Improved home care for older persons and enhanced informal ...

Improved home care for older

persons and enhanced informal care

in all age groups

15.2.20182

KEY GOVERNMENT PROJECTS IN THE MINISTRY OF SOCIAL AFFAIRS AND HEALTH

Presentation of the key project "Improved home care for older

persons and enhanced informal care in all age groups

Enhanced health and wellbeing

Services to be

based on client

needs

Health and

wellbeing will be

fostered and

inequalities reduced

EUR 27 millionHome care for older people

will be developed and

informal care enhanced in

all age groups

Career opportunities for

people with partial work

ability

Programme to address

child and family

services will be

implemented

15.2.20183

THE SYSTEM NEEDS TO BE IMPROVED

The service system for older people is fragmented, its structure has not been reformed in accordance with national objectives, good practices are spreading slowly and regional differences are significant.

The implementation of informal care varies between different regions, services to support informal care are offered too seldom and they are not as versatile as such services should be.



15.2.20184Presentation of the key project "Improved home care for older


Rehabilitation for

war veterans

Outpatient care /

Inpatient care

Living aids

Housing modifications,

living aids unit /

occupational therapist

Dementia

nurse in an

outpatient

clinic

Disabled

parking permit

Police

Day centre

activities

Dental care

Local

Register

Office

guardianship

Services by

organisations and

private sector

operators

- Home services

- Senior Station

- Informal care

associations

- Physiotherapy

Dementia

advisor

Meals on

wheels

Tax authorities

- domestic help credit

- reduced capability to pay

taxes

Bank

- Authorisation

- lawyers

Nutrition guidance

dietician

Pharmacy

Assistant

pharmacist

= referral/certificate from a

doctor needed to apply for

the service

Source: Adapted after Saarenheimo & Pietilä 2006.

Municipal official

supporting informal

carers

Home care / Home

nursing

- cleaning, laundry

- errands

- emergency services

- medication control

Distribution of

accessories for self-

care

Physiotherapy

Medical

specialists

KELA:

- reimbursement for

medicines

- care allowance

- housing allowance

- adaptation training

-rehabilitation

Short-term institutional care

Transportation

services

Public

health

nurse

War

veteran

office

FAMILY USING

INFORMAL CARE

HEALTH CENTRE

DOCTOR

SERVICE SYSTEM FROM THE POINT OF VIEW OF FAMILIES USING INFORMAL CARE

Social worker

providing services

to older people

15.2.20185

OBJECTIVES OF THE KEY PROJECT

to ensure as healthy and able a life as possible for older people by providing services and multiprofessionalrehabilitation, and by enabling different forms of housing

to improve the quantity and contents of services provided to older people at home

to develop client guidance and service coordination

to make living in family care more common among older people

to establish good practices that help informal and family carers to cope

to promote the inclusion of older population

15.2.20186

THEMES OF THE KEY PROJECT



Regional client

guidance and

service

coordination

More equal, coordinated and cost-effective services for

older people and informal carers.

Well-

functioning

home care

Combining

housing and

services

Informal and

family care

15.2.20187

AGENTS OF CHANGE PROMOTING THE KEY PROJECT

plan and establish integrated service packages for older people regionally

encourage other people to changes

use knowledge-based steering to carry out the changes

support client guidance, service coordination and home care

support housing arrangements as well as informal and family care

plan models for discharging patients and for rehabilitation

help older people to participate in the planning



15.2.20188

19 AGENTS OF CHANGE, 18 COUNTIES

The work of the

agents of change will

result in a written

action plan approved

by the regional

stakeholders. The

action plan lays down

how the services will

be integrated for older

people in the county

and how the

implementation of the

plan shall be

monitored. (See

section 5 of the act

980/2012 on services

for older population.)

LIISA

NIIRANEN

JOHANNA

LOHTANDER

KIRSI

KIVINIEMI

ANNUKKA KUISMIN SOILI PARTANEN

MARITTA HAAVISTO

RITA

OINASEIJA

TOLONEN

PÄIVI

TIKKANEN

PIRJO

REHULA

TUULA

KIVINIEMI

IRMA

AHOKAS-

KUKKONEN

TUIJA

KOIVISTO

ANU

KALLIO

PIA

VÄHÄKANGAS

LIISA

AHONEN

TOMMI

REIMAN

MERJA

TEPPONEN

ANU OLKKONEN-NIKULA



ANNELI

SAARINEN

Developing

services to

support

living at

home

15.2.201810

REGIONAL PILOTING OF SERVICES FOR OLDER PEOPLE AND INFORMAL CARERS

Pilots under the sub-project Well-

functioning home careCentral Finland Eeva-Liisa Saarman

Lapland Lahja Harju

Siunsote Soile Syrjäläinen

Regional client guidance and

service coordination - KAAPOKymenlaakso Marjut Kettunen

Pirkanmaa Essi Mäki-Hallila

Varsinais-Suomi Johanna Ritvanen

Informal care pilotsJaana Koinsaari

Essote

Eksote

Kainuu

Pilots on combining housing

and servicesMarkku Partanen

Aalto yo

Porvoo

Lapinjärvi

Savitaipale



15.2.201811

WELL-FUNCTIONING HOME CARE

Model for

acute

situations

Rehabilitative

model

24/7

service

Staff

participates

in developing

services



15.2.201812

REGIONAL CLIENT GUIDANCE AND SERVICE COORDINATION - KAAPO



COMMUNI-

CATIONSLOW-THRESHOLD

ADVISORY SERVICESCLIENT GUIDANCE &

SERVICE COORDINATION

COORDINATION

MONITORING

Clien

tele

in

cre

ases

Organisations and

voluntary work,

housing, traffic,

culture etc.

Persons suffering

from dementia and

those with multiple

diseases, using

several support

services

Aged population

Older

persons

One-stop-shop principle: information, advice,

service needs assessment, guidance on services

INFORMAL CARE IN ALL AGE GROUPS

15.2.201814

PILOTS ON ESTABLISHING INFORMAL CARE ARRANGEMENTS

Model for

informal care of

children with

disabilities

Cooperation

model for

informal care of

persons with

memory

disorders

Model of informal care

of substance abuse or

mental health

rehabilitees



15.2.201815

Kaikenikäisten omaishoito

COMBINING HOUSING AND SERVICES

15.2.201816

PILOT ON COMBINING HOUSING AND SERVICES

Sotera Institute of the

Department of Architecture

of the Aalto University:

Models of operation for

common use

Municipality of Lapinjärvi:

Modular and reproducible

construction solutions

Results and experiences

City of Porvoo: Connecting

with internal services and the

networks of services and

resources in nearby areas

Municipality of Savitaipale:

Networking with nearby areas,

stronger internal integration



15.2.201817

SITUATION OF KEY PROJECT “IMPROVED HOME CARE FOR OLDER PERSONS AND ENHANCED INFORMAL CARE IN ALL AGE GROUPS”

2016 2017 2018 2019 2020

Key project, Ministry

of Social Affairs and

Health

Preparations,

guidlines,

applications,

assesment

Implementation

and support…

Implementation,

support and

monitoring Funding

ends

Monitoring 15 April

2019,

dissmenination of

results

Counties and the

reformed health

and social services

start operating

Monitoring

Agents of Change

(19 agents, 18

counties + capital

area)

Applications,

operation starts 1

October

Implemen-tation

and support…

….Result:

Coordinated

service package

Establishment,

coordination,

monitoring

Monitoring

KAAPO (3 counties) Applications and

preparations, 1

November

1.1. 31.11

Establishment

Establishment,

dissemination,

monitoring

Monitoring

Home care (3

counties)

-”- -”- -”- -”- Monitoring

Informal and family

care (3 counties)

-”- -”- -”- -”- Monitoring

Combining housing

and services (3

municipalities)

-”- -”- -”- -”- Monitoring

Impartial review

of the

keyproject

•Name

• [email protected]

•stm.fi/io#ikiomat#kärkihanke

Presentation of the I&O

key project

Improved home care for older persons and enhanced informal ...

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