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

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

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.

performed in the frames of the social

assistance system by:

community support worker (economic and

care services);

nurse or other therapist (specialist care

services) at the request of social worker.

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;

performed in the frames of the social

assistance system by:

social assistance homes

family assistance homes.

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

performed in the frames of the social

assistance system by:

day care centre.

Social assistance homes and family assistance homes

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.

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.

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.

Financing rules:

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

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.

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.

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.

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.

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

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.

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.

Family assistance homesThe 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

Family assistance homes: example of Gdańsk

Number of family assistance homes: 4

Number of attendees: 27

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.

Family assistance home „Jesienna przystań” in Gdańsk:

12-5-18

Thank you for your attention!