Welcome Home - Institutional Services in the Community
Ninety percent of older adults in Israel who require long-term care live in the community. Older adults and their families prefer home care. Policymakers also support living within the community due to the high costs of long-term nursing care within institutions, which exceeds the costs of home care.
Current home care services do not meet all the needs of older adults' reliant on long-term nursing care, forcing many families to resort to sending their loved ones to institutions to receive the care they need. The inclusion of a basket of services within the community would be sufficient for many older adults to remain living at home, and for those who live in institutions, to return home.
There is a need for a greater basket of long-term care nursing services in the community that will allow more older adults to remain within the community for a longer period of their lives.
This program supports individuals aged 65-94 who have been hospitalized in a nursing home for a period of up to 6 months. These individuals would be able to return home if they had a sufficient support network (a foreign caregiver, a family member) and could receive the right services.
The Health Bureau, program staff, or family members identify potential clients for the program. A professional committee, including a physician, a nurse and a representative of the Health Bureau, will then determine the applicant's suitability for the program, by assessing the suitability of the home for the patient's return home and his/her specific needs.
If deemed appropriate for the program, a basket of services will be created and adapted to the needs of the patient and his/her family. This will include 24/7 medical/emergency response, volunteers for social/cultural experiences, doctor home visits, laboratory tests, pulse and respiration monitoring and a supply of absorption products and medications, all within the home. In addition, a support network comprising of therapists, doctors, nurse social workers, physiotherapists, occupational therapists, dietitians, and speech therapists will be available for the client.
- Ability to remain in the community
- Preserve physical and cognitive functioning
- Feels secure due to presence of support network
- Maintain positive relationships with others, with an emphasis on family members
- Enable family members to support and care for the older adult in the community
- Tools and skills for professionals for providing care in the community
- Mechanisms for coordination and cooperation between community systems
- Policy changes that promote continued care in the community
- Cost savings for the health system
2017 - 31/12/2020
National Insurance Institute, Ministry of Welfare, Ministry of Health, CDI Negev