Transcript Document 7347705

Long Term Care Administration
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Agenda
Thursday, January 15, 2009
News Stories
Study of Aging
BC Ministry of Health
Coffee Break
History and Evolution of Long Term Care
Group Presentation Prep Time
History and Evolution of LongTerm Care
Long Term Care
Administration
January 15, 2009
History and Evolution of Long Term
Care
History and Evolution of Long Term
Care
Gerontology is the study of aging. It is to be distinguished from
geriatrics, which is the study of the diseases of the aging
(medical studies). Gerontology covers the social, psychological
and biological aspects of aging.
Gerontology includes these and other endeavors:
 studying physical, mental, and social changes in people as they
age.
 investigating the effects of our aging population on society.
 applying this knowledge to policies and programs.
As a result of the multidisciplinary focus of gerontology,
professionals from several fields call themselves
"gerontologists".
History of Evolution of Long Term Care
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The term "gerontology" was introduced in 1903 by Elie
Metchnikoff, a Nobel laureate and professor at the Pasteur
Institute of Paris.
In North America, the emergence of gerontology as a scientific
movement can be traced to a small group of leaders who, in the
mid-1930s, recognized that the health of the American
population was undergoing a change from domination by
infectious diseases to chronic diseases.
The Gerontological Society of America was founded in 1945,
and the International Association of Gerontology about five
years later.
History and Evolution of Long Term
Care
Earliest References to the Aging Process?
King Solomon
Ecclesistes Chapter 12
 1 Remember then thy Creator in the days of thy youth, before
the evil days come, and the years draw nigh, when thou shalt
say: 'I have no pleasure in them';
 2 Before the sun, and the light, and the moon, and the stars,
are darkened, and the clouds return after the rain;
 3 In the day when the keepers of the house shall tremble, and
the strong men shall bow themselves, and the grinders cease
because they are few, and those that look out shall be
darkened in the windows,
History and Evolution of Long Term
Care
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4 And the doors shall be shut in the street, when the sound of
the grinding is low; and one shall start up at the voice of a bird,
and all the daughters of music shall be brought low;
5 Also when they shall be afraid of that which is high, and
terrors shall be in the way; and the almond-tree shall blossom,
and the grasshopper shall drag itself along, and the caperberry
shall fail; because man goeth to his long home, and the
mourners go about the streets;
6 Before the silver cord is snapped asunder, and the golden
bowl is shattered, and the pitcher is broken at the fountain, and
the wheel falleth shattered, into the pit;
BC Ministry of Health
Ministry of Health
Ministry of Health
Ministry of Health
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2006 Budget Spending
Ministry of Health
Budget 2006
 More than $100 million over three years for operating costs
associated with government's commitment to add 5,000 new
residential care, assisted living, and supportive housing beds
with home support by December 2008.
 This builds on the $75 million in each of 2005/06 and 2006/07
that was provided in the September Update to strengthen and
modernise the full range of health care services for seniors,
including purchasing temporary residential care and assisted
living beds, increasing home support hours, enhanced adult
day care, falls prevention, palliative care, health promotion
programs, and acquisition of specialised equipment.
BC Ministry of Health
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Our mission is to guide and enhance the province's
health services to ensure British Columbians are
supported in their efforts to maintain and improve
their health.
The Ministry of Health works together with BC’s
health authorities to provide quality, appropriate and
timely health services to British Columbians.
The ministry sets province-wide goals, standards
and performance agreements for health service
delivery by the health authorities.
Home and Community Care
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Home and community care services provide a range
of health care and support services for eligible
residents who have acute, chronic, palliative or
rehabilitative health care needs.
These services are designed to complement and
supplement, but not replace, the efforts of individuals
to care for themselves with the assistance of family,
friends and community.
Home and Community Care, cont…
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In-home services, for eligible clients, include home
care nursing, rehabilitation, home support and
palliative care.
Community-based services include adult day
programs, meal programs, as well as assisted living,
residential care services and hospice care.
Case management services are provided in both the
home and community.
Home and Community Care Services
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support clients to remain independent and in their
own homes for as long as possible;
provide services at home to clients who would
otherwise require admission to hospital or would stay
longer in hospital;
provide assisted living and residential care services
to clients who can no longer be supported in their
homes; and
provide services that support people who are
nearing the end of their life, and their families, at
home or in a hospice.
Home and Community Care
Philosophy
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home and community care services will promote the
well-being, dignity and independence of clients;
palliative care services will provide the best possible
quality of life for people nearing the end of their life
and their families;
clients and their families should have the information
required to make their own decisions about lifestyle
and care; and
clients have the right to make their own care
decisions.
Community Care Services
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Home Support
Choice in Supports for Independent Living
Home Care Nursing and Community Rehabilitation
Adult Day Centres
Caregiver Relief/Respite
Assisted Living
Residential Care
Group Homes
Family Care Homes
Community Care Services
Home Support
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Home support services are designed to help clients
remain independent and in their own home as long
as possible. Home support provides personal
assistance with daily activities, such as bathing,
dressing, grooming and light household tasks that
help to maintain a safe and supportive home.
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If home support assistance is recommended, a case
manager will help the client determine the assistance
that will best suit their needs and will make the
necessary arrangements.
Community Care Services
Choice in Supports for Independent
Living (CSIL)
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Choice in Supports for Independent Living (CSIL) is an
alternative for eligible home support clients. CSIL was
developed to give British Columbians with daily personal care
needs more flexibility in managing their home support services.
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CSIL is a "self-managed model of care". Clients receive funds
directly for the purchase of home support services. They
assume full responsibility for the management, co-ordination
and financial accountability of their services, including
recruiting, hiring, training, scheduling and supervising home
support workers.
Community Care Services
Choice in Supports for Independent
Living (CSIL)
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Who is Eligible for CSIL?
Eligible clients:
require daily personal assistance;
have the ability to direct all aspects of their care or
have a client support group to do so; and
have demonstrated the ability to manage care
services.
Community Care Services
Choice in Supports for Community
Independent Living (CSIL)
Getting Help Managing CSIL Services
Seniors and people with disabilities who are unable, or not always able, to
direct their own care can obtain CSIL funding through the formation of a client
support group.
What is a Client Support Group?
A client support group consists of five people who have registered as a nonprofit society for the purpose of managing support services on behalf of a CSIL
client. Family members, friends, neighbours, an advocate, family physician or
others may be members of the client support group.
The client support group takes on all the responsibilities of an employer. CSIL
funds go directly to the group to purchase home support services on behalf of
their client.
Community Care Services
Choice in Supports for Independent
Living (CSIL)
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Payment to Family Members
Home and community care recognizes that families have the
primary responsibility of caring for and assisting family
members. Families remain the most important source of
support for clients.
CSIL clients have greater flexibility in their care options and the
opportunity to pay some family members as caregivers. Family
members who do not live with the client, such as siblings, aunts
or cousins, may be eligible. Although family members who do
live with clients are not usually eligible, some exceptions may
be made.
Community Care Services
Home Care Nursing and Community
Rehabilitation
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Home care nursing and community rehabilitation are
professional services, delivered to clients in the
community by registered nurses and rehabilitation
therapists. Nursing care is available on a nonemergency basis for British Columbians requiring
acute, chronic, palliative or rehabilitative support.
Rehabilitation therapists can also provide
assessment and treatment to ensure a client's home
is suitably arranged for their needs and safety.