EAVA, integral service against elder abuse

Publications Bank of innovations

EAVA, integral service against elder abuse

Regional Council of Anoia

Service specialised in the detection and accompaniment of elderly people in the county of Anoia. Promoted and financed by the Consell Comarcal, the aim of the team is to detect and prevent situations of abuse, on the one hand, and to offer multidisciplinary care to protect and reduce the possible damage caused in these situations, on the other.

The Anoia Elderly Care Team (EAVA) is a pioneering public service in Europe that makes visible and tackles a problem that is gaining strength in the context of generalised population ageing. According to the World Health Organisation, 15% of people over the age of 65 suffer abuse, although the official data do not reflect this figure because reporting is rare.

The service is mainly aimed at elderly people who are known or suspected of suffering situations of abuse –physical, psychological, sexual or economic or derived from abandonment, negligence, self-neglect and violation of rights– both at home and in institutions. According to the statistics presented by the EAVA, elder abuse is feminised –more than 75% of the cases are women– and the aggressors are mostly children and non-professional carers.

The team is multidisciplinary; it is composed by a network of experts from different fields to offer a comprehensive view of the situation. It coordinates on a daily basis with the professionals who care for the elderly to detect suspicions and emergencies and prevent abuse. It also advises, assesses and intervenes on a case-by-case basis. Generally, the unit opts for mediation rather than legal action, although if it does so, it offers the elderly accompaniment before the courts. However, the direction of the service is not unidirectional: any professional in the field of social services, social entities and health services can request the team’s service and jointly coordinate individualised care.

Thus, the EAVA highlights the need for co-operation between a wide co-ordinated network to detect and take action against elder abuse. The collaboration is intended to be comprehensive and to go beyond social services, including notaries and bank offices in the county useful for detecting financial abuse. In this sense, given that the membership and impact of the team’s actions require efficient coordination, the EAVA has provided training to health personnel, social service workers, judges and regional police officers.

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Confidant, an application for remote care of children and the elderly

Publications Bank of innovations

Confidant, an application for remote care of children and the elderly

Confidant

A technological tool that facilitates the care of people who need regular care or supervision, especially dependent elderly people and minors. It reduces the worry and anguish of not being able to locate loved ones and allows vulnerability to be addressed through innovative technology.

The Confidant app works in such a way that it allows access to mobile devices –phones, smart watches, tablets, etc.– of the people to be cared for. It makes it possible to geolocate them in real time and contact them easily to ensure their well-being at all times. In addition, the app has several functions that can be configured: obtaining a record of activity –of the applications consulted, calls made and sites visited by the controlled device–, partial blocking –of certain applications– or total blocking of the device, preventing the linked device from being switched off and receiving notifications in the event that it has a low battery level, among others. It also has an anti-theft function, allowing the user to know the location in real time and to avoid a forced shutdown of the device.

It is, therefore, a highly personalised tool, adaptable to the diverse needs –mainly depending on age– of the confidants or people receiving care. Confidant can be especially useful for educating children to make good use of technology and avoid situations of cyberbullying. In the case of older people, the option of a smart watch may be relevant for people who are not used to the use of new technologies.

Confidant is easy to download and allows a one-week free trial. It guarantees security, privacy and transparency. To avoid potential misuse, the app cannot be installed in stealth: whenever it is activated, a notification is sent to the monitored device. In this sense, it allows the option to activate these functions only in case of emergency, only when the person does not respond to several calls.

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Konekta2, intelligent sensorization of homes for the elderly

Publications Bank of innovations

Konekta2, intelligent sensorization of homes for the elderly

Fuenlabrada City Council

A virtual assistant for the elderly that is able to detect changes in movements and routines at home to alert in the event of an incident.

The program is aimed at elderly people with cognitive impairment who live alone. It is a pilot project for which 30 people have been selected, with the intention of being extended to other users once the pilot phase is completed.

Through sensors placed on doors, household appliances or corridors, changes in these can be detected. First, an analysis of each person’s routines is carried out to detect anomalies and check the elderly person’s condition. By this way, if a door is opened at dawn, or the front door is not opened all day (indicating that the person has not left the house), it can be detected and the people nearby can be alerted (every time there is a change, a message is sent to the next contact person). The tool has a voice-controlled virtual assistant, a sensor for opening the front door and the refrigerator, and motion sensors that can be placed in different areas of the house.

The assistant also alerts the emergency services in the event of an accident, since it works as a complement to the help button or tele-alarm that users have at home. In addition, users can call for help using only their voice.

The pilot project makes it possible to anticipate cases of risk, avoiding emergency situations thanks to preventive work. It is a tool that helps the elderly to spend more of their lives at home safely.

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Artificial Intelligence to manage municipal home care better

Publications Bank of innovations

Artificial Intelligence to manage municipal home care better

Helsingborg City Council

Artificial Intelligence tool that enables more preventive, proactive and efficient management of municipal home care services.

The algorithm uses the data history of each citizen and an assessment of their functional status by social services professionals according to the ICF index (International Classification of Functioning, Disability and Health). From patterns it identifies people at high risk of having extensive future needs, determines the potential for improvement with appropriate interventions, identifies which individuals and efforts are most likely to provide lasting improvement, and triggers concrete preventive measures to stop or delay the need for home care services.

At the same time, it is a support tool for municipal social professionals, as it helps them to better measure the efforts invested for each situation, to direct key resources where they can be most useful, to reduce time spent on unnecessary administrative tasks, or to reduce stress caused by the risk of making incorrect or too late decisions regarding the intervention or response needed by each person.

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Virtea, virtual reality to reduce stress for people with ASD

Publications Bank of innovations

Virtea, virtual reality to reduce stress for people with ASD

Virtea

Virtual reality application that allows the recreation of different scenarios that are part of a specific activity to approach the situations in which people with autism spectrum disorder (ASD) will find themselves.

Virtea is focused on preparing children with ASD for stressful situations through the recreation of scenarios, which are part of the training that children will have to face different events. Everyday situations such as visiting a doctor, getting a haircut or waiting for the bus can generate a lot of nerves and anxiety. For this reason, virtual reality makes the journey from the waiting room to the doctor’s office, or to the hairdresser’s chair: Virtea makes it possible to work under conditions that in the future will be natural in a completely controlled context.


The recreation has been supervised by specialists, working as realistically as possible, and every detail is recreated, including the sunlight from the window. The recreation tries to be as warm as possible through the lighting, both interior and exterior, to lower the stress levels of the user.


The benefits of this tool are threefold: anticipation, stress reduction and improved quality of life. Firstly, anticipation helps to improve the attitude towards new situations that are out of the usual routine. In these moments of fear or discomfort, Virtea helps to reduce stress and this improves the quality of life of people with ASD and their families. The previous work allows to control anxious situations.

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Crisis text line, suicide prevention through artificial intelligence

Publications Bank of innovations

Crisis text line, suicide prevention through artificial intelligence

Crisis Text Line

Suicide prevention hotline which, in addition to offering accompaniment, emotional support and home interventions to thousands of people going through difficult situations, has an algorithm that allows the service’s volunteers to identify which people are at high risk of suicide and therefore need more urgent intervention.

The service works in such a way that the person in crisis sends a message saying “HOME” to the number 741741, and a specialised volunteer responds quickly and in real time. The service goes out of its way to help people in times of distress or crisis by listening to them, reassuring them, and offering suggestions for overcoming their difficulties.

As a service that receives thousands of requests, deciding who to help first in times of floods of messages can be a life-or-death decision. That’s why Crisis Text Line uses an algorithm to identify people at high risk of suicide and to be able to intervene as quickly as possible in these cases.

Using machine learning, the artificial intelligence algorithm analyses the words and emojis that may indicate that a person is at high risk of suicidal ideation or self-harm. The system developed is based on the analysis of 30 million messages that the service has exchanged with users in recent years, and is thus able to position as an emergency those conversations with high-risk patterns that need to be attended to more urgently. As a result, 94% of people at serious and imminent risk of suicide receive an intervention in less than 5 minutes.

In addition, the data collected provides the service with very relevant information about the mental health of the clients. For example, it has concluded that Wednesday is the most anxiety provoking day of the week, and that self-harm crises occur mainly in the early hours of the morning.

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One View, a predictive and preventative homelessness system

Publications Bank of innovations

One View, a predictive and preventative homelessness system

London Borough of Barking and Dagenham

One View

Predictive system that allows social services to anticipate, prevent and reduce homelessness in the territory

The One View system analyses the data set related to services for adults, children and homeless people. The analytical model includes data on income, benefits and schools, and obtains a comprehensive overview of citizens and households in the territory in order to identify existing risk situations that may lead to homelessness in the near future.

One View enables this preventive approach by using advanced analytical models to identify people at risk, with the aim of detecting potential problems 6 to 9 months before a crisis. In addition, the service provides long-term monitoring, so that social services can also evaluate the effectiveness of the interventions put in place, and adjust them. The specialised software provides robust information governance and security, with strict protocols that determine access levels.

The service enables the district to achieve three objectives. The first is to improve the quality of life of residents by providing the necessary contact and assistance when needed. Secondly, a prevention of evolving needs with better informed and targeted interventions. In other words, social service professionals in the district have a unique view that allows them to select the most appropriate and effective course of action in each case. Finally, it contributes to the management of the demand for social and housing services, generating savings due to the combination of improved interventions and predictive information to identify at-risk situations.

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InterRAI, a comprehensive geriatric assessment instrument

Publications Bank of innovations

InterRAI, a comprehensive geriatric assessment instrument

InterRAI

A set of multidimensional geriatric assessment instruments designed to determine the psychosocial and functional capacity and needs of the elderly. The aim is to develop a comprehensive treatment and long-term follow-up plan based on a set of standardized items that can be used in various care settings.

InterRai works in such a way that social and health professionals talk to users and their families (people over 65 years of age), while making observations and using other information. The assessor codes this information with software that creates a picture of the person’s functional, social and health needs and opportunities, as well as individualized and specialized care support that is included in an anonymous database. Data collected from the population can be used for planning, research and service development.

Outcomes include validated scales and measures, as well as action points that trigger social, health and potential rehabilitation problems. Subsequently, each person can be followed up and their progress monitored. In addition, a complete profile of each user is created, minimizing the assessment burden and ensuring an individual perspective.

The tool is committed to improving health and social care around the world to ensure affordable, quality access to all people. When data becomes the core of understanding the care needs of older people, digital tools and proven solutions that can be applied on a large scale to help older people, caregivers and policy makers are needed to be used.

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Bizkaia Saretu, school for the prevention of unwanted loneliness

Publications Bank of innovations

Bizkaia Saretu, school for the prevention of unwanted loneliness

Grup SSI

School of training and dynamization of anti-loneliness agents, people over 55 years of age who, thanks to a qualification and accompaniment, specialize in early detection and preventive action in relation to loneliness.

The initiative refers to unwanted loneliness, i.e. the subjective feeling or experience that is identified with individual dissatisfaction that the person has in terms of relationships. This social isolation, especially related to the elderly, is perceived as a limitation, lack or absence of primary or natural relationships; friendship, partner, family, neighborhood, etc.

The project offers training and awareness-raising activities for people interested in the subject, whether they want to acquire knowledge in this area or are part of organizations, companies or associations. In this case, they can become part of the Agents Network, the other main activity of the project. This network, formed by people over 55 years of age who are not in a situation of loneliness and want to commit themselves and create proposals for action, consists of identifying situations of loneliness, design and creation of prevention projects, in order to accumulate evidence and be able to be implemented.

In addition, the initiative also has a repository of knowledge and good practices, where projects, methods or systems that involve the community and relational spheres can be found. The SSI Group understands that the connection between initiatives is a key element to guarantee the success of the projects. Therefore, Bizkaia Saretu is a project with a preventive perspective, which promotes a destigmatizing vision of loneliness, promotes mutual help and focuses on the individual needs and demands of each person.

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Luzía, an intelligent watch for the prevention and protection of risk situations in elderly people

Publications Bank of innovations

Luzía, an intelligent watch for the prevention and protection of risk situations in elderly people

SeniorDomo

Watch to detect risk situations and facilitate healthy aging at home for the elderly from 60 years old. It automatically analyzes data on physical activity, vital signs, location, etc. and identifies any type of strange behavior.

Family members have access to the device’s information and receive notifications on their cell phones. In the event that any anomaly is detected (inactivity, a fall, heart problems, leaving the safety zone…) the watch itself contacts the person at the who is using it to ask how he/she is, and if he/she does not respond it automatically calls the family members or contact persons. In addition, Luzía is able to detect if the answering machine has been triggered or if the telephone it is trying to contact is switched off. Therefore, the watch keeps insisting until it succeeds in contacting someone. Luzía is capable of storing up to 1,000 daily records of each user in the cloud.

The goal is to facilitate aging at home, through an advanced solution for protection and prevention of critical situations. It is an affordable and accessible technology, since it does not require the user to have a cell phone, to improve the quality of life of the elderly.

SeniorDomo

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