violence often falls to family, friends and other community members, particularly women and girls. Caregiving includes emotional, physical, logistical and economic support. This essential support is usually unpaid as well as unrecognised from a social and policy perspective. Caregivers may be forced to give up or significantly reduce their paid work hours in order to take on caregiving duties.
- Caregiving can increase psychological problems and decrease health and mental wellbeing of the caregivers.
- Caregivers are in short supply. One study found that in the past decade, adults with injuries and impairments aged 30-65 were the fastest-growing population in US nursing homes. This is because some young people find the only accessible and safe care setting to be a nursing home, which is neither socially- nor age- appropriate.
In the long term, survivors of gun violence may face difficulties getting a job or otherwise being a part of society. Some survivors are so impaired that they cannot engage in any kind of paid employment, some are not given a fair chance to do so. More often, the obstacles are in the minds of employers and the physical arrangements of workplaces and transport systems that do not accommodate people with mobility or cognition issues
- People living with impairments are twice as likely to be unemployed and are at greater risk of living in or on the verge of poverty.In some countries, unemployment among people with impairments is as high as 80
- A 2006 survey of patients at a rehabilitation clinic in El Salvador revealed that their primary concern was economic survival, not long-term health.
In such instances, survivors may have to depend on social protection schemes. This refers to policies and programmes that provide individuals with a degree of income security and other support. However coverage is not universal. Where eligibility for social security depends on having made payments in the course of formal employment, large numbers of survivors do not qualify. Where social assistance is offered for survivors of conflict-related violence, eligibility can be contingent on political criteria or being a part of fighting forces.
- An estimated 5.1 billion people lack adequate social security or social protection worldwide.
- Coverage decreases in middle- and low-income countries, and is as low as 10% across sub-Saharan Africa.
- In India, Kashmiri families of those killed or injured by security forces are not eligible for government social security assistance.