HELPS Housing and Home-care for the Elderly and

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Workshop 3 “Independent Living, Housing, Domotics”
Age-friendly environment strategies
30-31 March 2015
Udine, Italy
Innovative housing and care solutions:
results and recommendations of the HELPS Project
Gian Matteo Apuzzo
Local Health Authority n.1, FVG Region
This project is implemented through the CENTRAL EUROPE Programme co-financed by the ERDF
Background
FVG Region policies
Friuli Venezia Giulia Region have defined a model of integrated system
of social and health services:
-The promotion of home care and community based care through the
partnership between Municipalities and Local Health Authorities and the
involvement of the third sector;
- Innovative models for integrated care: multi-dimensional and crosssectoral evaluation of needs, personal tailored project, integrated taking
care
- Innovative tools of local integrated health and social planning:
Territorial activities Program (PAT) and Local Plan of social policy (PdZ,
Piano di Zona)
- Joint initiatives with research/innovation (ICT) and housing sectors
Background
FVG Regional Innovation Projects in Welfare sector
-Regional Law n. 26/2005 on Innovation, Scientific Research and
Technology Development , Art.22, Innovation in the Welfare Sector; 15
projects/Year on: Promotion of quality of life at home for elderly and
dependent; Accessibility and automation of apartments with technologies
(domotics); - Teleassistance and telemedicine;
(Projects like Refreedom, Presto a casa, HelpKey TV,..)
- ASPAD Project, Regional System Framework actitvies for the
Promotion of Innovation, Home-care and Accessibility
- Regional cluster “TAV - Technology for Ambients of Life” (AAL domain)
Innovation in the home care system
Housing:
• Accessibility: experimentation (in 3 different places) of an evaluation system of accessibility of
buildings on the basis of WHO-ICF approach (with the specific contribution of WHO FIC CC)
• Autonomy: Presto a casa/Back home project, two domotic flats, one of them for training, the other
one for temporary staying
• Regional Law 1/2005, art. 3, Promoting Indipendent living (Abitare possibile), advanced home care
models for the elderly, 10 Municipalities involved so far
• Co-housing (Condominio solidale), promoting also intergenerational solidarity
ICT:
• Regional Law on Innovation 26/2005, art.22 Innovation in the welfare system
• Regional network on ICT, and quality of life at home (among public and private partners)
• Regional services on tele-help, tele-assistance, tele-monitoring
Community development:
• Local Plans for social policies (PdZ)
• Community foundations, new organizational model of PPP in managing and financing initiatives at
local level for taking care of elderly and people with disability
• Advanced integrated home-care (formal care plus voluntering families as informal carers and
community animators)
EUROPEAN INITIATIVES SUPPORTING REGIONAL POLICIES
1.
FVG as a L@b
Committment to EIP-AHA, D4 Action Group on Age-friendly environments, cities and regions
2.
3. CASA -Consortium for Assistive Solutions, CORAL network
Policy development for AAL innovation uptakes
4. SmartCare (DREAMING follow up)
Integrated Care Collaborative Platform,
aiming at the integration between social
and health service providers
DIREZIONE CENTRALE SALUTE INTEGRAZIONE SOCIO SANITARIA, E POLITICHE SOCIALI
Title of the project
HELPS
Housing and Home-care for the Elderly and vulnerable people
and Local Partnership Strategies in Central European cities
Central Europe Programme
Call for Strategic Project Proposals
Lead Partner: Regione Autonoma Friuli Venezia Giulia
12 partners
+ 3 associated partners
8 countries involved
Duration: 36 months - from October 2011 to December 2014
Total Budget: 2.670.229,00 € (ERDF: 2.133.975,35 €)
CENTRAL EUROPE PROGRAMME OPPORTUNITY
RESTRICTED CALL FOR STRATEGIC PROJECT
• Priority 4
Enhancing competitiveness and attractiveness of cities and region
• Area of Intervention 2
Addressing the territorial effects of demographic and social
change on urban and regional development
• Concept 6
Innovative housing and care solutions for the elderly and
vulnerable persons in Central European cities
DIREZIONE CENTRALE SALUTE INTEGRAZIONE SOCIO SANITARIA, E POLITICHE SOCIALI
HELPS PARTNERSHIP
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FVG Region – ITA
City of Leipzig, Economic Development Office – D
Municipality of the City of Debrecen – HU
Veneto Region – ITA
Association of Towns and Communities of Slovakia - SK
Institute of Sociology of the Academy of Sciences of the
Czech Republic – CZ
Institute for Sociology Slovak Academy of Sciences – SK
German Association for Housing, Urban and Spatial
Development – D
Poznan Supercomputing and Networking Center – PL
Samariterbund Burgenland – A
Hungarian Maltese Charity Service – HU
Slovenian Federation of Pensioners’ Organizations – SLO
•
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City of Brno - CZ
Institute of Social Research - ITA
Ministry of Labour - SLO
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HELPS COMMON CHALLENGES
1.
2.
3.
4.
5.
6.
The access to information to overcoming practical obstacles preventing
from leading healthy and active lives within the chosen living environment
The application of accessibility criteria in urban planning and housing
design to reducing spatial segregation and facilitating life at home for all
The empowerment of human resources dedicated to in/formal homecare
The cross-cutting contribution of ICT to the individual autonomy,
considered both in terms of wider access to technology and market
potential
The involvement of local neighborhood communities in the development
of forms of social citizenship to reconstructing social links based on
reciprocity and solidarity
The sustainability and efficiency of care systems
IDENTIFIED CHALLENGES
ACCESS TO
INFORMATION
INTEGRATED
MANAGEMENT
OF CARE
SERVICES
ACCESSIBILITY
OF DAILY LIFE
SPACES
ELDERLY
(over 65)
&
PEOPLE WITH
DISABILITIES
NEIGHBORHOOD
COMMUNITIES
ICT SOLUTIONS
EMPOWERMENT
OF
PROFESSIONALS
TARGET GROUPS
 Elderly - over 65
Elderly with age-related disability; with low income; living alone; gender aware approach
 People with disabilities
According to the UN Convention, people with disabilities include those who have long-term physical, mental, intellectual or sensory
impairments which in interaction with various barriers may hinder their full and effective participation in society on an equal basis
with others
• Formal/informal caregivers
Families caring of elderly/disabled relatives, in a gender aware approach
• Public authorities
At national, regional, local level, competent in housing and health/social policies
• Interest groups
NGOs, advocacy associations, trade unions, housing cooperatives, European networks
• Profit organizations
Healthcare/social service providers, real estate companies, planning/design agencies, regional innovation agencies
• RTD institutes
Universities, RTD facilities, technology transfer institutions
HELPS PROJECT ACTIVITIES: RESEARCH
Transnational research of innovative
practices of housing and care solutions
Transnational overview of
innovative policies
Catalogue of best practices
Definition of needs and
formulation of recommendations
HELPS PROJECT ACTIVITIES: PILOT ACTIONS
PPP for management integrated
housing&homecare services (IT)
Linking care and housing at neighborooh level
& design-for all adaption of 1flat (DE)
Pilot Actions
2 Formal/informal carers training (HU, CK)
2 AAL/ICT applications (AT, PL)
1 Community development + ICT solutions (SK)
1 Access to information and services – INFO
POINT (SLO)
8 LOCAL SUPPORT GROUPs (LSGs)
Local PPP involving stakeholders and beneficiaries
HELPS PROJECT ACTIVITIES: STRATEGIES
LSG
Transnational design of strategies
and actions
1 Action Learning Set
per Project Partner
Local Action Plans (LAPs)
Transnational
recommendations
and Toolkit
HELPS PILOT ACTIONS
8 Pilot actions, one per country, have been initialized:
• AT, Weppersdorf: AAL solutions in integrated supervised flats
• CZ, Brno: innovative needs evaluation among elderly
• DE, Leipzig: adaptation and equipment of a sample flat for independent
living
• HU, Debrecen/Budapest: training programs and tools for in/formal
caregivers (WEBNURSE)
• IT, Trieste: Public Private Partnership for an integrated management of
housing and homecare, co-housing initiatives and community welfare
• PL, Poznan: adaptation of open AAL platforms for social re/integration
• SI, Ljubljana: establishment of an Info Point to facilitate access to
information and services
• SK, selected municipalities: intergenerational self-help groups at
neighborhood level and AAL for informal care
HELPS PILOT ACTION IN FVG REGION: THE CITY OF TRIESTE
Trieste is the regional capital city:
• a medium-size city (205.535 Inhabitants on
01.01.2011)
• 56.874 over65 people, 27,54% of the total
population.
• Another crucial data: 21.000 over65 people
live alone (36% of the over65 population),
and, among them, 13.353 are over75
(10.754 women and 2.599 men).
Sources: PdZ and Social Policies Department of the Municipality of Trieste
FVG Region PILOT ACTION
Innovation in SOCIAL HOUSING and Home-care
Private/public partnership for innovative housing and home-care models
2 experimentations in Trieste:
-an innovative co-housing solution foresees that beneficiaries sign a formal Commitment
for Solidarity.
- the existing Montebello Project in a Public Residential Complex, testing advanced
integrated home-care and de-institutionalisation processes with the development of a
stronger community-oriented network, thanks to the commitment of volunteering
families and local associations.
Local actors involved:
Municpality of Trieste, Local Health Authority of Trieste, Regional Housing Agency, ITIS
(public social care institution), Fondazione Luchetta (community NGO)
FVG Region PILOT ACTION
1. Montebello experimentation
(public housing stock)
General objective: development of innovative
and advanced solutions of community welfare
through:
• Community and integrated home-care
services;
• De-institutionalisation processes;
• Participatory needs assessment;
• Development of informal assistance services
thanks to volunteering families;
• Promotion of social inclusion within the
inhabitants.
Montebello Project in Trieste
FVG Region PILOT ACTION
2. Co-housing experimentation based on a
solidarity contract
Main elements:
• coexistence of different beneficiaries and different
generations;
• independence and privacy are maintained (17 private
flats) jointly with a shared commnunity spaces, with
full accessibility criteria;
• building up a supportive local network for monitoring
service and the promotion of mutual informal services
(mutual help and integrated aid);
• Participatory process (focus groups) with beneficiaries
and organizations staff for needs survey and criteria
setting for social innovation;
• set of criteria for informal care that will be included in
a Solidarity Contract.
FVG Region pilot action, ITIS co-housing
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SOME KEY RECOMMENDATIONS FROM HELPS PROJECT
-One effective form of information is participation
- it is strategic and useful to focus on the role of formal and informal
caregivers and the set of interventions and actions required to enforce their
skills, enabling them to connect more effectively to the needs of elderly and
disabled people. The training of formal and informal caregivers is
certainly the most effective means of coping with this challenge
-it is important not only to design accessible homes, but also to guarantee
accessible public spaces. There is a need for further reinforcement of the
cooperation between residential housing companies and organizations,
local associations and elderly citizens and other end users
- To make technological innovations user-friendly, users involvement in all
stage of ICT solutions design and implementation including regular
evaluation of the end user’s satisfaction is necessary
This project is implemented through the CENTRAL EUROPE Programme co-financed by the ERDF
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SOME KEY RECOMMENDATIONS
-Interpersonal relations and intergenerational solidarity are one of the key
conditions for developing new forms of informal care and solidarity among
citizens and dwellers. Local authorities should support and promote
partnerships that strengthen neighbourhood and community networks, also
by establishing new formal tools
- Social innovation for independent living cannot, therefore, prescind
from a person-centred approach, but sustainability in this respect cannot
prescind from organizational innovation, in which the vertical and horizontal
integration of actors and functions appear to be necessary processes that
must also be supported through the use of instruments of change management.
- defining strategies and practices in the transition from institutional care to
community-based care, sustainability is the key issue.
Passing from experimentation to permanent policies is a big challenge in
which sustainability will be the central theme in coming years.
This project is implemented through the CENTRAL EUROPE Programme co-financed by the ERDF
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THANK YOU FOR YOUR ATTENTION!
Gian Matteo Apuzzo, Ph.D.
Project manager
[email protected]
This project is implemented through the CENTRAL EUROPE Programme co-financed by the ERDF