Fredericia - forming the future A path to ensuring future welfare - - PowerPoint PPT Presentation

Life Long Living Maintaining Everyday Life as Long as Possible

“Reshaping services, building partnerships, improving outcomes” 21st Europan Social Services Conference Karen Heebøll Director of Social Services, Municipality of Fredericia

Karen

Fredericia - forming the future

A path to ensuring future welfare

• Medium-sized municipality in Denmark with approx. 50,000

inhabitants

• The annual total budget is approx. 400 mio. EUR
• In the area of elderly services the annual budget is around

53 mio. EUR

• We service around 2,300 people - almost 25% of our older

citizens

• Medium-sized municipality in Denmark with approx. 50,000

inhabitants

• The annual total budget is approx. 400 mio. EUR
• In the area of elderly services the annual budget is around

53 mio. EUR

• We service around 2,300 people - almost 25% of our older

citizens

Welfare challenge

Expectations and needs Economy Lack of employees

Life Long Living

Our vision “A municipality with active and resourceful elderly, who through prevention, rehabilitation, technology and social networking can maintain everyday life for as long as possible.”

The City Council,2008

• late to early intervention
• compensation to

rehabilitation

• care to prevention
• senior burden to senior

strength

Change of paradigm in practice

Rehabilitation and Prevention as strategy

Prevention Health Promotion Early detection Early intervention Rehabilitation Training Welfare Technology Care Social offers Treatment ”Client” ”Citizen” Social networks Civil society Voluntary Associations

Life Long Living

Rehabilitation Welfare Technology Health promotion Prevention and early detection Competence development Collaboration processes

Every Day Rehabilitation

• Help to self-help
• Staff can withdraw to a monitoring role
• Focus on activities in every day life
• Assess resources – make one plan for the

citizen

• Care in a ”training way”
• Intensive help in the beginning
• 15 care trainers
• 3 therapists, 2 visitation staff and nurses

From ”patient” to independent – ex.

1. Apply for personal care and practical help 2. Receive 31 days intensive training

• totaling 72,3 hours

(normally 9,3 hours p/w or 483 hours p/a)

• 3. Achieve independence and happiness

Conclusion Investment returned after approx. 2 months

Trained home care staff for people who live at home

Life Long Living

• Approx. 25% of the

elderly who already receive help, have potential for rehabilitation Evaluation may 2013

Training home care - results

• Systematic and structured work with rehabilitating methods:

– Ensuring goal, action, follow-up and adjustment of the help – Ensuring high professional quality and citizen satisfaction

• Economy:

– The investment in more time for training is recovered within the first year by giving less time for help

• Decisive factors:

– Professional and personal qualifications amongst the staff – Perseverance in the management – Continuous adjustment building on experience

• Future potential:

– More systematic collaboration and involvement of the nearest relations

Significant experiences Life Long Living

Political agreement from the beginning A cultural development that makes sense for everybody!

Necessitites: Training and interdisciplinary collaboration, evaluating the effects, learning and adjusting along the way, perseverance

Communicating the vision and the positive stories told by citizens, employees and organisations Ad hoc committees with representatives from unions, trade

• rganisations, stakeholders, educational institutions,

citizens and more

Transferability of the method

Role model for Danish municipalities on how to work with elderly care Mapping experiences with rehabilitation in the elder care sector in the Danish municipalities, KORA May 2013:

• 92 of 98 municipalities offers rehabilitation to elder citizens
• Big differences in what each of the municipalities offer the

elderly and implementation challenges Norway show great interest – training in Fredericia and Norway

Transferability of the method

Awarded the LGDK Innovation Prize 2010 Awarded EPSA 2011 Best Practice Certificate Awarded “Towards Age-friendly Environments”, European Year

• f Active Ageing 2012

www.lmiel.dk

Life Long Living