PER­SON CEN­TERED COM­MU­NITY IN­TE­GRATED HOME CARE

North Toronto Post - - Ask The Expert - CON­TACT 1929 Bayview Av­enue, Suite 215H, Toronto (Lo­cated in the CNIB Cen­tre) 416-322-7002 [email protected]­sai­chome­care.com www.mo­sai­chome­care.com

Sur­pris­ingly home care ser­vice pro­vi­sion is un­reg­u­lated. Any­one can en­ter the mar­ket place and set up with­out ex­pe­ri­ence. Re­search into com­pe­ti­tion in the pri­vate home care mar­ket sug­gests this leads to high lev­els of price com­pe­ti­tion and a lack of in­vest­ment in ser­vice qual­ity and stan­dards. Peo­ple ap­pear un­able to dis­cern just what it is they should be pay­ing for.

We be­lieve that the op­ti­mal model of care in the com­mu­nity is one that prop­erly ad­dresses the clin­i­cal, the per­sonal sup­port needs and the much wider so­cial and emo­tional needs of the in­di­vid­ual. In fact, fail­ure to ad­dress so­cial and emo­tional needs of those liv­ing with com­plex care needs is one of the most press­ing is­sues of our time. Many ser­vices are overly fo­cused on the task and are un­able or un­will­ing to in­vest in per­son cen­tered pro­cesses.

A per­son cen­tered ap­proach is much more than just lis­ten­ing to the per­son. It re­quires a com­mit­ment to know­ing the per­son, to mean­ing­ful con­ver­sa­tion, to in­ter­ac­tion with in­ter­ests, ac­tiv­i­ties and where pos­si­ble the wider com­mu­nity. This all re­quires in­vest­ment in process, cul­ture, train­ing and stan­dards through­out the or­gan­i­sa­tion. Knowl­edge of the wider sup­ports and ser­vices and op­por­tu­nity for mean­ing­ful en­gage­ment with com- mu­nity is also es­sen­tial to pro­vid­ing care for more than ail­ments and ill­nesses alone. Re­search sup­ports the im­por­tance of ad­dress­ing so­cial and emo­tional needs in the care model for qual­ity of life and well-be­ing.

An­other im­por­tant el­e­ment of the care model is on­go­ing over­sight of care and ad­just­ment of care plans, keep­ing up to date with clients, fam­i­lies and col­lab­o­rat­ing with health­care and ser­vice pro­fes­sion­als. Ex­pe­ri­enced and knowl­edge­able cen­tral over­sight should em­pha­sise knowl­edge and train­ing in de­men­tia, end of life, pal­lia­tive care, frailty and other im­por­tant ar­eas.

Merely fo­cus­ing on price as op­posed to the wider model of care of­fered by a ser­vice provider misses the point. The per­son as a whole has to be placed at the cen­tre of care and com­plex needs es­pe­cially re­quire on­go­ing ex­pe­ri­enced, knowl­edge­able and ef­fec­tive over­sight.

Jane Teas­dale & Nathalie An­der­son BIO Jane Teas­dale and Nathalie An­der­son are di­rec­tors and own­ers of Mo­saic Home Care and Com­mu­nity Re­source Cen­tres. Mo­saic pro­vides an in­ter­na­tion­ally recog­nised model of per­son cen­tered, com­mu­nity in­te­grated home care and has pre­sented on their model of care at the re­cent NICE con­fer­ence in April and the Global IFA con­fer­ence this Au­gust in Toronto.

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