Transcript Where theory ends, framework starts and if an

Senior housing in Europe
An overview of
its history and current trends
Dr. Freek Lapré (Board EAHSA)
Helsinki
Januari 15th 2015
Who is Freek Lapré?
• Registered Nurse (non practicing), MSc
(Health Sciences),Master Change
Management, Doctor Business Administration
• Partner Movinex: strategy, organization
development and new business concepts
• Senior lecturer at Tias Business School
• Board member European Association of
Homes and Services for the Ageing (EAHSA)
WWW.EAHSA.EU
• The European Association of Homes and Services for
the Ageing (EAHSA) is affiliated with the International
Association of Homes and Services for the Ageing
• We have more than 3000 providers in our
membership in 18 different European countries from
all different industries related to Senior care
• Based in Brussels
• Europe = Greater Europe (> EU)
5 principles of EAHSA
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Preserving dignity
Nurturing spirits in life
Comforting in partnership
Encouraging diversity
With a carefree approach
EAHSA Network
Most relevant contacts:
• IAHSA Washington DC (www.iahsa.net)
• European Commission Brussels
• European Centre for Social Welfare Policy and Research
(affiliated with UN) (www.euro.centre.org)
• AGE Platform Europe (www.age-platform.org)
• European Housing Forum (www.europeanhousingforum.org)
• European Health Management Association (www.ehma.org)
• Eden Europe (www.eden-europe.net)
• European chapters of the International Society of
Gerontechnology (www.gerontechnology.info)
SENIOR HOUSING IN EUROPE
History of Senior housing in Europe
• Started with family
• Churches and other charities supported this
especially when there was no family
• Communities took over
• Governments came in (housing corporations):
– Local
– National (moving back to local)
• Social care or health care
Current trends in Senior housing:
governments
So the challenge for governments: an ageing
society and less budget.
• Ageing in place
• Public/private collaboration
• More individual responsibility: cost-sharing or
private pay
• More diversity instead of one size fits all
Proportions of organisations in
senior housing and services
Conceptual shifts
Care dominant logic
• technical quality
• defect approach
• large scale
• system dominance is
high
(Lapré, 2013)
Customer dominant
logic
•perceived quality
• service approach
• medium scale
• interactional aspects
are key
Community logic
• quality of life
• companionship
• small scale
• mutual responsibilities
Dominant paradigm
In countries with extensive institutional supply
of senior care:
• Gated facilities of housing and care
• Discomfort because of age is diagnosed as care
• Emphasis on 0-risk management by extensive
regulations
More need for opens system and de-medicalization
of ageing.
Housing design and technology can facilitate an
open system with calculated risk
Different concepts of
housing and services
Gated
Nursing
home
Continuing Care Retirement Communities
Independent
living
communities
Support
service
Seniorneighbourhood
Mobile services
Assisted
living
Green
house
Senior
hospitals
Medical
services
Respite care
Day care
Home care
Home
Peeking into the future
• Need for prevention to keep seniors as healthy
as possible
• Safety and support services are key aspects for
future housing
• Lifestyle and thus differentiation in senior
housing is necessary
• Leading principle: minimum level of senior
housing is acceptable, but more money means
more luxury
Peeking into the future (2)
• So more differentiation in housing facilities,
price and target groups
• Increase of co-payment schemes
• New providers (private/for profit) on senior
market
• Rather renting then buying real estate
Task for builders
• Open building: more outside in but in balance with safety
• Apply technology into homes for the ageing (Finland is
already ahead of others)
• Create building environments where people can naturally
meet each other
• Hospitality services as tool for prevention:
– Food: nutrition
– Fitness: physical condition
– Meeting places: social involvement
• But beware of a hotel environment. It is a place where
people live and not where they are a guest.
Housing features
• Apartment buildings: 45 – 200 M2
• Controlled entrance
• Technology: alarm, fall detection systems, guiding lighting,
camera monitoring (if approved)
• Services: food, house cleaning, ADL-services, information
services (closed TV circuit), transportation
• Amenities: fitness, swimming pool (sauna in Finland),
recreation areas
NL references:
• Renting price: around € 10-15 per M2 per month
• Service fee: € 7-10 per M2 per month
SENIOR HOUSING FACILITIES
NETHERLANDS
Open communities
• Locate community centres in senior housing
facilities
© Thuisteam Zaanstreek
• Open restaurants to
the public
© Avoord
Ageing in place: Humanitas Rotterdam
© humanitas
Community Care Concept Dongen
Voormalige visiekaart
Kloostercomplex
Based on CCRC-concept USA
CCRC-like concept: de Leyhoeve
SENIOR HOUSING FACILITIES
BELGIUM
Senior Neighbourhood model
Senior Neighbourhood
32 dwellings
24 singles (18 women en 6 men) 8 couples
median age: 80 years
De Godtschalckwijk
20 dwellings
19 singles (8 men en 11 women) 1 couple
median age -70 years : 52 years
median age +70 years: 79 years
Senior Plaza
carehotel
theatre and fitness
child-care
apartments
shops
café
Combination of leisure
(theatre), care hotel, shops
and apartments
SENIOR FACILITIES FRANCE
Gated communities: Les Seniorales (F)
Villa’s for seniors with:
- Safety
- Comfort
- cosiness
-Recreational activities
Focus on healthy seniors
Gated communities: Les Seniorales (F)
- Different types of houses: condo’s and villa’s
- All ground floor no stairs
- 2-3-4 rooms
But also
Simple solutions like in Romania:
- 14 houses for older people
- 1 house occupied by 1 young family: is hired
by the municipality to watch over the older
tenants (concierge plus):
- Support in doing groceries
- Helping with technical problems
- Etc.
Smart combinations in senior care
Services/facilities provider on senior care market:
Building company combined with senior housing
and senior care facilities:
Kiitos!