Collaboration On Smart Textiles


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  • Collaboration On Smart Textiles

    1. 1. Technology and Dementia; A Health and Social Care perspective from Northern Ireland Suzanne Martin Lecturer Occupational Therapy University of Ulster at Jordanstown
    2. 2. Overview <ul><li>Northern Ireland Context </li></ul><ul><li>Technology within health and social care </li></ul><ul><li>Current University activity </li></ul><ul><li>Aspirations </li></ul>
    3. 3. But First… <ul><li>University of Ulster </li></ul><ul><ul><li>Lecturer </li></ul></ul><ul><ul><li>Researcher </li></ul></ul><ul><ul><li>Consultancy </li></ul></ul><ul><li>Clinical Practice </li></ul><ul><ul><li>Acute Sector </li></ul></ul><ul><ul><li>Community </li></ul></ul><ul><ul><ul><li>Adults/childrensDisability </li></ul></ul></ul><ul><ul><ul><li>Environmental Design </li></ul></ul></ul><ul><ul><ul><li>Assistive Devices </li></ul></ul></ul>
    4. 4. Northern Ireland Context <ul><li>Review of public administration </li></ul><ul><li>Bamford review of mental health and learning disability </li></ul><ul><li>Establishment of Dementia Centre </li></ul><ul><li>Statutory and non-statutory agencies </li></ul>
    5. 5. Review of Public Administration <ul><li>One Health and Social Services authority (April 2008) </li></ul><ul><ul><li>7 Local Commissioning Groups </li></ul></ul><ul><ul><ul><li>Mapped to district councils </li></ul></ul></ul><ul><ul><ul><li>Demand led by patients </li></ul></ul></ul><ul><ul><ul><li>Driven by GP’s and primary care professionals </li></ul></ul></ul><ul><li>One patient and client council </li></ul><ul><li>5 Trusts (ambulance service remains as single trust) </li></ul>
    6. 6. Bamford review of mental health and learning disability <ul><li>Concluded </li></ul><ul><ul><li>Making it happen conference 31.10.06 </li></ul></ul><ul><li>‘ Leader fuller lives’ consultation </li></ul><ul><li>Outcomes for dementia </li></ul>
    7. 7. Northern Ireland Dementia Centre <ul><li>Funded by Atlantic philanthropies </li></ul><ul><li>Dementia Services Development Centre at Stirling </li></ul><ul><li>Based at a business park within the University of Ulster at Jordanstown </li></ul><ul><li>Assistant Director </li></ul>
    8. 8. Strategic Context <ul><li>Regional, National and European </li></ul><ul><li>directives to exploit ICT with Health and </li></ul><ul><li>Social care </li></ul><ul><ul><ul><li>People First 1990, </li></ul></ul></ul><ul><ul><ul><li>ICT Strategy 2001,2002, 2004, </li></ul></ul></ul><ul><ul><ul><li>Community Care Review 2002 </li></ul></ul></ul><ul><ul><ul><li>Information for Health 1998, </li></ul></ul></ul><ul><ul><ul><li>NHS Plan 2000, </li></ul></ul></ul><ul><ul><ul><li>Building the Information Core 2001 </li></ul></ul></ul><ul><ul><ul><li>eEurope 2002 </li></ul></ul></ul>
    9. 9. <ul><li>Innovative practice driving bottom up approach to change </li></ul><ul><ul><ul><li>HPSS Commissioners of Services </li></ul></ul></ul><ul><ul><ul><li>Housing Associations </li></ul></ul></ul><ul><ul><ul><li>Charitable Organisations </li></ul></ul></ul><ul><li>Statutory provision of technology via CSA in line with PASA Telecare contract </li></ul>Operational Context
    10. 10. Agencies <ul><li>Statutory </li></ul><ul><ul><li>Health </li></ul></ul><ul><ul><li>Housing </li></ul></ul><ul><ul><li>Department of social development </li></ul></ul><ul><li>Non-statutory </li></ul><ul><ul><li>Alzheimer’s society </li></ul></ul><ul><ul><li>Help the aged </li></ul></ul><ul><ul><li>Age concern </li></ul></ul><ul><ul><li>Housing </li></ul></ul><ul><ul><ul><li>John of God </li></ul></ul></ul>Interagency collaborations and partnerships
    11. 11. <ul><li>Emerging Service Models: </li></ul><ul><ul><li>Health and Social Care Provision in Partnership across Statutory and Non-Statutory Agencies </li></ul></ul><ul><ul><li>Exploitation of Mixed Economy of Funding Streams </li></ul></ul><ul><ul><li>Tenants as Commissioners </li></ul></ul>Sociocultural and political Context
    12. 12. <ul><li>Service User Expectations </li></ul><ul><li>ICT Development </li></ul><ul><ul><li>Decreased Cost </li></ul></ul><ul><ul><ul><li>Communications, Peripherals and Hardware </li></ul></ul></ul><ul><ul><li>Increased Capability </li></ul></ul><ul><ul><ul><li>Data Gathering and Analysis to Inform Health Care </li></ul></ul></ul><ul><ul><li>Increased Device Stability </li></ul></ul><ul><ul><li>Enhanced Standardisation and Compatibility across Devices </li></ul></ul>Other factors influencing change
    13. 13. Technology within Health and Social Care
    14. 14. What is technology? <ul><li>Assistive technology </li></ul><ul><li>‘ … a broad range of devices, services, strategies and practices that are conceived and applied to ameliorate the problems faced by individuals who have disabilities.’ Cook 2002 </li></ul>
    15. 15. What is a Smart Home ? <ul><li>Definition: </li></ul><ul><ul><li>“ A dwelling incorporating a communications network that connects the key electrical appliances and services, and allows them to be remotely controlled, monitored or accessed.” </li></ul></ul><ul><li>Remotely in this context can mean both within the dwelling and from outside the dwelling. </li></ul>Source: DTI – DTI Smart Homes Project – September 2003
    16. 16. Smart Home Hierarchy <ul><li>Homes with intelligent objects </li></ul><ul><li>Homes with intelligent objects that communicate </li></ul><ul><li>Connected homes </li></ul><ul><li>Learning homes </li></ul><ul><li>Attentive homes </li></ul><ul><li>(Aldrich 2003) </li></ul>
    17. 17. Why? Continuum of service <ul><li>Who ? </li></ul>Just Inside ? Or Inside & Out ? <ul><li>Where ? </li></ul><ul><li>What? </li></ul>
    18. 20. <ul><li>Fall Detector </li></ul><ul><li>Hi-Low Temperature </li></ul><ul><li>Bed Occupancy </li></ul><ul><li>Wandering Person </li></ul>Risk Management Technologies Movement Smoke Pull Cord wireless Phone line Flood Pendant
    19. 21. Environmental Control Systems SENIOR Pilot SRS 100 SRS Lite SICARE Light
    20. 22. Environmental Control Systems Buddy Buttons Leaf Switch Suck/Blow Switch Thumb Switch Cap Switch
    21. 23. A Whole Systems Approach <ul><li>Unique individuals </li></ul><ul><li>Diverse care scenarios </li></ul><ul><li>Diverse environmental contexts </li></ul><ul><li>Intra-agency </li></ul><ul><li>Inter-agency </li></ul><ul><li>Complex service provision with interaction / connectivity of component parts essential for service delivery </li></ul>
    22. 24. A Whole Systems contributes to <ul><li>Clarity of activity sequence facilitates a streamlined process </li></ul><ul><li>Clear roles and responsibilities </li></ul><ul><li>Identifies agency links </li></ul><ul><li>Traceable information flows </li></ul><ul><li>Enables service controls </li></ul><ul><li>Facilitates user centred focus to service delivery </li></ul><ul><li>Supports evolving Health and Social Care </li></ul>
    23. 25. Societal Level - Virtuous Feedback Loops Increasing Deployment To Technology To Support Community Care Increasing Visibility At Local Level Anecdotal Evidence Of Impact Increasing Demand To Continue To Exploit Technology To Support Community Care
    24. 26. Service Provider Vicious Feedback Loops Increasing Use Of Technology Increasing Visibility Increasing Demand On Budgets To Fund Technology
    25. 27. University activity in this context <ul><li>Research </li></ul><ul><li>Teaching </li></ul><ul><li>Consultancy </li></ul>
    26. 28. Research MATCH
    27. 29. Advent xt ALTec Smart Personal Sensors Neck & Wrist Personal Triggers Fall Detector Enuresis Sensor Advent xt Intercom Client Wander Keypad PIR Movement Detector Bed Occupancy Detector
    29. 32. Hillmount Close <ul><li>Cedar Foundation & Habinteg Housing Association </li></ul><ul><ul><li>There are seven apartments all of which are fully adapted </li></ul></ul><ul><ul><li>The tenant group includes people with physical disability, brain injury and sensory impairment </li></ul></ul><ul><ul><li>It combines housing with care and technology to increase independence and enhance quality of life. The tenants can utilise the latest in assistive technology to manage the tasks of daily living </li></ul></ul><ul><ul><li>Evaluation carried out on: </li></ul></ul><ul><ul><ul><li>Service Model </li></ul></ul></ul><ul><ul><ul><li>Experience of tenants and care staff </li></ul></ul></ul>
    30. 33. Emerging Technologies
    31. 36. DGHome – Telecare Platform
    32. 37. Consultancy-KTP <ul><li>Non- Complex: </li></ul><ul><ul><li>Pressure Mats with Alarms </li></ul></ul><ul><ul><li>Electric Bells with Lights </li></ul></ul><ul><ul><li>Audible Door Alarms </li></ul></ul><ul><ul><li>Medication Management Systems </li></ul></ul><ul><ul><li>Emergency Call Pendants </li></ul></ul>
    33. 38. Consultancy-KTP <ul><li>Complex: </li></ul><ul><ul><li>Networked Home Environments </li></ul></ul><ul><ul><li>Data Gathering and Analysis </li></ul></ul><ul><ul><li>Interface Design for Tenants and Carers </li></ul></ul><ul><ul><li>Multi-agency Provision </li></ul></ul>Ulster institute for eHealth KTP dedicated staff UUTECH consultancy
    34. 39. Teaching <ul><li>MSc in Dementia care </li></ul><ul><li>CPD Occupational Therapists </li></ul><ul><ul><li>Post grad. Module </li></ul></ul><ul><ul><li>Awareness sessions </li></ul></ul><ul><ul><li>EAT forum </li></ul></ul><ul><li>BSc Hons Occupational Therapy </li></ul>
    35. 40. Technology within healthcare…. <ul><li>Complex Interagency Collaborative Working </li></ul><ul><li>Person Centred Service Provision </li></ul><ul><ul><ul><li>Context in which People Live </li></ul></ul></ul><ul><ul><ul><li>Geographical Location </li></ul></ul></ul><ul><ul><ul><li>Environmental Design of Home </li></ul></ul></ul><ul><ul><ul><li>Technology Specification </li></ul></ul></ul><ul><ul><ul><li>Functional Limitations of Disability </li></ul></ul></ul>
    36. 41. NetWell Project <ul><li>Area </li></ul><ul><ul><li>Exploitation of emerging ICT Technologies for Ageing in Place </li></ul></ul><ul><li>Funder </li></ul><ul><ul><li>INTERREG IIIA </li></ul></ul><ul><li>Description </li></ul><ul><ul><li>The NETWELL project is a pilot component part of the larger Nestling Technology Initiative programme aimed at developing an all-island centre of excellence for ‘models for ageing-in-place’ based on the appropriate exploitation of emerging ICT technologies. Initally focussed in the East-Border Region, the project envisages growth throughout the eligible area in future stages, and ultimately into pan-european networks. </li></ul></ul>
    37. 42. CPVS <ul><li>Area </li></ul><ul><ul><li>Providing Video support via mobile phones to ageing people with dementia </li></ul></ul><ul><li>Funder </li></ul><ul><ul><li>ETAC (US Alzeimer’s Association, Intel Corp and Agilent) </li></ul></ul><ul><li>Role </li></ul><ul><ul><li>Technical development, Prompting, Home-based,back end analysis </li></ul></ul>
    38. 43. Mobile Phone-based Video Streaming <ul><li>Area </li></ul><ul><ul><li>Providing Video support via mobile phones to ageing people with dementia </li></ul></ul><ul><li>Funder </li></ul><ul><ul><li>HPSS R&D RRG </li></ul></ul><ul><li>Role </li></ul><ul><ul><li>Back end analysis </li></ul></ul>
    39. 44. COGKNOW: Helping People With Dementia Navigate Their Day <ul><li>Area </li></ul><ul><ul><li>Decision support and decision reinforcement for people with dementia </li></ul></ul><ul><li>Funder </li></ul><ul><ul><li>EU FP6 eInclusion STREP </li></ul></ul><ul><li>Role </li></ul><ul><ul><li>Technical coordinator </li></ul></ul><ul><li>Description </li></ul><ul><ul><li>The challenging aim of our proposal is to breakthrough with research that addresses these needs, for the percentage of those with mild dementia in Europe. At about 2% of the elderly population, this equates to around 1,900,000 people. In order to achieve our aim, practically this means helping people navigate through their day. This entails cognitive reinforcement, and may be expressed as the social objectives of our research for the needs of people with dementia, helping people to remember, maintain social contact, perform daily life activities and enhance their feelings of safety. </li></ul></ul>
    40. 45. i-Living labs
    41. 47. Communication is important
    42. 48. Challenges <ul><li>Recurrent Funding for Mainstreaming </li></ul><ul><li>Prioritising Service Developments in Line with HPSS and Corporate Targets </li></ul><ul><li>Managing Changed Mode of Service Delivery </li></ul><ul><ul><li>Staff Expectations </li></ul></ul><ul><ul><li>Service User Expectations </li></ul></ul>
    43. 49. Challenges <ul><li>Understanding Available Evidence </li></ul><ul><ul><li>Telemedicine, Telecare, Teleconsultation, Smart Home, EAT, ICT, Ambient Home Environment, Ubiquitous Intelligence. </li></ul></ul><ul><ul><li>Development of Health and Social Care or Move of Acute Sector Provision into Community Setting ? </li></ul></ul><ul><li>Health Promotion with Fit Healthy ? </li></ul><ul><ul><li>Risk Management Devices & Services </li></ul></ul>
    44. 50. <ul><li>World Health Organisation (2002) International Classification of Functioning Disability and Health </li></ul><ul><li>Evolving Social Model of Disability- biopsychosocial model </li></ul><ul><li>Challenges of delivering Health and Social Care to future populations with a changing demographic profile </li></ul>Opportunities
    45. 51. Opportunities <ul><li>Service Process Re-engineering </li></ul><ul><li>Target Priority Areas </li></ul><ul><li>Learn from Available Examples </li></ul><ul><li>Lead Innovative Service Developments </li></ul>
    46. 52. What is a Smart Home ? “ TECHNOLOGY” IT IS NOT JUST SIMPLY
    47. 53. Electronic Assistive Technology in Health and Social Care Supported Independent Living Via Tailored Integrated Services & Technologies
    48. 54. Concluding aspirations <ul><li>Strategic policy to support innovative aspirations </li></ul><ul><li>Robust research methodologies applied to emerging applications to provide evidence to support further development </li></ul><ul><li>Funding </li></ul><ul><ul><li>Provision and clarity </li></ul></ul>
    49. 55. <ul><li>Thank You </li></ul><ul><li>[email_address] </li></ul>
    50. 56. Websites <ul><li>Review of public administration </li></ul><ul><li> </li></ul><ul><li>Bamford review </li></ul><ul><li> </li></ul><ul><li>Living fuller lives </li></ul><ul><li> </li></ul>
    51. 57. <ul><li>Dementia service development centre </li></ul><ul><li> </li></ul><ul><li>PASA </li></ul><ul><li> </li></ul>