The purpose of this study was to explore male caregivers' perceptions of fo
rmal support. The men were caregivers of adults with cognitive impairment T
he study involved secondary analysis of interview data on perceptions of su
pport that had not been previously analyzed from the perspective of formal
support. Techniques of data analysis used in grounded theory were applied t
o 62 guided interactive interviews conducted with 24 male caregivers during
a period of 18 months. The men experienced a process of making concessions
for care in the following four sequential stages: resisting giving in, ope
ning the door and making the match. personal barriers deterred the caregive
rs from seeking help. and once the caregivers engaged formal help the influ
ence of characteristics of the health care system and individual staff memb
ers had both enabling and disabling effects. For caregivers whose use of fo
rmal support involved admitting their relative to a long-term care facility
, the phase of making the match was followed by redesigning their caregiver
role.