Post on 01-Apr-2015
Titre présentationSous titreIntervenant
1Toronto / March 28th, 2011
Marie-Jo Guisset-MartinezProgrammes Manager
To help live with dementia
To help anticipate
"Mobile support services to meet the users needs in rural French areas " Des services mobiles pour répondre aux besoins
dans les zones rurales françaisesA five projects comparative
approach
Titre présentationSous titreIntervenant
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Conflict of Interest Disclosure Marie-Jo Guisset-Martinez
Has no real or apparent conflicts of interest to report.
« Mobile support services to meet the users needs in rural French areas » March 28th,2011Marie-Jo Guisset-Martinez
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I. The French rural contextII. The five projects / our method
III.1. Success factors2. Opportunities of the rural context3. Results of such projects in rural areas
« Mobile support services to meet the users needs in rural French areas » March 28th,2011Marie-Jo Guisset-Martinez
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Population Density France 2006
« Mobile support services to meet the users needs in rural French areas » March 28th,2011Marie-Jo Guisset-Martinez
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I. Difficulties due to the rural context
Distances : Isolation and lonelyness Aging permanent population
Young people live in the cities None or a few neighbours
Problems of transports Difficulties for driving (old age and dementia) Winter / snow Lack of public transports
Lack of provisions Lack of services (day and night care) Lack of doctors and nurses
« Mobile support services to meet the users needs in rural French areas » March 28th,2011Marie-Jo Guisset-Martinez
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1. Atout Forme à Lugagnac « Well being worksops » in 3 different places
2. Les Relais Cajou à Tours « Mobile day care services »
3. Équipe mobile Le Relais des Aînés à CarrougesMobile team : relational support programme at home
4. Cafés mémoire itinérants dans l’AinMobile Memory Cafés
5. Équipe mobile Alzheimer (EMA) en Indre et Loire Alzheimer mobile team
Our method: Working group / participative observation / interviews
II. Five local projects
« Mobile support services to meet the users needs in rural French areas » March 28th,2011Marie-Jo Guisset-Martinez
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4. MSABourg en Bresse (01)
4. MSABourg en Bresse (01)
BOURG EN BRESSE
BOURG EN BRESSE
LYONLYON
« Mobile support services to meet the users needs in rural French areas » March 28th,2011Marie-Jo Guisset-Martinez
1. Atout FormeLugagnac (46)
1. Atout FormeLugagnac (46)
5. ADMR Tours (37)
5. ADMR Tours (37)
2. Relais CajouTours (37)
2. Relais CajouTours (37)
3. Relais des AînésCarrouges (61)
3. Relais des AînésCarrouges (61)
PARISPARIS
ALENÇON
ALENÇON
TOURSTOURS
BORDEAUXBORDEAUX
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Organised in 3 villages:Workshops for :Carers and cared for A better understanding of the situationSharing nice time together out of homeDiscovering new activitiesImproving the relationship
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II. 1 Atout Forme – Lugagnac (46)
Nb people with dementia + family caregivers 1) 20 +172) 10 + 5 3)8 + 8
« Mobile support services to meet the users needs in rural French areas » March 28th,2011Marie-Jo Guisset-Martinez
Itinerant day care program The « singing memory » Memory café A shared lunch (staff and
participants)
Convenience Homecare Support Welcoming
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2. Les Relais Cajou
Nb people7 p/day
Duration : 1 day a week « Mobile support services to meet the users needs in rural French areas » March 28th,2011Marie-Jo Guisset-Martinez
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At home : The mobile team propose : Individual relational support Psychosocial interventionsHousing environment adaptationInto the nursing home : Bringing people together (bus or car) for an afternoon coffee Discussion groups (for carers) Leisure activity (for people with dementia)An help line
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3. Mobile team Le Relais des aînés – Carrouges
Nb peopleOnce or twice a week for each 3 families
« Mobile support services to meet the users needs in rural French areas » March 28th,2011Marie-Jo Guisset-Martinez
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Speaking Sharing one’s other’s concerns Crying – laughing Mutual listening Solving situations Individual evolution
For the team, Cafés mémoire imply : Accepting to be surprised Not to know, to be flexible
A session of 6 meetings /village each 2 weeks▪ nb10 to 28 participants / meeting
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4 . Cafés mémoire Itinérants (Mutualité Sociale Agricole –Ain 01)
« Mobile support services to meet the users needs in rural French areas » March 28th,2011Marie-Jo Guisset-Martinez
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Daily life activities at home to empower the person Supporting the person capacities by walking to the market visiting « her » village, gardening…
Giving advice to the family and information on care
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5. Équipe mobile Alzheimer Santé Plus ToursAlzheimer mobile team EMA
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III. 1 Success factors
Good and efficient networking between all providers and professionals
Local press support
Mobility of the team : Café mémoire, Atout forme…
Necessity of finding nice and (often) unformal venue for meetings ie : café
Be aware of the needs of support for both person(s) with dementia and the carer(s)« Mobile support services to meet
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III. 2 Opportunities of the rural context
Opportunities of nice and « natural activities »
Gardening Enjoying nature and countryside (flowers, fruits, plants, animals), smells and sounds…
The « few » people know each other Easy to go to the local market (small) Possible to have walks outside
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III. 3 Results of such projects in rural areas
They take into account the risk of isolation by breaking up monotony and lonelyness
They facilitate social life and meaningful activities in the community
They provide support and services to the population (home, close by home) They are a relevant support in the process of acceptance in handing over to professional care.
« Mobile support services to meet the users needs in rural French areas » March 28th,2011Marie-Jo Guisset-Martinez
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Some quotes :
« I’ll tell you what it feels like being an Alzheimer »« You at least do accept them (people with the disease) »« They come to get information, they learn how to meet each other »
The bar tender : « My role : welcome participants, serve drinks, help them to relax, I want people to feel good, I am deeply touched and moved by what I hear during the afternoon »« To come at the memory café is to say that there is somebody ill at home »
16« Mobile support services to meet the users needs in rural French areas » March 28th,2011Marie-Jo Guisset-Martinez
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Thank youMerci
Marie-Jo Guisset-Martinez
guisset@med-alz.org
www.fondation-mederic-alzheimer.org
for your attentionpour votre
attention
« Mobile support services to meet the users needs in rural French areas » March 28th,2011Marie-Jo Guisset-Martinez