Abstract: Home care by family caregivers to the disabled elderly in China is still a main form of cares at this stage and remains to be for a long time. Current researches focus on the elderly’s own care needs, but are not enough on family caregivers’ problems and needs. According to a sampling survey in Shanghai in 2010, most of Shanghai's family caregivers for the disabled elderly are women. They are mainly middleaged retirees, their economic conditions are moderate, and they have a longer care time and stronger sense of responsibility. Family caregivers bear a certain degree of physical, psychological and economic pressures during their care giving. In the face of the pressures from all sides, those who actively take selfextracting or get family supports, need urgent supports from government and social communities. Therefore, this essay suggests setting up a sound social health security system, reinforcing communitybased home care services, enhancing care knowledge and skills training, organizing caregiver support groups, and establishing various social support systems.