Towards a Community-Based Dementia Care Strategy: How Do We Get There from Here?

Morton-Chang, Frances; Williams, A. Paul; Berta, Whitney; Laporte, Audrey

doi:10.12927/hcpap.2017.25006

Cited by 16 publications

(26 citation statements)

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“…They further highlighted the critical importance of having forward-thinking responsive leadership deeply committed to the health and welfare of local seniors in addressing unmet health, housing and social care needs of their local community. Campus founders (in many cases strong faith communities), senior leadership and governance, were described as "being on the pulse" of both community need but also monitoring the policy environment to anticipate and navigate "windows of remain independent and avoid inappropriate or premature use of higher intensity care settings (1,12,36,30,60,37,38,39,40,41). Accessible and available caregiver programs and supports like those offered at campuses are identi ed by a growing body of literature as preventative in nature and reduce the likelihood of developing illnesses from burnout (good for people), and mitigate inappropriate utilization of acute care resources (good for the larger system) (61,62).…”

Section: Campus Inception and Developmentmentioning

confidence: 99%

Seniors’ Campus Continuums: Local Solutions for Broad Spectrum Seniors Care

Morton-Chang

Majumder

Berta

2020

Preprint

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Background: As demand and desire to “age-in-place” grows within an aging population, challenges exist to realizing this wish. Changing demographics and new areas of need have governments nationally and internationally calling for more focused attention on integrative approaches to health and well-being. Seniors’ Campus Continuums are models of care that seek to broaden access to an array of services and housing options to meet the growing health and social needs of aging populations in their communities . The objective of this study is to increase understanding of this integrative model through the exploration of factors that influence Campus development, functioning, and scope and extent of integration of care for older adults wishing to remain in their own home and community.Methods: This research uses a comparative case study approach across six bounded cases offering four physically co-located components – mixed independent housing options, internal community supports to residents, external community supports to the broader community, and a long-term care home – to explore how Seniors’ Campus Continuums operating in various contexts across Ontario, Canada integrate health, housing and social care for older adults.Results: Seniors’ Campus Continuums come in different shapes, sizes, and geographies however, they share many influencing factors in their evolution, design, function, and ability to integrate a broad range of supports and services for older adults with different and progressive needs. Enabling factors include i. rich historical legacies of helping people in need; ii. organizational vision and readiness to capitalize on key windows of opportunity; iii. leveraging organizational structure and capacity; iv. intentional physical and social design; v. broad services mix, amenities and innovative partnerships. Impeding factors include vi. policy hurdles and rigidities; vii. human resources shortages and inequities; and viii. funding limitations. A number of benefits afforded by campuses at an individual, organizational and system level were observed. Conclusion: Findings from this research provide detailed descriptions of campus continuums from inception to expansion and highlight opportunities to optimize their potential on many levels. At an individual level, campuses increase local access to a coordinated range of care services, supports and housing options that can be tailored to benefit their health and social care needs. At an organizational level, campuses offer enhanced collaboration opportunities across providers and partners to improve consistency and coordination of care, access to shared resources, expertise and infrastructure, improved economies of scale, and rich environments for training/research, education and volunteering. At a system level, they offer potential to address a diversity of health, social, financial, and housing needs to help seniors avoid premature or inappropriate use of higher intensity care settings. This study fills a gap in evidence-based research on this integrative model and offers lessons to consider for future “age-friendly” policy development.

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Section: Campus Inception and Developmentmentioning

confidence: 99%

Seniors’ Campus Continuums: Local Solutions for Broad Spectrum Seniors Care

Morton-Chang

Majumder

Berta

2020

Preprint

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“…The issue opens with a focus on strategies for dementia care that address the needs of patients and their families. Morton-Chang et al (2016) start from the premise that most older persons living with dementia (PLWD) would prefer to age at home. Too often, however, PLWD end up in residential long-term care (LTC) or in hospital beds -a costly and sometimes damaging solution.…”

Section: Strategies For Dementia Carementioning

confidence: 99%

Dementia: A Situation for Concern

2019

whp

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“…Before I discuss the destination -the "there," in terms of Morton-Chang et al (2016) -I will first briefly depict my "here," The Netherlands. Geographically, The Netherlands is a small country, with a population of 17 million, of whom ~260,000 people suffer from dementia (RIVM 2016).…”

Section: The Destinationmentioning

confidence: 99%

“…

In their paper, Morton-Chang et al (2016) discuss how aging societies are struggling and trying to cope with the rapidly increasing numbers of persons living with dementia (PLWD). In that sense, the Canadian case is not unique.

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confidence: 99%

The Journey towards Community-Based Dementia Care: The Destination, Roadmap, Guide, Tour Group and The Conditions

Nies

2019

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In their paper, Morton-Chang et al. (2016) discuss how aging societies are struggling and trying to cope with the rapidly increasing numbers of persons living with dementia (PLWD). In that sense, the Canadian case is not unique. On the contrary, it is very similar to other developing countries. Therefore, it is worthwhile to reflect from another country's perspective on this unprecedented societal development.In this paper, I will consider the challenge of dealing with increasing numbers of PLWD from the European and, in particular, Dutch perspectives. Whereas, MortonChang et al. pose the question: "How do we get there from here?" I will address the issues of what the "there" should be and how we get there from my European/Dutch perspective. I will provide my view on how the roadmap can be drawn, who needs to be on the tour, who might be the guide and what conditions need to be in place to arrive at the desired destination.

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Towards a Community-Based Dementia Care Strategy: How Do We Get There from Here?

Cited by 16 publications

References 0 publications

Seniors’ Campus Continuums: Local Solutions for Broad Spectrum Seniors Care

Seniors’ Campus Continuums: Local Solutions for Broad Spectrum Seniors Care

Dementia: A Situation for Concern

The Journey towards Community-Based Dementia Care: The Destination, Roadmap, Guide, Tour Group and The Conditions

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