George R. Kelder Jr., CFSP
By now, we have moved past the question of whether death doulas exist in our space; they do. The courts have made that abundantly clear. The public has made it even clearer.
So, the real question going forward is not if we engage. It is whether we’re going to shape what this looks like or wait for someone else to do it for us. Because right now, like it or not, that “someone else” is a mix of the courts, the marketplace and organizations like INELDA, the International End of Life Doula Association.
We’ve already acknowledged the gap: Families want guidance before death, not just after it.
We even tried to build something to address it. “Matters of Life/Matters at Hand” wasn’t a bad idea; it was just 15 years ahead of an industry that wasn’t ready to leave its lane. But that lane is becoming crowded now. (Matters of Life was created by the NJSFDA to make funeral homes a recognized, community-based resource of critical information, providing advisory and consulting services for families preparing for a death, serving as a bridge between pre-death and post-death care. Trained funeral home employees would have functioned as a source of guidance, information and hands-on assistance in navigating end-of-life financial details, making professional referrals and assisting with locating geriatric and eldercare services.)
With consumers actively seeking information prior to death from sources perceived as disinterested third parties, doulas stepped into that pre-death space because it was empty.
Your New Jersey State Funeral Directors Association Board and the Northeast Funeral Service Partnership are now wisely asking us to explore integration. Working with organizations like INELDA to develop funeral home-specific training, establish clear certification pathways tied to funeral service standards and create defined roles inside or alongside funeral homes. Not as a replacement for licensed individuals, but as an extension of what we don’t currently have the bandwidth, resources or structure to provide.
Done right, this doesn’t dilute the profession. It strengthens it. It can give funeral homes: earlier entry into the family relationship, better-informed preneed conversations, stronger continuity from pre-death through aftercare and maybe most importantly, relevance in a part of the process we’ve historically ignored–dying.
There are risks, however. Right now, “death doula” can mean anything from highly trained support professional to someone who printed a certificate off the internet last week. That lack of consistency is exactly why this conversation matters and why we are having it.
If doulas are going to be part of the ecosystem, then we need:
- a defined scope of practice (what they can and cannot do)
- clear referral boundaries into licensed funeral service
- standardized training benchmarks
- possibly regulatory guardrails that protect families without overreaching into constitutionally protected activity
That last point matters. The courts have already told us where the line is on speech and nontechnical support. Ignoring that reality is what got other states into trouble. So, the smarter move isn’t to overregulate; it’s to regulate intelligently. Creating structure where it matters–when physical care intersects with public health, when families might confuse roles or credentials and when services transition into licensed activities.
Everything else? That’s where collaboration, not control, needs to take over.
Let’s address the other piece that both the NJSFDA board and NFSP raised, because it’s real whether we like it or not: workforce strain.
Doulas won’t solve staffing shortages in prep rooms, arrangement offices or at crematories. Let’s not stretch the concept beyond reality. But they could absorb time-intensive family communication before death, support arrangement readiness, reduce emotional labor on already stretched staff and improve aftercare follow-through and community engagement.
In that sense, they’re not a replacement workforce, if anything they’re a pressure valve. Temporary? Maybe. But if we are honest, this feels like the early stages of a structural shift in how death care could be delivered.
The profession has always been good at defending its boundaries. It has not been as good at expanding them. If we wait, others will define doula training standards without us, courts will continue shaping the limits of our authority and families will build relationships outside of funeral service and only come to us when they must.
A partnership of integration increases our bandwidth to support families before and after death, secures us a seat at the table earlier in the process, and allows us to bring structure and accurate content to the doula community, positioning them as advocates for funeral service rather than opponents.
What could this look like? We could create pilot partnerships with organizations such as INELDA. Develop a New Jersey or five-state-specific framework for doula collaboration. Explore certification pathways connected to funeral homes. Begin conversations around measured, defensible regulation. And, most importantly, start testing this inside real funeral homes.
If “Matters of Life” taught us anything, it is that ideas do not fail on paper. They fail when we refuse to put them into practice.
Death doulas are not a passing trend. They are a response. The question is whether funeral service wants to be part of that response or react to it after the fact.