Cúltaca - Community service brokerage for older persons.

Evaluation report.

Background

Name of your initiative:

Short name (acronym):

Cúltaca

Website title and address:

Under re-development

Which organization is submitting this initiative?:

Louth Age-Friendly County Alliance

Please specify in which regions/provinces:

IRELAND›IRELAND›Border, Midland and Western›Border

City:

Dundalk

Where is this organization located?:

Ireland

Please enter the name of the contact person for this initiative:

Dr Lucia Carragher

Please enter the email of the contact for this initiative:

Lucia.Carragher@Netwellcentre.org

Part of larger strategy or programme:

Regional

If you answered "other", please specify:

Please provide us with more details of this programme or strategy:

Empowering older people to be able to take more control of their lives, and strengthening awareness, access and connectivity to the broad range of services and supports that are available, are central pillars of a citizen and person-centred approach that can deliver both improved quality of life and greater system and service effectiveness for older people in Co Louth. Within the context of the Louth Age-Friendly County Strategy, stakeholders are seeking approaches that can balance the need to foster greater individual control and responsiveness, with the need for greater community co-ordination and services integration.

The status of the initiative:

On-going

Please give a summary of your initiative (in English):

The Cúltaca innovation spans case management, personal advocacy, brokering, and key worker functions. It helps older people develop their own personalised plans, and it helps support and negotiate co-ordinated access to more collaborative services that meet older peoples’ needs. Cúltaca is an adapted, embedded, and transformed implementation of a role first seen in Holland, currently operating in the context of service provision to older people in County Louth. Operating since 2007, the innovation has focussed on frail older people, enhancing the quality of life of over 1200 clients, and it is providing home-centred alternatives to long term residential care, growing at a rate of over 120 additional people each year, of which 30 are very frail and at risk of admission to alternative settings.

The geographical scope:

Regional

Type of initiative:

Public-private-partnership

Environment or setting of the initiative:

Urban

The economic environment or setting of the initiative:

Moderate

The most important source of funding for your initiative:

Local funding

If other, please specify your source of funding:

What triggered this initiative?:

In 2007, Louth County Council, the Health Services Executive in the Northeast and Dundalk Institute of Technology set out on their journey to explore new community-oriented models to foster ageing-in-place, Today, with an ever tightening grip of constraints across our social, economic and health care landscape, there is a real urgency to activate our social ingenuity and human energy if we are to have, and share, a smart, sustainable and inclusive future for all ages. Across the cities and communities within the WHO Global Network of Age-Friendly Cities and the regional partners within the European Innovation Partnership for Active and Healthy Ageing, stakeholders are yearning for approaches that can balance individual control and responsiveness with community co-ordination and services integration. As we witness the continuous erosion and shrinkage of the public services footprint, re-vitalising the 3rd sector and its collaborative capabilities, be it through co-operatives, community trusts, villages, or other community interest structures, is now central to framing sustainable solutions. Cúltaca is an adapted, embedded and transformed implementation of service broker role, operating in the context of service provision to older people in Dundalk and North Louth, within the framework of the Louth Age-Friendly County Strategy and action plan. The role has been integrated into the lives of older people in the area and it has helped forge connection, combat loneliness, build confidence and strengthen service access. adaptation.

Objectives

What are the main objectives of your initiative? Choose a maximum of 3 objectives.:

Housing: increase the number of older people living independentlyCommunication and information: increase in communication and information suitable for targeted at older peopleCommunity support and health services: increase in client-oriented and -centered made to measure health and social care and services

Please describe any subgoals of your initiative:

Target group

Does your initiative target people with a specific impairment or disease?:

Its open to all, however, over the past two years it has tended to address people with high levels of frailty and mild to moderate dementia.

How many people have you reached or do you expect to reach with your initiative?:

1000 - 10.000

Does your initiative target a specific age group?:

65 - 7980+

Does your initiative target men or women?:

Irrelevant

Approach

Please indicate what best describes your initiative:

Implementation›ICT›CommunicationImplementation›ICT›MonitoringImplementation›ICT›SensoringImplementation›OtherImplementation›Physical adaptationsImplementation›TechnologyOtherResearch›Innovation/action/applied

What type of intervention strategy is used in your initiative?:

AdvocacyLiving lab/pilotUser-empowerment and participation

Please indicate the Technology Readiness Level (TRL) of your initiative:

Not applicable

Who executes the initiative:

Advocacy organisationHealth service contracters›Public authorityNon-governmental organisationPrimary health care providers›NursePrimary health care providers›OtherPrivate company›Micro-enterpriseResearch/educational setting

What is the relevant physical scale of your initiative?:

Building›In a care settingBuilding›In a different setting, please specifyBuilding›In a residential settingCity/municipalityNeighbourhood›Care settingNeighbourhood›Public spaceNeighbourhood›Residential settingNeighbourhood›Work settingRegional levelRoom›In a care settingRoom›In a different setting, please specifyRoom›In a residential setting

Please indicate how you think your initiative could be scaled up (made to reach more people):

While transferability and scalability are more directly linked to training and adaptation services, it requires further development of its business model and related innovative impact investment in order to supports it scale-up with fidelity to its model of independence.

Please indicate the type of stakeholders concerned with your initiative.:

(Social) Housing organisationAdvocacy organisationEnd-usersHealth service contracters›Public authorityHospitalNon-governmental organisationPrimary health care providers›General practitionerPrimary health care providers›NursePrimary health care providers›OtherPrimary health care providers›PhysiotherapistPrivate company›Large companyPrivate company›Micro-enterprisePrivate company›Small and medium-sized enterprises (SME)Provider of ambulatory health careProvider of informal careProvider of medical goodsProvider of preventive careProvider of social serviceResearch/educational settingResidential long-term care facilities

Please describe how you think your initiative could be transferred to other regions or contexts:

Awareness, training, piloting and embedding.

Is your initiative economically sustainable and does it contribute to economic development?:

YES - on both fronts. However, its business model needs to be closely aligned with diversity of the structure or public, private, NGO and personal financing in different regions and member states.

If you selected "other" neighbourhood, please specify::

Impact & outcome

Will you collect or have you collected outcome data for this initiative?:

Yes

What do you consider the key success factors of your initiative? If your initiative has not yet started, please indicate what you expect the key success factors to be:

Enhanced personal empowerment and choices for older persons in planning, developing and living out their own personal health, care and well-being plans. Greater integration, coordination, collaboration and services choreography across the range of public, private and NGO providers of services to older persons.

What do you consider the main barriers to overcome in your initiative? If your initiative has not yet started, please indicate what you expect the main barriers to be.:

Th model is based on principles of rights, dignity, trust and responsibility - both individual and collective. It also involves an operational shift from cure to prevention and health promotion. While evidence can go along way to shifting perspectives, it requires a paradigm shift at policy and implementation/leadership stages to 'create the space' for innovations of this type to accelerate their growth paths.

What instruments will you use/have used to collect data?:

If you selected "other" instrument to collect data, please specify:

If yes, how will you/have you collected those data?:

Mixed-methodsObservational studiesQualitative evaluation

Will you collect or have collected socio-economic impact data for this initiative?:

Yes

Will or are the collected data in the initiative publicly available?:

Yes