Post on 20-Jun-2015
transcript
"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
Definition- Ageing in Place
Old adults continue to live in their
home as they age, as long as they
are able and wish to do so.
General Strategy
Aging in Place:
Elderly people should continue to live at
home and in the community as long as
possible.
Benefits:
Improves quality of life
Saves expenditures on long term care
Why people prefer
to live at home?
• Independence
• Acquaintance
• House Keeping
• Hosting
• Historical meaning
• Status
• Support
The challenge
• Scope
• Quality
• Accessibility
• Information
Elderly Population in Israel Estimates for the End of 2009
``
Israel Total
Population 7,552,000
717,200 (96.7%) live in the community
24,400 (3.3%) live in long-term
care institutions
Source: Central Bureau of Statistics, "Mashav" - National Data Base for the Planning in the Field of Old Age,
Meyers-Joint-Brookdale Institute and JDC-ESHEL
Elderly 65+ in Israel
741,500 (9.8%)
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
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 frail
172 centers – 15,500 beneficiaries (2010)
Home Care
Long term care law – April 1988
Three levels of care:
9.75 – 16.00 – 18.00 Hours per week
2010 – 144,000 recipients
Supportive Communities
• Community father/mother
• Emergency call system
• Doctor’s visits and ambulance
• Social activities
250 communities – 47,000 members
Supportive Communities
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
Warm Home Program
• Weekly meetings of culturally similar elderly
• Social and cultural activities
• Social “safety net” for isolated elderly
240 homes-3,200 beneficiaries (2010)
Warm home
Health Promotion
• Physical activity programs
• Prevention programs for frail elderly
• Dental, vision and hearing care
• Nutrition programs
• Health education
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
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
Development of Programs in Israel
Service Programs Participants
1990 2009 1990 2009
Home care -- -- 27,684 131,266
Supportive
Communities 4 223 210 42,369
Sheltered 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
Rates of Institutionalization
65+ Beds Institutions Year
40 14,948 145 1985
43 19,041 192 1990
39 29,281 392 2009
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