Project Summary

Project aimed at reformulating the model of support and care for people in a situation of fragility and/or dependence who wish to continue living in their own environment. It is an experience that aims to revise the model of home care in Gipuzkoa, through the development of comprehensive care at home. Comprehensive care that will be conceptually based on the people-centred care model. This care proposal aims to integrate and incorporate all the participating parties, all the agents involved in care: families, social services, SAD, primary and specialised health care, domestic and care workers, personal assistants, volunteers and community network, proximity services, the Lagunkoia or friendliness movement… and so on. Incorporation and integration coordinated by the figure of the Case Manager. A professional who has a very close knowledge of the person and what is experienced in their home, accompanying and empowering the person in a situation of dependency, making them the protagonist of how they want to be accompanied and cared for.

Project Aims

The aim of the project is to identify a sustainable model of integrated social and health care focused on people living at home, from the coordination of those services and support necessary to obtain the best quality of life for these people and their family environment.

The achievement of this general objective requires significant progress in essential aspects such as:

• The fulfilment of the wishes and preferences of people in need of help with regard to their way of life at home in conditions of dignity for as long as possible.
• The promotion of autonomy and quality of life in old age, within the framework of the development of a comprehensive and person-centred care model in which flexibility and agile adaptation of responses to needs are guaranteed.
• The integration of efforts so that these people remain incorporated into social and community life, as a source of fulfilment and well-being for them and their immediate environment.
• To advance in the identification of innovative methodologies both in the generation of knowledge and in intervention, with special attention to the identification of competences and skills of the professional figure of the Case Manager.
• In short, the Etxean Bizi project establishes as a central hypothesis that the coordination of programmes and services from a model of close provision can adequately meet the needs and preferences of dependent persons and their carers in the home environment.
• It is also expected that this model will be cost-effective, generate employment and improve the quality of life of the people who need help, their families and the territories they live in, promoting a movement of friendliness between citizens and their dependent population. In short, the key to the project lies in the coordination and optimisation of resources from a conceptual framework centred on people.

Outputs

• Video presentation of the project
• Etxean Bizi: is it possible to live at home when support is needed? Reframing the current model of providing support and care in the home
• Diversification in support and home care