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PPT : Living With Dignity Strategic Plan 2009 – 2013
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SPIL Structure
* Part II Narrative
* One out of every two persons 85+ has dementia.
* Between now and 2020, San Francisco will experience a dramatic increase.
* Many caregivers themselves are elderly
* Most caregivers are women
To improve the quality of life for people with dementia and for their caregivers
A better-coordinated, more integrated network of services and supports that enables people with mild cognitive impairment (MCI), Alzheimer’s and other dementias, and their loved ones, to flourish.
Goes beyond providing dementia care services and supports – to what people require for a good life
San Francisco’s response to the crisis in dementia care should be comparable to the City’s comprehensive and effective response to the AIDS epidemic back in the 1980s.
In 2007 – the Long Term Care Coordinating Council identified need to focus on people with dementia and their caregivers.
In 2008 – the Mayor provided $100,000 to DAAS and appointed an Alzheimer’s/ Dementia Expert Panel: Alzheimer’s experts, aging experts, medical providers, community service providers, advocates, researchers, economic experts, public agencies, and family caregivers.
In 2009 – Strategy for Excellence in Dementia Care completed.
* Evaluate current dementia care services, assess the need for additional services, investigate national and international research and best practice models
* Develop recommendations to address the need for services from 2010 to 2020, including projected costs
“These early steps in implementation of the Strategy will begin to lay the foundation for the community wide cultural change and readiness we will need if we are to provide care for the increasing numbers of people who will be living with dementia in our City over the next decade”.
Jay Luxenberg, MD, Medical Director of Jewish Home & Kathy Kelly, Executive Director of Family Caregiver Alliance
Four Subcommittees:
* Evidence Based Practice & Emerging Research
* Services & Systems
* Finance
* Education & Prevention
1. Improve capacity to meet the needs of the whole person by delivering integrated care.
2. Improve public and professional awareness and understanding of dementia.
3. Develop an informed and effective workforce for people with dementia.
4. Expand capacity to deliver high-quality early diagnosis and intervention for all.
5. Ensure availability of culturally responsive information for those diagnosed and caregivers.
6. Create expanded and easy access to care, support and advice following diagnosis.
7. Implement a range of effective caregiver support strategies to better address the multiple needs of informal caregivers.
8. Improve the quality of hospital and nursing home care for people with dementia.
9. Expand and improve the quality of community-based care for people with dementia.
10. Improve the quality of services in residential care homes and expand the range of models of residential care for people with dementia.
11. Improve access to end of life care for people with dementia.
12. Advocate for state and national support for implementation of this Strategy, as well as other improvements for people with Alzheimer’s and related dementias, and their caregivers.
13. Foster policies and practices that create a community sensitive to people with memory loss.
35 recommendations for implementation over a 10 year period (2010 to 2020)
* Some recommendations are not overly expensive.
* Others may be costly and will require policy changes, changes in funding regulations, and/or investments.
* For the long-term recommendations, there is groundwork to be done in the next few years.
Dementia care should be integrated into San Francisco’s existing long term care service delivery network, which emphasizes ongoing chronic care management.
This will enable the needs of the whole person to be considered and addressed.
* Public education should target:
o Persons with memory loss
o Persons with Alzheimer’s and related dementias
o Caregivers
o Service providers, care managers, and health care professionals.
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