Pilot Dementia Reablement Service

Introduction

Moray Council has commissioned Alzheimer Scotland to deliver a new specialised dementia service.

Alzheimer Scotland has a long tradition of providing user-focused services which consider the whole person, are informed by best practice and are delivered by highly trained staff.

Specialist dementia services are vital to supporting people with dementia, their families and carers, because of the wide ranging and often challenging difficulties the illness can bring as it progresses.

Running initially as a pilot which will be begin on April 1 2012, the new service will take a reablement approach to supporting people to live well with dementia in their own community.

This sheet provides information on how reablement could make a positive difference to you, a member of your family or someone you care for.

We welcome your views on the pilot, which will continue for just over two years. Your comments will help us monitor and evaluate the service to ensure it is meeting the needs of people with dementia.

What is Reablement?

Reablement promotes independence rather than dependence. It is not about doing things to people or for people – it’s about working with them so they build up the skills and confidence necessary to carry out the daily living tasks they need to be as independent as possible.

These skills will be at risk as dementia progresses, but Alzheimer Scotland will support people with a diagnosis of, or displaying symptoms of, dementia to remain active and connected with their community.

By making the most of existing support networks it is hoped they can maintain their normal pattern of living activities for as long as possible.  By building up their own skills, service users will be able to plan and take control of their own future, developing coping strategies to maximise independence, self esteem and well being.

Who is it For?

For those facing the challenge of learning to live with the changing symptoms of dementia during the progression of the illness, a specialist dementia service using a reablement approach is an effective way of providing appropriate support to enable them to live as well as possible with their diagnosis.

The dementia reablement service will not be suitable for everyone, however, and we will ensure individuals receive the on-going support which best meets their needs.

What Will Happen?

Following assessment, anyone referred to the service will work with staff to design a support plan to help them reach the goals they have set for themselves.

Family members and carers will be involved as appropriate.

Short-term flexible support is provided on a one to one basis and also in small groups, with intensive input at key periods such as

when symptoms change or following discharge from hospital.

The main focus of the service will be short-term support to enable individuals to, for example:

Understand and come to terms with living with dementia

  • Remain active and connected within their own community
  • Access training, aids and other resources to enhance coping skills
  • Access peer support and learn from others living with dementia
  • Access appropriate support to remain within their own familiar surroundings for as long as possible
  • Determine the nature of support  that will prevent crisis situations, such as unnecessary admission to hospital
  • Access individual budgets or direct payments to provide personalised support.

How Much Will it Cost and How Long is it For?

There is no charge for the reablement service.

It is a flexible, personalised approach and therefore does not have a time limit. It is expected staff will work intensively with the individual for at least six weeks.

What Happens After That?

For maximum preventative impact, Alzheimer Scotland will remain involved with individuals on a needs-led basis.

The service will be able to offer expert solution support throughout the journey of dementia.

How Are Families and Carers Involved?

Reablement focuses on what is realistic for people to do for themselves.

On-going support will only be reduced where the service user’s need for support reduces. Although the service the person receives may change, the focus on meeting individual needs remains the same.

Unpaid carers are essential to the success of reablement. They will be supported to assist the person they care for in achieving their goals.

How do You Know Reablement Works?

Health and social care staff already follow the principles of reablement by supporting people to achieve as much independence as possible.

This approach will enable people with dementia to be able to go on living their lives as independently as they can in their own homes and communities.

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