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Tendencies of long term care in Lithuania. Projection for the proportion of the population in various age groups in the European Union (27 countries). The Law of Social services.
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Projection for the proportion of the population in various age groups in the European Union (27 countries)
The Law of Social services • According the Law of Social services social care services, could be divided into day, short term care and long-term care. • Social care is the complex of services for people in need of constant, comprehensive and proffessional support at home.
Term of providing services • Day care provide services from 2 hours till 8 hours per day (max 7 days a week) at a persons’ home place • Short-term care provide services not less than 8 hours a day, till 1 month at a person’s home place. Respite care services 1 month in institution. • Long-term care
Target groups • All types of care services provide the help for adults with disabilities; seniors with special needs, children with disabilities and other people who express the need for services.
Need for social services • All social services are provided according to the needs expressed by a person. Then social workers assess these needs and design the plan of help.
Financing model • Social care at home could be finansed from the State budget (special targeted subsidies of the State budget for persons with severe disability), municipalities budget, person’s payment and National Health Insurance Fund (for care services).
In February of 2012, Ministry of Social Security and Labour did an survey regarding the situation of day (short – term) care services in municipalities; • It was prepared a structured questionnaire and sent to all 60 municipalities.
Survey of social care services of the situation in Lithuanian municipalities Main aims: • to see tendencies of care services providing social care at home in various municipalities; • to clear outthe need of social care services and expenses for these services; • To define the need of technical equipment, transport, trainings for team specialists; • Find out the best ways to provide social care services.
Map of municipalities which provide social care services at home • 38 municipalities provides day (short) term care at home, 2 of them provide there services from 2012 m. • 22 municipalities (Neringos m., Palangos m., Akmenės raj., Alytaus raj., Ignalinos raj., Kazlų Rūdos, Kelmės raj., Kupiškio raj., Lazdijų raj., Molėtų raj., Pakruojo raj., Plungės raj., Rietavo, Šalčininkų raj., Šiaulių raj., Šilalės raj., Šilutės raj. Širvintų raj., Ukmergės raj., Utenos raj., Vilkaviškio raj., Vilniaus raj.) are not providing these services.
4; 11% Provides social services the agency of municipality 10; 26% Provides the agency social Serviceswith health organizations Provides social services the agency with NGO or private sector 2; 5% Other 22; 58% Social care services are provided by
The reasons why social care services are not provided at persons home yet
Effective models to provide care services for people at their home places
Conclusions • According the opinion of municipalities, social day care services (included proffesional care) should be provided in one organisation – municipalities‘ social services institution, health care center, private organisation (municapality could buy services). • Services should be provided by the team of proffessionals: social workers, assistants of social workers, carers and care assistants to ensure the quality and timely based services.
Conclusions • To provide social care services at home as long as people want to live at their own places and are in need for such help; • To expand services of social care (integrate professional care services); • According to the need, built a team of social workers, assistants social workers, carers and carers’ assistants.
Future plans • To prepare the program of Integrated help development of social care services; • To enable communities to provide services, build a team and support qualified teams in one organisation; • To provide finance for license, transport, technical inventor acquisition for specialists and trainings for professionals, transport expenses, wages of carers, carers’ assistants in local municipalities or cummunities organisations which should be enabled to provide continuity of social care services;
Challanges To prepare to meet a lot ofchallangesrelated to longterm care. • Likeageing, shortageofcarers,medicalfollowup, active care, carersmigration and designnewstrategieshow to solvediffrentproblems. • Ageingisthemostcriticalchallange. Thepreparationincludesfinansingstructure, researching, planinghealthservicesaccording to needs, to be openmindedfor socialinovations. • Encourage NGO‘sandprivatsector, volunteers, createpartnershipwithfamilymembers ( informalcarers) intoprocess. Evaluate changesofsocialneedsandvaluesin a process.
