Current provision and effectiveness of day care services for people with dementia

ABSTRACTResponsibility for health and social care services is being delegated from central to local authorities in an increasing number of countries. In the Netherlands, the planned transfer of responsibility for day care for people with dementia from the central government to municipalities is a case in point. The impacts of this decentralisation process for innovative care concepts such as day care at green care farms are largely unknown. We therefore interviewed representatives of municipalities and green care farms to explore what consequences they expected of decentralisation for their organisations and people with dementia. Our study shows that communication and collaboration between municipalities and green care farms is relatively limited. Consequently, municipalities are insufficiently aware of how green care farms can help them to perform their new tasks and green care farmers know little about what municipalities expect from them in the new situation. We therefore recommend that municipalities and green care farms keep each other informed about their responsibilities, duties and activities to ensure a tailored package of future municipal services for people with dementia.

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159 Geographic Accessibility and Capacity of Day Care Services for People with Dementia

Age and Ageing ◽

10.1093/ageing/afz103.93 ◽

2019 ◽

Vol 48 (Supplement_3) ◽

pp. iii17-iii65 ◽

Cited By ~ 1

Author(s):

Tom Pierse ◽

John Cullinan ◽

Fiona Keogh ◽

Eamon O'Shea

Keyword(s):

Day Care ◽

Catchment Area ◽

Care Provision ◽

Limited Capacity ◽

Qualitative And Quantitative ◽

Geographic Accessibility ◽

Care Services ◽

People With Dementia ◽

Day Care Centres ◽

Day Care Centre

Abstract Background Day care is an important service for some people with dementia and their carers. In Ireland, day care services for people with dementia are delivered by a mix of dementia specific day-care centres and generic centres that cater for people with dementia to various degrees. In this paper we map the geographic variation in the supply of day care services for people with dementia relative to potential need. Methods Using a national HSE survey of day care centres, we estimate the current supply of day care services for people with dementia in both generic and dementia specific centres by combining a number of qualitative and quantitative measures. To identify the variation in supply, we map day care provision at local and regional levels to the number of people with dementia in the area. To consider geographic accessibility, we map and analyse the population living outside the catchment area of the day care centres. Results There is significant variation across the country in the existing capacity of day care centres to cater for people with dementia. The number of places per 100 persons with dementia varies from 9 to 16 across the Community Health Organisation areas. We show that 20 per cent of people with dementia are not living within a 15km radius of a day care centre that caters for people with dementia. Conclusion Day care has a place in the menu of service for people with dementia living in the community. As the number of people with dementia grows, investment in day care centres needs to be targeted to areas of greatest need. In many parts of the country, the current day care centres have limited capacity to provide a service for people with dementia that live in their catchment area. There is considerable geographical inequity in day care provision for people with dementia across the country.

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Day Care for People with Dementia: A Qualitative Study Comparing Experiences from Norway and Scotland

Dementia ◽

10.1177/1471301217712796 ◽

2017 ◽

Vol 18 (4) ◽

pp. 1393-1409 ◽

Cited By ~ 4

Author(s):

Anne Marie M Rokstad ◽

Louise McCabe ◽

Jane M Robertson ◽

Margit G Strandenæs ◽

Signe Tretteteig ◽

...

Keyword(s):

Day Care ◽

Evidence Base ◽

Positive Outcomes ◽

Structured Interviews ◽

Caregiver Support ◽

Care Services ◽

People With Dementia ◽

Potential Benefits ◽

Satisfaction With Services ◽

Cross National

Potential benefits from day care attendance are reported in the literature for both people with dementia and caregivers, although the evidence-base is limited. The study aimed to explore and compare experiences of day care services for people with dementia as described by day care attendees and their caregivers in Norway and Scotland. Whereas day care receives prominence in Norway’s national dementia plan, Scotland does not highlight day care in its national dementia strategy. A qualitative cross-national comparative study was undertaken. Semi-structured interviews were conducted with 17 people with dementia and 17 caregivers in Norway, and 19 people with dementia and 15 caregivers in Scotland. Data were analyzed thematically and comparatively to explore the experiences and outcomes of the participants. Findings indicate positive outcomes from day care for both people with dementia and caregivers. Satisfaction with services related to meaningful activities, getting out of the home, strengthening social connections and careful staff facilitation to create a positive and welcoming atmosphere. There were strong similarities in the content of services and experiences reported in the two countries. Some minor differences were noted, with caregiver support being an area of notable divergence in experiences. Specialist day care for people with dementia seems to provide important support and positive outcomes for people with dementia, and respite and reassurance for their caregivers. More research is needed to further explore the effect of day care designed for people with dementia both on the attendees and their caregivers.

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Ageing Update Conference Proceedings J Morton Ageing Update Conference Proceedings: 1. New approaches to day care, 34pp. 2. Achieving change in home care services, 26pp. 3. Enabling elderly people with dementia to live in the community, 40pp £3.00 each or £8.00 together ACAOG London 1990 1-872342-05-1/-10-8/-00-0

Elderly Care ◽

10.7748/eldc.2.8.38.s38 ◽

1990 ◽

Vol 2 (8) ◽

pp. 38-38

Author(s):

Avis Hutt

Keyword(s):

Conference Proceedings ◽

Home Care ◽

Elderly People ◽

Day Care ◽

Home Care Services ◽

New Approaches ◽

Care Services ◽

People With Dementia

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Emotional well‐being in people with dementia – A comparative study of farm‐based and regular day care services in Norway

Health & Social Care in the Community ◽

10.1111/hsc.13601 ◽

2021 ◽

Author(s):

Bjørnar Finnanger‐Garshol ◽

Ingeborg Pedersen ◽

Grete Patil ◽

Siren Eriksen ◽

Lina Harvold Ellingsen‐Dalskau

Keyword(s):

Comparative Study ◽

Day Care ◽

Well Being ◽

Care Services ◽

People With Dementia

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Dropout from farm-based day care for people with dementia in Norway: a follow-up study

BMC Geriatrics ◽

10.1186/s12877-020-01826-y ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

T. L. Ibsen ◽

Ø. Kirkevold ◽

G. G. Patil ◽

S. Eriksen

Keyword(s):

Social Support ◽

Residential Care ◽

Day Care ◽

Agricultural Landscape ◽

Care Service ◽

Care Facility ◽

Individual Characteristics ◽

Residential Care Facility ◽

Care Services ◽

People With Dementia

Abstract Background Farm-based day care services (FDCs) for people with dementia are intending to provide social relationships and meaningful activities in an agricultural landscape and offer respite for next of kin. As this requires a certain cognitive and physical functioning, it is of interest to investigate how this service contribute during the course of dementia. In this study we aim to explore the individual characteristics predicting dropout from FDC. Furthermore, we investigate whether the participants who drop out of the service continue to live at home with another day care service or if they move to a residential care facility. Methods The study includes 92 people with dementia attending FDCs in Norway, assessed with standardized instruments at baseline between January 2017 and January 2018. They were followed for 1 year, and dropouts from FDC during this period were mapped. The association between individual characteristics and dropout was assessed using a Cox proportional hazards regression analysis. Results Thirty-eight people stopped attending FDCs during the study. Twenty-six moved to residential care. Among the 12 who continued to live in their own homes, 9 people started in a regular day care service. Higher score on educational level and more severe dementia, as well as lower scores on social support, increased the probability of stopping FDC. Conclusion FDCs appeared as a service that is stable over time for most participants, as more than two-third could use the care facility until the need of residential care. The transfers within care services and levels of care seemed to be characterized by continuity. More research on the growing population of educated older adults with dementia are warranted, to facilitate for their course of care needs. Finally, extended knowledge is needed to improve the collaboration between private and public networks, such as day care services, to improve the experience of social support for people with dementia.

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The experience of attending a farm-based day care service from the perspective of people with dementia: A qualitative study

Dementia ◽

10.1177/1471301220940107 ◽

2020 ◽

pp. 147130122094010

Author(s):

Tanja L Ibsen ◽

Siren Eriksen

Keyword(s):

Social Relations ◽

Day Care ◽

Care Service ◽

Nurse Education ◽

Structured Interviews ◽

Care Services ◽

People With Dementia ◽

Active Service ◽

Education Today ◽

The Individual

People with dementia have different needs, and it is important to have variation in the services that are offered for this population. Farm-based day care aims to meet this diversity in need, but research on such services is lacking. The present study provides knowledge about how people with dementia experience attending farm-based day care services in Norway. Ten semi-structured interviews were conducted for five different services, while the participants were at the farm. The interviews were analysed in accordance with the content analysis of Graneheim, U., & Lundman, B. (2004) [ Nurse Education Today, 24(2), 105-112] and revealed three main categories that included (1) social relations, (2) being occupied at the farm, and (3) individually tailored service. The findings were summarised in the overall theme that attending day care at a farm makes me feel like a real participant. Our findings indicate that the farm-based day cares in the present study provide person-centred care. The farm setting facilitates services that are tailored to the individual, where the participants get to use their remaining resources and spend time outdoors. Further, farm-based day care was described as being suitable for people with or without farm experience and must be seen as an important supplement to regular day care for those who could benefit from a more active service.

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Experiences of attending day care services designed for people with dementia – a qualitative study with individual interviews

Aging & Mental Health ◽

10.1080/13607863.2017.1304892 ◽

2017 ◽

Vol 22 (6) ◽

pp. 764-772 ◽

Cited By ~ 13

Author(s):

Margit Gausdal Strandenæs ◽

Anne Lund ◽

Anne Marie Mork Rokstad

Keyword(s):

Qualitative Study ◽

Day Care ◽

Individual Interviews ◽

Care Services ◽

People With Dementia

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Geographic availability and accessibility of day care services for people with dementia in Ireland

10.21203/rs.2.18886/v1 ◽

2019 ◽

Author(s):

Tom Pierse ◽

Fiona Keogh ◽

Eamon O’Shea ◽

John Cullinan

Keyword(s):

Service Provision ◽

Day Care ◽

Significant Variation ◽

Catchment Area ◽

Care Provision ◽

Limited Capacity ◽

Care Services ◽

People With Dementia ◽

Current Availability ◽

Day Care Centres

Abstract Background Day care is an important service for many people with dementia and their carers. In Ireland, day care services for people with dementia are delivered by a mix of dementia-specific day care centres as well as generic day care centres that cater for people with dementia to various degrees. In this paper we examine the geographic distribution of day care services for people with dementia relative to potential need.MethodsUsing a national survey of day care centres, we estimate the current availability of day care services for people with dementia in the country. We use geographic information systems (GIS) to map day care provision at regional and sub-regional levels and compare this to the estimated number of people with dementia in local areas.Results There is significant variation across the country in the existing capacity of day care centres to cater for people with dementia. The number of places per 100 persons with dementia in the community varies from 14.2 to 21.3 across Community Health Organisation areas. We also show that 18 per cent of people with dementia do not live within 15kms of their nearest day care centre.Conclusion Currently, day care centres, in many parts of the country, have limited capacity to provide a service for people with dementia who live in their catchment area. As the number of people with dementia increases, investment in day care centres should be targeted to areas where need is greatest. Our GIS approach provides valuable evidence that can help inform decisions on future resource allocation and service provision in relation to day care.

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