Mirada Activa (Active Look), a preventive program for the elderly who do not have a supporting network

admin on 5 December 2019

Berrituz

Municipal preventive program that involves citizens and social and economic agents in the detection of situations of social fragility and loneliness among the elderly in the city, which my activate the intervention of Municipal Social Services.

The program is subject to continuous assessment and has been developed in four phases. The first three carried out between 2013 and 2017, were intended to create active networks between associations of the elderly, social entities and socio-economic agents of the city, and to identify people in a situation of vulnerability. The fourth phase, begun in 2018, is a pilot experience that offers to elder people identified as vulnerable, a social integration itinerary based on an active network of autonomous and friendly relationships, in which municipal social integration -services professionals and volunteers of social entities also participate.

Characteristics of innovation

Aging, Bank of innovations, Fully inclusive cities, Group intervention, Information and planning, Lab, Link with the community, Pilot project, Prediction and prevention, Proximity care

Location

Bilbao

Partners / Funders

Bilbao City Council, Grupo SSI-Servicios Sociales Integrados, S. Coop

Genesis

The program was born in November 2013 in front of the need to detect people over 60 living in Bilbao who lived alone and who had difficulties in meeting their basic needs or who did not have support networks. To allow municipal social services can carry out preventive tasks it is necessary first to know those circumstances which are not always visible when occurring inside the homes. The program seeks to involve citizens and social and economic agents in detecting these situations and to notify them to municipal social services.

Implementation level

The program identified 362 vulnerable elder people, of which 30 now participate in the fourth phase of the creation of autonomous networks. Since 2018 the program has been replicated in Donostia-San Sebastián, and its extension is being planned in other municipalities of Biscay.

Further information

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Buurtzorg, autonomous teams of community healthcare

admin on 14 March 2019

Foto: Buurtzorg

Home care organization that works through teams that have professional freedom and are responsible for their own operation. Each team is made up of 12 people and works in a neighborhood taking care of people who need support and managing the team’s work. Each new team looks for their own office in the neighborhood, dedicates time to introduce themselves to the local community and to get to know the GPs, therapists and other social and health professionals. The team decides how to organize the work, share responsibilities and make decisions.

As a KMPG study states: “Essentially, the program allows nurses (rather than nursing assistants or caregivers) to provide all the care the patient needs. And while this has meant higher costs per hour, the total number of hours has been lower. In fact, by changing the care model, Buurtzorg achieved a 50 percent reduction in hours of care, improved the quality of care and increased employee job satisfaction. ”

An Ernst and Young study estimated that the new system allowed a 40% savings on home care in the Netherlands.