Low-threshold support services for people with dementia within the scope of respite care in Germany – A qualitative study on different stakeholders’ perspective

Dementia ◽  
2015 ◽  
Vol 16 (5) ◽  
pp. 576-590 ◽  
Author(s):  
Iris Hochgraeber ◽  
Milena von Kutzleben ◽  
Sabine Bartholomeyczik ◽  
Bernhard Holle
Keyword(s):  
Support Services ◽  
Long Term Care ◽  
Support Service ◽  
Professional Services ◽  
Family Carers ◽  
Term Care ◽  
People With Dementia ◽  
Long Term Care Insurance ◽  
Low Threshold

Low-threshold support services are provided within the basket of services of German long-term care insurance as a part of respite care to support family carers and people with dementia. This study investigates various stakeholders’ (providers, coordinators, volunteers, family carers and people with dementia) perspectives on low-threshold support service regarding its organisation and conceptualisation as well as how stakeholders and users value low-threshold support service using a qualitative approach. Twelve guided interviews and group discussions were conducted with 31 participants. Organisation and conceptualisation are characterised by the lowness of the service thresholds, which is perceived to be quick and simple forms of support with no user requirements. Multiple barriers such as the challenging behaviour of people with dementia and their initial refusal as well as their holding low-threshold support service in low esteem can hinder the utilisation of these services. Low-threshold support service within the scope of the long-term care insurance law can be separated into two types: low-cost (non-professional) services and high-cost services with comprehensive training for ‘employed’ volunteers (professional). Both types are constantly developing within the landscape of the German long-term care system, and low-threshold support service appears to be adapted to diverse needs. Therefore, it is important to avoid replacing non-professional services with professional services.

A new model of care for patients with dementia: the Japanese initiative for dementia care

2017 ◽  
pp. 1027-1032
Author(s):  
Yohko Maki ◽  
Takashi Sakurai ◽  
Kenji Toba
Keyword(s):  
Long Term Care ◽  
Dementia Care ◽  
Community Members ◽  
Term Care ◽  
Ageing Society ◽  
People With Dementia ◽  
The World ◽  
Long Term Care Insurance ◽  
Person With Dementia

Facing the unprecedented ageing society, Japan’s contribution to the world should be to lead worldwide discussion on dementia care. This chapter introduces the Japanese initiatives for dementia care. For realization of a society where people with dementia live well, the new concept of ‘prosocial relationship-based care’ for dementia has been introduced as the ethical background; community members are expected to reach out helping hands to each person with dementia to restore their participation in society. Based on this basic concept and the long-term care insurance system, various measures related to primary, secondary and tertiary preventive approaches for dementia have been promoted to achieve appropriate and seamless coordination of medical and long-term care. To establish prosocial relationships, it is critical to promote cooperation among various stakeholders, and develop community networks and social resources.

Micro-citizenship, dementia and long-term care

Dementia ◽  
2016 ◽  
Vol 15 (3) ◽  
pp. 289-303 ◽  
Author(s):  
Clive Baldwin ◽  
Michelle Greason
Keyword(s):  
Social Inclusion ◽  
Long Term Care ◽  
Dementia Care ◽  
Care Staff ◽  
Care Practice ◽  
Family Carers ◽  
Front Line ◽  
Term Care ◽  
People With Dementia

In recent years there has been an increasing interest in the concept of citizenship as a lens through which to understand dementia practice. This move from an individualist, personhood-based approach towards an understanding of people with dementia as a group facing social and structural discrimination parallels, in some ways, that previously seen in the realms of disability and mental health which have sought to politicize those experiences. In so doing, the debate has sought to reconfigure power relations, insisting that members of such discriminated groups are people with power entitled to the same from life as everyone else. Much of the discussion to date has, understandably, focused on the larger issues of social inclusion, rights and responsibilities – reflecting the traditional concern of citizenship of individuals’ relationship to the state or the society in which they live. More recently, there has been a move to conceptualising citizenship as a practice – something that is realised through action and in relationship – rather than a status bestowed. In this paper, we seek to contribute to the discussion by introducing the concepts of midi- and micro-citizenship, taken from organisation studies, as a further means by which to link the personal and the political, and as grounds to build citizenship-alliances between people with dementia living in long-term care (LTC) facilities and front-line dementia care staff. We will then seek to illustrate the usefulness of these concepts in understanding citizenship in practice in LTC facilities through analysis of data drawn from focus groups involving LTC staff, and interviews with family carers whose relatives live in LTC facilities. In conclusion, we will explore some of the possibilities that such an approach holds for dementia care practice.

scholarly journals Construction of depopulated area model of communication about dementia care

Impact ◽  
2020 ◽  
Vol 2020 (9) ◽  
pp. 40-42
Author(s):  
Mio Ito
Keyword(s):  
Long Term Care ◽  
Associate Professor ◽  
Dementia Care ◽  
Mountainous Areas ◽  
Term Care ◽  
Dementia Patients ◽  
People With Dementia ◽  
Medical Institutions ◽  
Long Term Care Insurance

In Japan there are remote villages, mountainous areas and islands where the population includes people who are extremely old. Owing to the remoteness of these places, there are very few long-term care insurance services and medical institutions meaning that the residents often have no choice but to support each other. This situation is particularly problematic for people with dementia. Caring for dementia patients requires specialised knowledge which is often beyond the residents of depopulated areas in Japan. It is with this in mind that Associate Professor Mio Ito has joined forces with Dr Chiho Shimada and Dr Ryo Hirayama to improve care and communication for persons with dementia in depopulated areas.

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