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Workshop 3 “Independent Living, Housing, Domotics”Age-friendly environment strategies

30-31 March 2015Udine, Italy

Innovative housing and care solutions:results and recommendations of the HELPS Project

Gian Matteo ApuzzoLocal Health Authority n.1, FVG Region

This project is implemented through the CENTRAL EUROPE Programme co-financed by the ERDF

BackgroundFVG Region policies

Friuli Venezia Giulia Region have defined a model of integrated system of social and health services:-The promotion of home care and community based care through the partnership between Municipalities and Local Health Authorities and the involvement of the third sector;

- Innovative models for integrated care: multi-dimensional and cross-sectoral evaluation of needs, personal tailored project, integrated taking care

- Innovative tools of local integrated health and social planning: Territorial activities Program (PAT) and Local Plan of social policy (PdZ, Piano di Zona)

- Joint initiatives with research/innovation (ICT) and housing sectors

Background FVG Regional Innovation Projects in Welfare sector

-Regional Law n. 26/2005 on Innovation, Scientific Research and Technology Development , Art.22, Innovation in the Welfare Sector; 15 projects/Year on: Promotion of quality of life at home for elderly and dependent; Accessibility and automation of apartments with technologies (domotics); - Teleassistance and telemedicine;(Projects like Refreedom, Presto a casa, HelpKey TV,..)

- ASPAD Project, Regional System Framework actitvies for the Promotion of Innovation, Home-care and Accessibility

- Regional cluster “TAV - Technology for Ambients of Life” (AAL domain)

Innovation in the home care systemHousing:• Accessibility: experimentation (in 3 different places) of an evaluation system of accessibility of buildings on the basis

of WHO-ICF approach (with the specific contribution of WHO FIC CC)• Autonomy: Presto a casa/Back home project, two domotic flats, one of them for training, the other one for

temporary staying• Regional Law 1/2005, art. 3, Promoting Indipendent living (Abitare possibile), advanced home care models for the

elderly, 10 Municipalities involved so far • Co-housing (Condominio solidale), promoting also intergenerational solidarity

ICT:• Regional Law on Innovation 26/2005, art.22 Innovation in the welfare system• Regional network on ICT, and quality of life at home (among public and private partners)• Regional services on tele-help, tele-assistance, tele-monitoring Community development:• Local Plans for social policies (PdZ)• Community foundations, new organizational model of PPP in managing and financing initiatives at local level for

taking care of elderly and people with disability• Advanced integrated home-care (formal care plus voluntering families as informal carers and community animators)

EUROPEAN INITIATIVES SUPPORTING REGIONAL POLICIES

1. FVG as a L@bCommittment to EIP-AHA, D4 Action Group on Age-friendly environments, cities and regions

2.

3. CASA -Consortium for Assistive Solutions, CORAL networkPolicy development for AAL innovation uptakes

4. SmartCare (DREAMING follow up) Integrated Care Collaborative Platform, aiming at the integration between social and health service providers

DIREZIONE CENTRALE SALUTE INTEGRAZIONE SOCIO SANITARIA, E POLITICHE SOCIALI

Title of the project

HELPS Housing and Home-care for the Elderly and vulnerable people and Local Partnership Strategies in Central European cities

Central Europe ProgrammeCall for Strategic Project Proposals

Lead Partner: Regione Autonoma Friuli Venezia Giulia12 partners+ 3 associated partners8 countries involvedDuration: 36 months - from October 2011 to December 2014 Total Budget: 2.670.229,00 € (ERDF: 2.133.975,35 €)

CENTRAL EUROPE PROGRAMME OPPORTUNITY

RESTRICTED CALL FOR STRATEGIC PROJECT

• Priority 4 Enhancing competitiveness and attractiveness of cities and region

• Area of Intervention 2 Addressing the territorial effects of demographic and social

change on urban and regional development

• Concept 6 Innovative housing and care solutions for the elderly and

vulnerable persons in Central European cities

DIREZIONE CENTRALE SALUTE INTEGRAZIONE SOCIO SANITARIA, E POLITICHE SOCIALI

HELPS PARTNERSHIP

• FVG Region – ITA • City of Leipzig, Economic Development Office – D• Municipality of the City of Debrecen – HU • Veneto Region – ITA• Association of Towns and Communities of Slovakia - SK• Institute of Sociology of the Academy of Sciences of the

Czech Republic – CZ • Institute for Sociology Slovak Academy of Sciences – SK• German Association for Housing, Urban and Spatial

Development – D• Poznan Supercomputing and Networking Center – PL • Samariterbund Burgenland – A • Hungarian Maltese Charity Service – HU• Slovenian Federation of Pensioners’ Organizations – SLO

• City of Brno - CZ• Institute of Social Research - ITA• Ministry of Labour - SLO

HELPS COMMON CHALLENGES

1. The access to information to overcoming practical obstacles preventing from leading healthy and active lives within the chosen living environment

2. The application of accessibility criteria in urban planning and housing design to reducing spatial segregation and facilitating life at home for all

3. The empowerment of human resources dedicated to in/formal homecare 4. The cross-cutting contribution of ICT to the individual autonomy,

considered both in terms of wider access to technology and market potential

5. The involvement of local neighborhood communities in the development of forms of social citizenship to reconstructing social links based on reciprocity and solidarity

6. The sustainability and efficiency of care systems

IDENTIFIED CHALLENGES

NEIGHBORHOOD COMMUNITIES

INTEGRATED MANAGEMENT

OF CARE SERVICES

TARGET GROUPS

Elderly - over 65Elderly with age-related disability; with low income; living alone; gender aware approach

People with disabilities According to the UN Convention, people with disabilities include those who have long-term physical, mental, intellectual or sensory

impairments which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others

• Formal/informal caregiversFamilies caring of elderly/disabled relatives, in a gender aware approach

• Public authoritiesAt national, regional, local level, competent in housing and health/social policies

• Interest groups NGOs, advocacy associations, trade unions, housing cooperatives, European networks

• Profit organizations Healthcare/social service providers, real estate companies, planning/design agencies, regional innovation agencies

• RTD institutes Universities, RTD facilities, technology transfer institutions

HELPS PROJECT ACTIVITIES: RESEARCH

8 LOCAL SUPPORT GROUPs (LSGs)Local PPP involving stakeholders and beneficiaries

HELPS PROJECT ACTIVITIES: PILOT ACTIONS

HELPS PROJECT ACTIVITIES: STRATEGIES

HELPS PILOT ACTIONS

8 Pilot actions, one per country, have been initialized:• AT, Weppersdorf: AAL solutions in integrated supervised flats• CZ, Brno: innovative needs evaluation among elderly • DE, Leipzig: adaptation and equipment of a sample flat for independent

living• HU, Debrecen/Budapest: training programs and tools for in/formal

caregivers (WEBNURSE)• IT, Trieste: Public Private Partnership for an integrated management of

housing and homecare, co-housing initiatives and community welfare• PL, Poznan: adaptation of open AAL platforms for social re/integration• SI, Ljubljana: establishment of an Info Point to facilitate access to

information and services• SK, selected municipalities: intergenerational self-help groups at

neighborhood level and AAL for informal care

HELPS PILOT ACTION IN FVG REGION: THE CITY OF TRIESTE

Trieste is the regional capital city:• a medium-size city (205.535 Inhabitants on

01.01.2011)

• 56.874 over65 people, 27,54% of the total population.

• Another crucial data: 21.000 over65 people live alone (36% of the over65 population), and, among them, 13.353 are over75 (10.754 women and 2.599 men).

Sources: PdZ and Social Policies Department of the Municipality of Trieste

FVG Region PILOT ACTIONInnovation in SOCIAL HOUSING and Home-care

Private/public partnership for innovative housing and home-care models

2 experimentations in Trieste:-an innovative co-housing solution foresees that beneficiaries sign a formal Commitment for Solidarity. - the existing Montebello Project in a Public Residential Complex, testing advanced integrated home-care and de-institutionalisation processes with the development of a stronger community-oriented network, thanks to the commitment of volunteering families and local associations.

Local actors involved:Municpality of Trieste, Local Health Authority of Trieste, Regional Housing Agency, ITIS (public social care institution), Fondazione Luchetta (community NGO)

FVG Region PILOT ACTION

1. Montebello experimentation(public housing stock)

General objective: development of innovative and advanced solutions of community welfare through:

•Community and integrated home-care services;•De-institutionalisation processes;•Participatory needs assessment; •Development of informal assistance services thanks to volunteering families;•Promotion of social inclusion within the inhabitants.

Montebello Project in Trieste

FVG Region PILOT ACTION

2. Co-housing experimentation based on a solidarity contractMain elements:•coexistence of different beneficiaries and different generations;•independence and privacy are maintained (17 private flats) jointly with a shared commnunity spaces, with full accessibility criteria;•building up a supportive local network for monitoring service and the promotion of mutual informal services (mutual help and integrated aid);•Participatory process (focus groups) with beneficiaries and organizations staff for needs survey and criteria setting for social innovation;•set of criteria for informal care that will be included in a Solidarity Contract.

FVG Region pilot action, ITIS co-housing

Al servizio di gente unica

This project is implemented through the CENTRAL EUROPE Programme co-financed by the ERDF

SOME KEY RECOMMENDATIONS FROM HELPS PROJECT

-One effective form of information is participation

- it is strategic and useful to focus on the role of formal and informal caregivers and the set of interventions and actions required to enforce their skills, enabling them to connect more effectively to the needs of elderly and disabled people. The training of formal and informal caregivers is certainly the most effective means of coping with this challenge

-it is important not only to design accessible homes, but also to guarantee accessible public spaces. There is a need for further reinforcement of the cooperation between residential housing companies and organizations, local associations and elderly citizens and other end users

- To make technological innovations user-friendly, users involvement in all stage of ICT solutions design and implementation including regular evaluation of the end user’s satisfaction is necessary

Al servizio di gente unica

This project is implemented through the CENTRAL EUROPE Programme co-financed by the ERDF

SOME KEY RECOMMENDATIONS

-Interpersonal relations and intergenerational solidarity are one of the key conditions for developing new forms of informal care and solidarity among citizens and dwellers. Local authorities should support and promote partnerships that strengthen neighbourhood and community networks, also by establishing new formal tools

- Social innovation for independent living cannot, therefore, prescindfrom a person-centred approach, but sustainability in this respect cannotprescind from organizational innovation, in which the vertical and horizontal integration of actors and functions appear to be necessary processes that must also be supported through the use of instruments of change management.

- defining strategies and practices in the transition from institutional care to community-based care, sustainability is the key issue.Passing from experimentation to permanent policies is a big challenge inwhich sustainability will be the central theme in coming years.

Al servizio di gente unica

This project is implemented through the CENTRAL EUROPE Programme co-financed by the ERDF

THANK YOU FOR YOUR ATTENTION!

Gian Matteo Apuzzo, Ph.D.Project manager

matteo.apuzzo@welfare.fvg.it