This document discusses policy interventions to address poverty among the elderly in Portugal. It summarizes the aims, methodology, and key findings of an ongoing research project analyzing aging, poverty, and social exclusion. The summary outlines Portugal's increasing aging population and dependency ratio. It also notes policy efforts like the National Inclusion Plan and Integrated Support Services Plan, and some strategic programs developed. However, it finds current measures only address basic needs and underestimate involvement in decision-making. The conclusion calls for more needs-based, participatory, and integrated policies and services to better address aging poverty amid financial crises.
How to address homelessness at local level when means and responsibilities ar...FEANTSA
Presentation given by Daithi Downey, Dublin Homeless Agency, Ireland at a FEANTSA seminar on "Key elements for a successful local homeless strategy: How Europe can support local authorities to improve the fight against homelessness", hosted by the Committee of the Regions, June 2007
The Role of Quality in Finding Solutions to Homelessness in Emergency and Tra...FEANTSA
Presentation given by Ana Martins, AMI, Portugal, at a FEANTSA Conference on "Quality in social services from the perspective of services working with homeless people", Luxembourg City, Luxembourg, 2011
How to address homelessness at local level when means and responsibilities ar...FEANTSA
Presentation given by Daithi Downey, Dublin Homeless Agency, Ireland at a FEANTSA seminar on "Key elements for a successful local homeless strategy: How Europe can support local authorities to improve the fight against homelessness", hosted by the Committee of the Regions, June 2007
The Role of Quality in Finding Solutions to Homelessness in Emergency and Tra...FEANTSA
Presentation given by Ana Martins, AMI, Portugal, at a FEANTSA Conference on "Quality in social services from the perspective of services working with homeless people", Luxembourg City, Luxembourg, 2011
This presentation is brief explanation of my thesis proposal to acomplish my Master Degree in Social Policy Major in South Korea. Although this ppt presents more information about Brazillian social policy, I present briefly Korean Social policy which I'm still working on and translating from Korea into English.
Illustration of some of the emerging approaches used by Peduli's partners to promote social inclusion and how they are affecting beneficiary groups.
This publication is written in English, Bahasa Indonesia version will be uploaded soon.
Social Enterprise: An Engine For Social Change? The Migrant CommunityGlobal_Net
This presentation discusses the role of social enterprise in working with migrant groups either as a way of supporting them directly or as a way of establishing business opportunities and self-help.
It was taken from a presentation by Alessio D’Angelo from Middlesex University who comments on this and place it in the perspective of not only the social enterprise movement itself but also other initiatives relating to employment, social value and overall policy on equality.
Alessio D’Angelo is a Lecturer in Social Sciences at Middlesex University. He has been working for several years as a freelance researcher and consultant for various Third Sector organisations and in 2009 was appointed Business and Community Interaction (BCI) ‘Champion’ for the Department of Social Sciences (Middlesex University), promoting and coordinating a number of activities in partnership with private and Third Sector organisations, including events, evaluations, consultancies, knowledge transfer and capacity building. He is a member of the Social Policy Research Centre (SPRC) and the TSRC Social Enterprise Research Capacity Building Cluster.
AS Center promotes solidarity, motivate and encourage the community, PLWHA, their families, friends, people who are affected by prejudice and increased risk for HIV infection, to join forces to build healthy lifestyles, tolerance and equality, to provide respect for human rights and freedoms, to create a tolerant environment in which to accept and appreciate diversity and to provide high quality and universal access to social, legal and health protection.
Homelessness Policy in England: the importance of placeAdam Stephenson
Homelessness policy and practice has been transformed by new managerialism and decentralisation. Decentralisation initially reversed the centralisation of new managerilism. Decentralisation is now leading to evolution of place based approaches to homelessness. Place-based approaches have the potential to provide more person centred, systematic and outcome based approaches to reducing homelessness. Find out more about the evolution of place based approaches in London.
“Growth with Social Justice” has been the basic objective of the development planning in India since independence.In order to achieve these objectives,Government of India has launched several welfare schemes and programme for needy section of society. Different segment of population got benefitted by these welfare schemes, which have led to significant changes. Some of these changes are distinctly visible – especially in the economic sphere with the adoption of new technologies, diversified production, and sophisticated management. Changes have also taken place in the social sphere – with affirmative action for disadvantaged communities and with women enjoying by and large more freedoms than ever before. This seminar attempts to critically analyze the welfare efforts in India and how the changes occur over a period of time in these welfare programmes with special focus on poverty alleviation programme and women empowerment programmes.
This presentation is brief explanation of my thesis proposal to acomplish my Master Degree in Social Policy Major in South Korea. Although this ppt presents more information about Brazillian social policy, I present briefly Korean Social policy which I'm still working on and translating from Korea into English.
Illustration of some of the emerging approaches used by Peduli's partners to promote social inclusion and how they are affecting beneficiary groups.
This publication is written in English, Bahasa Indonesia version will be uploaded soon.
Social Enterprise: An Engine For Social Change? The Migrant CommunityGlobal_Net
This presentation discusses the role of social enterprise in working with migrant groups either as a way of supporting them directly or as a way of establishing business opportunities and self-help.
It was taken from a presentation by Alessio D’Angelo from Middlesex University who comments on this and place it in the perspective of not only the social enterprise movement itself but also other initiatives relating to employment, social value and overall policy on equality.
Alessio D’Angelo is a Lecturer in Social Sciences at Middlesex University. He has been working for several years as a freelance researcher and consultant for various Third Sector organisations and in 2009 was appointed Business and Community Interaction (BCI) ‘Champion’ for the Department of Social Sciences (Middlesex University), promoting and coordinating a number of activities in partnership with private and Third Sector organisations, including events, evaluations, consultancies, knowledge transfer and capacity building. He is a member of the Social Policy Research Centre (SPRC) and the TSRC Social Enterprise Research Capacity Building Cluster.
AS Center promotes solidarity, motivate and encourage the community, PLWHA, their families, friends, people who are affected by prejudice and increased risk for HIV infection, to join forces to build healthy lifestyles, tolerance and equality, to provide respect for human rights and freedoms, to create a tolerant environment in which to accept and appreciate diversity and to provide high quality and universal access to social, legal and health protection.
Homelessness Policy in England: the importance of placeAdam Stephenson
Homelessness policy and practice has been transformed by new managerialism and decentralisation. Decentralisation initially reversed the centralisation of new managerilism. Decentralisation is now leading to evolution of place based approaches to homelessness. Place-based approaches have the potential to provide more person centred, systematic and outcome based approaches to reducing homelessness. Find out more about the evolution of place based approaches in London.
“Growth with Social Justice” has been the basic objective of the development planning in India since independence.In order to achieve these objectives,Government of India has launched several welfare schemes and programme for needy section of society. Different segment of population got benefitted by these welfare schemes, which have led to significant changes. Some of these changes are distinctly visible – especially in the economic sphere with the adoption of new technologies, diversified production, and sophisticated management. Changes have also taken place in the social sphere – with affirmative action for disadvantaged communities and with women enjoying by and large more freedoms than ever before. This seminar attempts to critically analyze the welfare efforts in India and how the changes occur over a period of time in these welfare programmes with special focus on poverty alleviation programme and women empowerment programmes.
Community based services as a prevention of institutionalization: Macedonian ...Self-employed
Community based services as a prevention of institutionalization:
Macedonian experiences and perspectives.
International conference, 1-3 March 2011, Bishkek, Kyrgyzstan
The expansion of non-contributory social protection worldwide and its implica...UNDP Policy Centre
GW4 Research and Policy Seminar: Transnational transformations in social protection: concepts, instruments and contexts (2nd July 2018) University of Bath-
By Fábio Veras Soares, Senior Research Coordinator at IPC-IG
This presentation is about social welfare and its schemes which includes Education ,Economic development and social Empowerment, social welfare objectives,Department of social welfare
EU regulation of health services but what about public health?tamsin.rose
Highlights some of the issues with the planned approach by the EU to regulate healthcare services and social welfare services across Europe. Raises questions about public health and the importance of civil society (NGOs) as service providers and building social capital
Targeted Conditional Cash Transfer Programme (TCCTP) (Trinidad and tobago)FAO
Presentación de Inshan Mohamed, National Director TCCTP, Ministry of the People and Social Development, realizada durante el Sexto Seminario de Transferencias Condicionadas de Ingresos, realizado en Santiago de Chile el 29 y 30 de septiembre 2011.
Cause and effect: Mental health budget cuts and the impact on homelessnessFEANTSA
Presentation given by Panagiota Fitsiou, Society
of Social Psychiatry and Mental Health, Greece, at the 2015 FEANTSA Policy Conference, "Homelessness, A Local Phenomenon with a European Dimension: Key Steps to Connect Communities to Europe", Paris City Hall, 19 June 2015
As part of UNICEF Innocenti's workshop on social protection in humanitarian settings, Giuseppe Zampaglione of The World Bank presented his views on "Evidence of Social Protection in contexts of Fragility and Forced Displacement".
For more on this workshop and to access the seven papers released at the event, visit: https://www.unicef-irc.org/article/1829-evidence-on-social-protection-in-contexts-of-fragility-and-forced-displacement.html
Advances in therapeutic communities. Reflections on British and Italian exper...Raffaele Barone
Advances in therapeutic communities. Reflections on British and Italian experiences
9th May 2015, Anna Freud Centre, London
Abstract for morning session: Barone & Bruschetta
The therapeutic community in the local community: the limits, resources of partnership and democracy
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
1. IFA – International Federation of Aging
Pragha, 28 May 1 June - 2012
29 May 2012
“Aging, poverty and policy intervention in Portugal”
Maria Irene Carvalho – ULHT – Lisbon
Isabella Paoletti – CLUN – UN - Lisbon
2. Aims and metodology
Aims
• Discuss critically policy intervention to facing poverty among the elderly in Portugal;
• Present the road map of elderly policies and discuss some good practices in relation to social
inclusion.
Methodology
• This paper is part of an ongoing research project: Aging, poverty and social exclusion: a
interdisciplinary study on innovative social services.
• It aims at providing evidence of the efforts done at policy level and of good practices in
services provision in order to address inequalities and social exclusion, in relation to older
people living in poverty.
• The data collected so far include:
• 1) 50 semi-structured interviews to social workers, services coordinators, presidents of older
people´s associations, coordinators of civil societies initiatives;
• 2) Ethnographic documentation of social intervention involving older people;
• 3) Relevant documents and legislation – This presentation is about this policies analyses
5. Poverty amongst older people in Portugal
(limiar: 60% do rendimento mediano por adulto equivalente após transferências sociais)
Fonte: Eurostat [SILC: At-risk-of-poverty rates by age and gender (ilc_li02); actual. 15-06-2011]
Link: Eurostat (com dados actualizados)
7. Multidimension of aging poverty
Desengagement;
Decrease in economic resources, poverty
Increased loneliness, isolation;
Chronic diseases, dependency;
Need for social and health care specialized services;
Need for formal and informal caregivers;
Risk of violence and discrimination;
Difficulties in accessing services and social benefits;
Risk of violation of human rights and dignity;
8. Road map of social policies in Portugal (social inclusion exemple)
Social Security System
1 - National Ministry of Labour and
Social Solidarity - Law on
Social Security 2007
level Social Security and
Labour)
Pensions and other
Central
accessories
Institute of Social Security IP
Social benefits and
supplements
Funding for Social Action
National
Local services Social services
Inclusion Plan
Local Services of the Institute of
National Action Social Security IP
Plan for Inclusion
2 - Local Local authorities Social network
Municipalities
level
Platform above district
Municipalities Municipal Assembly
council
Parish Councils Parish Assembly Parish Social Committee
Civil Society non-profit organizations
3- Civil Society - Law 1983 PSS - relationship with the state, Social facilities
and other financing and protection: Nursing homes, Home care day centers
Community SCM, Associations, Community and night, living, home support services,
Centers, Social Solidarity integrated responses.
Cooperatives Projects to combat poverty. University
level senior, senior tourism.
Call center, food bank, senior citizen
Ongs online, social emergency, other
Foundations, other
9. In the last 15 years social policies
Policy interventions in Portugal have been focused on:
Increasing the minimum pensions, (solidarity supplement for the elderly),
Improvement and promotion of quality of live for older people, specific
programs on housing,
Development a variety of specific services (day centres, home care
assistance, residential/nursing care etc.),
Promote integrated care facilities with health and social services -
Integrated continuing health and social care;
10. Some strategic programs have been developed…
In order to create safety social nets, participation and effective health care,
programs such as:
PAII (Plan for Integrated support services for the elderly, 1994, 1998 –
until 2006 – Continuing Care Act – 101/2006)
PNAI (National Plan of Action for Social Inclusion- 2001, 2003, 2005, 2006,
2008-2010),
These programs involved several stakeholders at national, local and
community level.
11. PAII - configuration
PAII includes a financial scheme and the main technical procedures for the
creation of support services for older people. The main areas of
intervention of PAII are:
• Integrated Home care support services - “Serviço de Apoio Domiciliário
integrado” (SADI);
• Temporary centres for disabled older people -“Centro de Apoio
Dependentes” (CAD);
• Training activities for voluntary helpers and for professionals - Formação
de Recursos Humanos (FORHUM);
• Help line, leisure and reduced pay schemes for public transport.
12. PNAI- configuration
Several measures relating to income, housing, social integration,
consolidating network of services have been developed, for example:
• Solidarity supplement for the elderly (MTSS) ;
• Programme for housing comfort for the elderly (MTSS) (PCHI);
• Improving home conditions for older people;
• Reinforcing facilities for the elderly:
– Social services and equipment network programme (PARES)
– Re-qualification and safety programme for social facilities
• National network for integrated long term care (RNCCI) MTSS/MS
13. Current financial crises have put an end to these two programmes
– PAII and PNAI, and the following cuts have also been put in
place:
Cuts pensions and allowances;
Reduction of tax exemptions for medicines and transport;
Rationing access to social and health services ;
Increased health fees – medical appointments and medical exams;
14. Policies intervention are now focused:
1- Reconfiguration on welfare services - restricting access to the
social security and health system;
2 – Ideia of “commissioning” to promote health and well-being–
the state contracts these services to private and third sector
organizations;
3 - Individual responsibility - Every individual has to plan for the
risk of old age and illnesses through private schemes, such as
PPR and Health Insurance;
4 – The state intervenes only in the most problematic cases – like
ex cumulative issues: poverty, dependency, isolation.
15. Evidences
• Despite all the above policy measures, poverty remains widespread
among older people in Portugal.
• Such measures address only basic needs of older people (food, housing,
health, etc), but underestimated the importance of their involvement in
decision making processes - taking into account the rights of older
people;
• Measures that aim to bring people out of poverty have to look at the
specific conditions that maintain the person in that situation. There is a
need for the development of integrated and individualized care plans
supported by well coordinated interventions;
• It is necessary to look not only to what extent services are provided, but
how they are provided in practical terms.
16. Concluding, to face poverty in financial crises…
Develop policies that are geared to the needs of people –oriented by -
multiservice partnerships and intervention in networks;
Consider the expectations and needs of older people in the intervention, promote
their empowerment and participation in decision making;
Develop legal mechanisms and social protection for older people with dementia
and chronic illnesses;
Promote the adaptation of the new technologies to improve the quality of life of
older people - Assistant Living Conditions;
Value the work of formal and informal carers for older people and develop
appropriate training and information processes;
Provide adequate training to all the professionals that work with older people in
terms of values, theories and methodologies. Thanks