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Different models of long- term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

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Page 1: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

Different models of long-term residential care for excluded elderly people in Catalonia

Ph D. Pilar Muro & Ph D. Txus Morata

Page 2: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

Excluded elderly people in Catalonia

INTRODUCTION• Social Services (from goverment) • People from 65 years old and with a dependent

situation • Social worker: analyze and evaluate level of

dependence and economic resources to afford going to a residence

• Different options:– Long-term residential care– Short-term residential care– Shared- Living Apartments

Page 3: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

CHARACTERISTICS OF EXCLUDED ELDERLY PEOPLE

• Social exclusion and poverty (Pujadas y Mendiazábal, 2002):– Different levels of social aspects:1. Integration area: stable job and solid familiar and social relationships2. Vulnerability area: work instability and fragile relationship with family

and others3. Exclusion area: no economic resources, non proteccion from

goverment, no job.

Excluded elderly people in Catalonia

Page 4: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

• The Obra Social Santa Lluïsa de Marillac is a social integration program for society’s most vulnerable people in need of aid.

They are run by the ‘Daughters’ Charity, a society of nuns founded by Sant Vicenç of Paül and Saint Luisa de Marillac, in the XVII century in Paris.

Excluded elderly people in Catalonia

Page 5: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

What do they do?

They work with people on different projects:

Servicio de Acogida y Orientación (S.A.O.)

“care and guide service”

Servicio de entrega de alimentos

“Foods delibery service”

Centro de Día“Day center”

Pisos de inclusión social

“Housing social service”

Centro de Estancia Limitada (C.E.L)“Convalescence

center”

Equipo de acompañamiento en

centros penitenciarios“Team for

penitenciary centres”

Excluded elderly people in Catalonia

Page 6: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

Nombre de la presentación

Day CenterDay Center

Day care service, for persons who have initiated an improvement process, guidance from the S.A.O. or referral from BCN's Social Services.

Day care service, for persons who have initiated an improvement process, guidance from the S.A.O. or referral from BCN's Social Services.

Page 7: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

What does the day centre offer?What does the day centre offer?

•Follow-up, support and guidance for the person

•Administration of prescription medication

•Workshops and activities

•Social dining room

Excluded elderly people in Catalonia

Page 8: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

Convalescence center C.E.L.

Convalescence center C.E.L.

Residential service aimed at homeless men in need of convalescence

(34 places)

Excluded elderly people in Catalonia

Page 9: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

Who have they attended in 2010?

Service Nº people

S.A.O Reception and orientation service

633

C.E.L Convalecence center 138

Day Centre 101

Psychological evaluation 60

Derivation Centre therapeutic 11

Excluded elderly people in Catalonia

Page 10: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

Service Concept

Food delivery 638 persons

Breakfast / reception space 9.942 breakfast/year

Housing (pension payment) 81 persons

Housing of social inclusion 70 persons

Accompaniment in prison 502 persons

To whom they have attended in 2010?

Excluded elderly people in Catalonia

Page 11: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

Where are they going?

•To consolidate ourselves as a preferred attention and welcome centre for marginalised, vulnerable people

•Encourage the volunteer service

Excluded elderly people in Catalonia

Page 12: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

Who they attend:People who are attended in this project are over 60 or with isolation problems and without family support. Live in the Old city, Barceloneta and Gótico, district I of Barcelona.

-People with housing problems: without house or without living conditions, living on pensions, subtenants, without conditions.

- People with problems of loneliness, social isolation, without family support and affection they need reinforcement, containment and monitoring aspects.

Sant Camil Housing Unit project

Through this project, the organization provides 6 supervised apartments for people with serious housing problems. Run by Caritas.

Excluded elderly people in Catalonia

Page 13: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

Objectives:

- Improve quality life

- Improve living conditions

- Reduce situations of begging and marginalization.

- Provide resources for them to cover their basic needs: food, hygiene, place to sleep, health.

- Accompaniment and support the basic activities of daily living.

- Strengthen relationships from interdependence.

- Create habits of individual and group responsibility.

- To enable coexistence with others.

Excluded elderly people in Catalonia

Page 14: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

COMMUNITARIAN INTERVENTION

CRITICAL-COMMUNITARIAN PERSPECTIVE vs WELFARE CARE

CHARACTERISTICS OF COMMUNITARIAN INTERVENTION:

1st) ACTIVITIES: COMSUMPTION vs. PARTICIPATION

Excluded elderly people in Catalonia

Page 15: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

2nd) METHODOLOGIES:

SOCIO-CULTURAL ANIMATION: participation in cultural events, social participation, be awareness

Excluded elderly people in Catalonia

Page 16: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

3 rd) DIFFERENT MODELS OF PARTICIPATION

1. SYMBOLIC 3. REPRESENTATIVE 4. SOCIAL CHANGE

EMPOWERMENTEMPOWERMENTSOCIAL

INFLUENCESOCIAL

INFLUENCEEXHIBITIONEXHIBITION

2. INSTRUMENTAL

EFFICIENCYEFFICIENCY

Excluded elderly people in Catalonia

Page 17: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

4. SOCIAL CHANGE

EMPOWEMENT:-Involvement

-Horizontal participation-Everyone can participate

SANTA LLUÏSA DE

MARILLACH

1- ACTIVE LEISURE:-PARTICIPATE IN PARTIES-GAMES (CARDS...)-CULTURAL EVENTS

2- PARTICIPATION:-MUSIC GROUP-ASSAMBLEES-NEIGHBORHOOD

Excluded elderly people in Catalonia

Page 18: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

Sant Camil Housing Unit project

1- ACTIVE LEISURE:-PARTICIPATE IN PARTIES-GAMES (CARDS...)-CULTURAL EVENTS- EXCURSIONS

2- PARTICIPATION:-ASSAMBLEES-NEIGHBORHOOD

Excluded elderly people in Catalonia

Page 19: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

CONCLUSIONS:

EMPOWERMENT is basic for social integration

PARTICIPATION for elderly excluded people

LEISURE TIME how to organize and participate

Promote QUALITY LIFE

EMPOWERMENT is basic for social integration

PARTICIPATION for elderly excluded people

LEISURE TIME how to organize and participate

Promote QUALITY LIFE

Excluded elderly people in Catalonia

Page 20: Different models of long-term residential care for excluded elderly people in Catalonia Ph D. Pilar Muro & Ph D. Txus Morata

DR. PILAR MURO

[email protected]