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Organisation of long-time care in Poland. Selected forms

Organisation of long-time care in Poland. Selected forms. Małgorzata Ołdak, Ph.D. The Insitute of Social Policy of the Warsaw University. Institutions providing long-term care in Poland:. Institutions providing long-term care in Poland:. I. Home care.

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Organisation of long-time care in Poland. Selected forms

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  1. Organisation of long-time care in Poland. Selected forms Małgorzata Ołdak, Ph.D. The Insitute of Social Policy of the Warsaw University

  2. Institutions providing long-term care in Poland:

  3. Institutions providing long-term care in Poland: I. Home care performed in the frames of the health care system by: • A community liaison nurse under the supervision of the first contact doctor; • A home nurse (on the basis of a contract for long-term nursing care); • A multi-disciplinary long-term care team. performedintheframes of thesocial assistance system by: • community supportworker (economic and care services); • nurseorothertherapist (specialistcare services) attherequest of socialworker.

  4. Institutions providing long-term care in Poland: II. Institutional care Performed in the frames of the health care system by: • A hospital ward for the chronically ill; • A residential medical care facilty; • A nursing facility; • A hospice; performedintheframes of thesocial assistance system by: • socialassistance homes • familyassistance homes.

  5. Institutions providing long-term care in Poland: III. Semi stationary care Performed in the frames of the health care system by: • At a day-care mental disease ward performedintheframes of thesocial assistance system by: • daycarecentre.

  6. Social assistance homes and family assistance homes

  7. Legal basis: • The Act of 12 March 2004 on social assistance; • The Regulation of the Minister of Social Policy of 19 October 2005 on social assistance homes; • The Regulation of the Minister of Social Policy of 28 July 2005 on family assistance homes.

  8. Service recipients: To a social assistance home are referred people requiring 24/7 care due to age, disability, inability to function self-reliably in the existing place of residence and to whom the necessary assistance in the form of nursing services cannot be provided.

  9. Responsible bodies: Having obtained a voivode's permit, Social Assistance Homes may be run by: • Units of local government; • Social organisations, fundations and associations; • The Catholic Church, other churches, religious associations; • Other legal person; • Natural persons.

  10. Financing rules: The stay in a social assistance home is provided to persons against a charge up to the average monthly subsistence cost.

  11. Financing rules: The charges for stay in a social assistance home are payable by: • A home resident, not more than 70% of her/his income; • A spouse, descendants (children, grand children etc.) predecessors (parents, grandparents etc.) in accordance with a concluded contract; • A commune from which a given person was referred to the social assistance home; • Other persons not listed here.

  12. Standards in the field of welfare services provided by the Social Assistance Homes: • The building and its surroundings devoid of architectural barriers; • A multi-storey building needs to have a passenger elevator adjusted to the needs of the disabled persons installed; • A building is furnished with a call and alert system and fire and alarm system; • The number of places in newly established homes is not greater than 100.

  13. Standards in the field of nursing and suporting services provided by the Social Assistance Homes: • Provision of social work; • Organization of occupational therapy; • Residents have access to a library or a library service point and daily press, as well as the opportunity to learn the legal regulations concerning the homes; • Organization of holiday celebrations, occasional feasts and the possibility to participate in cultural and sport events; • The posibility to contact a chaplain and attend religious practice accordant with the denomination of a given resident of the home; • Regular contacts with the home's director on specified weekdays and at specified hours.

  14. Standards concerning employment in a Social Assistance Home: • Full time employment of at least two social workers per 100 residents; • Assurance of contacts with a psychologist and/or psychiatrist; • Holding a full time employability index for employers of a therapeutic and nursing team for the proper type of home: • For elderly people – not less than 0.4 per a resident; • For physically chronically ill persons – not less than 0.6 per a resident; • For mentally chronically ill persons – not less than 0.5 per a resident.

  15. Social assistance homes in Poland: The number of units with local coverage: • The responsible entity – a commune: 14 Number of places: 729 • Other responsible entity: 4 Number of places: 187 Number of units with supra-communal coverage: • The responsible entity – a poviat: 581 Number of places: 64,025 • Another responsible entity: 202 Number of places: 13,104 Source: the Ministry of Labour and Social Policy 03 for 2011

  16. Family assistance homes: A new form of 24/7 nursing care performed in the frames of own responsibilites of a commune, which selects the type of services from the perspective of its residents as well as effectiveness and costs. Nursing services in the form of a family assistance home is an attempt to build into the system an intermediary link between nursing service provided in the place of residence and a 24/7 facility of professional support, i.e. a social assistance home.

  17. Family assistance homes: Service recipients: Elderly people suffering problems with self-reliant existence, who do not require yet to be placed in a social assistance home. A family assistance home is designed to accomodate not fewer than 3 and not more than 8 persons; as a result it is possible to create there the conditions and atmospehre resembling a natural family.

  18. Family assistance homes The number of units; the responsible entity – a commune: 8 (świętokrzyskie region: 4, warmińsko- mazurskie region: 4) Number of places: 50 Other responsible entity: 25 (małopolskie region: 2, pomorskie region: 4, śląskie region: 2, wielkopolskie region: 2, zachodniopomorskie region: 1, opolskie region: 13, świętokrzyskie region: 1) Number of places: 79 Source: the Ministry of Labour and Social Policy 03 for 2011

  19. Family assistance homes: example of Gdańsk Number of family assistance homes: 4 Number of attendees: 27

  20. Family assistance homes: example of Gdańsk Financing source: a Social Assistance Centre (PLN 1,750 /person), fees paid by the attendees, city budget. Legal form: business activity. Benefits: increased number of places in residential medical care and nursing facilities, financial benefits (the cost of a single place in a Social Assistance Home amounts to between PLN 2000 and PLN 2 500), closer contact with the carers.

  21. Family assistance home „Jesienna przystań” in Gdańsk:

  22. Thankyou for yourattention!

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