1 brick-aging in place ifa prage may 2012

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1 brick-aging in place ifa prage may 2012

  1. 1. "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
  2. 2. Definition- Ageing in PlaceOld adults continue to live in theirhome as they age, as long as theyare able and wish to do so.
  3. 3. General StrategyAging in Place:Elderly people should continue to live athome and in the community as long aspossible.Benefits: Improves quality of life Saves expenditures on long term care
  4. 4. Why people prefer to live at home?• Independence• Acquaintance• House Keeping• Hosting• Historical meaning• Status• Support
  5. 5. The challenge• Scope• Quality• Accessibility• Information
  6. 6. Elderly Population in Israel Estimates for the End of 2009 Elderly 65+ in Israel Israel Total 741,500 (9.8%) Population 7,552,000 `` 717,200 (96.7%) 24,400 (3.3%) live in long-term live in the community care institutionsSource: Central Bureau of Statistics, "Mashav" - National Data Base for the Planning in the Field of Old Age,Meyers-Joint-Brookdale Institute and JDC-ESHEL
  7. 7. 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
  8. 8. 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 frail172 centers – 15,500 beneficiaries (2010)
  9. 9. Home CareLong term care law – April 1988 Three levels of care: 9.75 – 16.00 – 18.00 Hours per week 2010 – 144,000 recipients
  10. 10. Supportive Communities• Community father/mother• Emergency call system• Doctor’s visits and ambulance• Social activities250 communities – 47,000 members
  11. 11. Supportive Communities
  12. 12. 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
  13. 13. Warm Home Program• Weekly meetings of culturally similar elderly• Social and cultural activities• Social “safety net” for isolated elderly240 homes-3,200 beneficiaries (2010)
  14. 14. Warm home
  15. 15. Health Promotion• Physical activity programs• Prevention programs for frail elderly• Dental, vision and hearing care• Nutrition programs• Health education
  16. 16. 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
  17. 17. 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
  18. 18. Development of Programs in Israel Service Programs Participants 1990 2009 1990 2009 Home care -- -- 27,684 131,266 Supportive 4 223 210 42,369 CommunitiesSheltered 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
  19. 19. Rates of Institutionalization Year Institutions Beds 65+ 1985 145 14,948 40 1990 192 19,041 43 2009 392 29,281 39
  20. 20. 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

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