Mary Bolger, Alzheimer Society of Ireland - 6th Patient's Rights Day

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    New Models of CareThe Social Club Model

    Presented by Mary Bolger, Services Manager(Kildare/West Wicklow)

    Alzheimer Society of Ireland

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    Presentation outline

    Examine the origin of the social clubs Outline the study design and procedure Present the literature supporting the

    social clubs Present the core elements of what makes

    the model unique

    Reflect staff and members experience Discuss future developments and

    implications for policy and practice

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    Social Clubs Origin

    Identification of unmet needNo service for both PWD and

    spouse/carerCarers socially isolated

    The Social ClubMeeting once a week

    Outing every second week Informal and loose structure

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    Study Design and Procedure

    Small scale mixed quantitative andqualitative

    Postal survey to members and staff Feedback of themes to one club Interviews with key stakeholders

    Analysed for themes

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    Supporting Literature

    Dementia and effect on caregiver Increased rate of stress/depressionMore socially isolatedRequires continuous adaptation to

    change Loss of confidant

    Social Support and Caringstress buffering qualitiesMore significant in the elderly

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    Supporting Literature

    Alzheimer Caf ModelUnderlying vision of living with

    dementiaMeeting places for PWD and their

    families, carersSocial and educational

    Couple Identity and Couplehood

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    Couple Identity

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    Couple Identity

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    Couple Identity and Couplehood

    Couple Identitybeing part of a couple as being part of

    ones identity (Beeson, 2003)

    Losing this identity is a real threat tocarer and to person with dementia

    Celebrating personhood may requirethe celebration of couplehood

    Doing things together couplereceives recognition; carer receivessupport

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    Unique Elements of Social Clubs

    Embrace couplehood Informal structure

    Worry-free socialising OutingsMembers as opposed to Service-

    Users Sense of belonging

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    Reflections members of the club

    it makes you realise youre not onyour own

    as a couple it allows us to meetothers with similar interests

    outings with security of knowingsupport and help is at hand

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    Reflections facilitators of the club

    Forget the formal stuff. People are lonelyand they want to talk to others in the

    same boat

    The person with dementia..have acontribution to make from a social pointof view.very important for self-esteem

    great friendships have been born and weas a group have shared some very happyand emotional days together

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    Future Developments

    Expansion of social club model toother regions

    Without losing uniqueness of eachgroup to function as their membersdesire

    Multiple benefits, value for money Investing in staff and resources

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    Implications for Practice

    Some Questions Should service models continue to separate the

    couple?

    Which is more beneficial for spouse a breakaway from PWD or a break with them, with noresponsibility for care needs?

    By having spouse involved do we share theduty of care?

    Are the club and traditional service modelsmutually exclusive or mutually beneficial?

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    Implications for Policy

    Traditional approach needs to becritically analysed

    Policy shift from providing servicesonto to in conjunction with Maintaining couple as central to all

    discussions regarding care Re-examine models and further

    research into emerging models

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    Frankie

    Muriel

    AdrienneJean

    Maurice

    Margaret

    Jenny

    Monday Club, Bray Friday Club, Rathfarnham

    Monday Club, Athy

    Mary

    Patricia

    Leslie

    Sr Peig

    Grainne

    Helena