1 brick-aging in place ifa prage may 2012
TRANSCRIPT
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"Aging in Place in Israel"
IFA 11th Global Conference on Ageing
28 May – 1 June 2012
Prague
Yitzhak Brick
Director-General , JDC-ESHEL
Professor of Gerontology – Haifa University
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Definition- Ageing in Place
Old adults continue to live in their
home as they age, as long as they
are able and wish to do so.
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General Strategy
Aging in Place:
Elderly people should continue to live at
home and in the community as long as
possible.
Benefits:
Improves quality of life
Saves expenditures on long term care
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Why people prefer
to live at home?
• Independence
• Acquaintance
• House Keeping
• Hosting
• Historical meaning
• Status
• Support
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The challenge
• Scope
• Quality
• Accessibility
• Information
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Elderly Population in Israel Estimates for the End of 2009
``
Israel Total
Population 7,552,000
717,200 (96.7%) live in the community
24,400 (3.3%) live in long-term
care institutions
Source: Central Bureau of Statistics, "Mashav" - National Data Base for the Planning in the Field of Old Age,
Meyers-Joint-Brookdale Institute and JDC-ESHEL
Elderly 65+ in Israel
741,500 (9.8%)
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Services in the Community
• Day care centers
• Home care
• Supportive communities
• Employment and Volunteerism
• Warm Home programs
• Health Promotion
• Long term nursing care law
• Forien care givers
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Day Care Centers
• Personal care services
• Professional/ paraprofessional
services
• Transportation
• Hot meals
• Social and cultural activities
• Special programs: gardening,
computers & pet therapy
• Special programs for the mentally frail
172 centers – 15,500 beneficiaries (2010)
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Home Care
Long term care law – April 1988
Three levels of care:
9.75 – 16.00 – 18.00 Hours per week
2010 – 144,000 recipients
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Supportive Communities
• Community father/mother
• Emergency call system
• Doctor’s visits and ambulance
• Social activities
250 communities – 47,000 members
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Supportive Communities
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Volunteering & Employment
• Elderly volunteers work in health promotion, social and cultural activities, community TV, newspapers, computers program, education and business
•Employment programs for older new immigrants, seniors’ “malls” and other work opportunities
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Warm Home Program
• Weekly meetings of culturally similar elderly
• Social and cultural activities
• Social “safety net” for isolated elderly
240 homes-3,200 beneficiaries (2010)
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Warm home
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Health Promotion
• Physical activity programs
• Prevention programs for frail elderly
• Dental, vision and hearing care
• Nutrition programs
• Health education
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Prevention and Care
Elder Abuse / Neglect
• Community Intervention Project
• Hot Line
• Implementation of Standards in Health
Service
• Manual for Professionals
• Training of Professionals and Volunteers
• Research and Evaluation
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Migrant live-in home care
worker • 47,000 migrant workers
• 24 hours of care, 6 days a week
• Personal care + housekeeping
• High satisfaction of elderly & families
• Family continues to be involved
• Problems: Training, abuse, supervision
and abandoning
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Development of Programs in Israel
Service Programs Participants
1990 2009 1990 2009
Home care -- -- 27,684 131,266
Supportive
Communities 4 223 210 42,369
Sheltered Housing 70 165 6,170 21,315
Day care centers 53 172 3,875 15,500
Institutional care 192 403 19,041 30,233
Number of 65+ -- -- 442,200 741,500
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Rates of Institutionalization
65+ Beds Institutions Year
40 14,948 145 1985
43 19,041 192 1990
39 29,281 392 2009
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Conclusion
• Rapid increase in services for the elderly at
home and in the community.
• No increase in institutional rates.
More elderly continue to live at
home and in the community