Collection of best practices


        
 
Name of the practice:
Country of implementation:



















































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Type of the practice:






Relevance to ABUTRAINING Module №:






Name of the practice: Explanation of elder abuse, signs, types of abuse and prevention
Description of the practice:

Topics:

  • What is elder abuse and neglect?
  • Types of elder abuse
  • Warning signs of elder abuse
  • Risk factors for elder abuse
  • Preventing elder abuse and neglect
  • Reporting elder abuse
Country of implementation: Other
Other country: N/A
Resource’s directory:
URL: https://www.helpguide.org/articles/abuse/elder-abuse-and-neglect.htm
Reference:

N/A




Name of the practice: Workshop Manual: elder abuse prevention and response – an introduction to concepts and practices
Description of the practice:

This training is aligned to the With respect to age – 2009, Victorian Government practice guidelines for health services and community agencies for the prevention of elder abuse.

Topics:

  • Session 1
  • Session 2
  • The way forward
  • Attachments
  • References
  • Acronyms
Country of implementation: Australia
Other country:
Resource’s directory:
URL: https://toolkit.seniorsrights.org.au/wp-content/uploads/2013/08/1402015_EAPS-workshop-1-manual-WEB.pdf
Reference:

N/A




Name of the practice: Elder Abuse Information and Training Guide: A list of topics for training people about elderly abuse
Description of the practice:

Topics:

  • Possible causes of Elder Abuse
  • How can you tell if an older adult needs help?
  • Types of Elder Abuse and the warning signs
  • Characteristics of Victims
  • Warning signs of abuse by Caregiver
  • Characteristics of Abusers
  • Self-Neglect
  • How can you help?
  • How do you talk to a person you think is abused or neglected?
  • Who should report Elder Abuse or Neglect?
  • What if I am not sure there is Elder Abuse or Neglect?
  • Where do I report Elder Abuse or Neglect?
  • What will I be asked when I call the APS Hotline?
  • Adult Protective Services - How the system works
  • What happens when APS conducts an evaluation into allegations of Abuse, Neglect, or Exploitation?
  • What will I be asked when I call the Police Department?
  • What happens first when I report Elder Abuse or Neglect?
  • What happens to the victim if Abuse, Neglect (Self or Other) or Exploitation is found?
  • What happens to me if I report a possible case of Abuse, Neglect, or Exploitation and Abuse is found?
  • What about the actual court process?
  • What happens to the victim if Abuse, Neglect, or Exploitation is not found?
  • What happens to me if I report a possible case of Abuse, Neglect, or Exploitation and nothing is found?
  • What happens if nothing happens?
  • Can APS or the State of Arizona force someone to go to a nursing home?
  • What to do if a person, whom you believe is being Abused, refuses to talk or acknowledge the Abuse?
  • Frequently Asked Questions about APS involvement
  • What other Elder Abuse resources are available?
  • What services can help the Abusers?
  • Prevention
  • What else can be done to help victims of Elder Abuse?
  • How do we outreach to the general public and inform them about Elder Abuse?
Country of implementation: USA
Other country:
Resource’s directory:
URL: https://www.azag.gov/seniors/senior-abuse/training-guide
Reference:

N/A




Name of the practice: Retirement home and a day-care center for old people “Alexandrovska” – in the town of Bankya
Description of the practice: The Retirement Home and the Day Care Center offers a complex of social services that create conditions for 24-hour customer service. The Home offers care to meet the basic daily, health and rehabilitation needs of the elderly, as well as their needs for leisure, entertainment and personal contacts. An advantage of the Home and the Day Care Center "Alexandrovska" is that it is part of the largest hospital in the city of Sofia, which guarantees timely collaboration with highly specialized staff and high-tech structures of the University Hospital "Alexandrovska". Initial and regular medical and psychological care for the accomodated old people is provided. The staff of the home is trained in specialized care for people with dementia, according to modern recommendations for a personalized approach. Periodically, examinations are performed by a neurologist and a neuropsychologist. Treatment and recommendations for individualized complex care for people with cognitive impairment and dementia are offered.

This is the only retirement home in Bulgaria with opportunities for permanent specialized care aimed at timely clarification, treatment and control of the signs of dementia. On a request of relatives and on the recommendation of staff, initial and regular medical care is provided for people with cognitive impairments and dementia. The new users are given the opportunity to be consulted for free by leading neurologists, dementologists and neuropsychologists. After discussion with relatives and with their consent, the patients undergo diagnostic procedures: neuropsychological examination to assess changes in memory, orientation, judgment, behavior and neurological consultation. It is possible for additional research such as a brain scan, consulting with other specialists in connection with the clarification of the dementia process. The Home and the Day Care Center Alexandrovska, along with social services, together with the Alexandrovska University Hospital, also offers 24-hour highly qualified medical care for the elderly and seriously ill patients. The patients are cared for by some of the best doctors, nurses, rehabilitators, psychologists, speech therapists and social workers.

In case of suspicion or evidence of violence against the elderly, the team acts in accordance with the approved state regulations and initially provides psycho-social support to experienced psychologists. In people with dementia, the subjective feeling of violence experienced can be quite increased and intense and very often does not correspond to the real circumstances. Above all, such people need serious psychological support and restoration of a sense of security. Each case is discussed in a team meeting, management is informed and specific action and supportive measures are planned.
Country of implementation: Bulgaria
Other country:
Resource’s directory:
URL:
Reference:

Town of Bankya, Stefan Stambolov Street 9
alexandrovska.ood@gmail.com




Name of the practice: Retirement home in village of Popica
Description of the practice:

The retirement home in Popitsa is a specialized institution for providing social services with a capacity of 60 beds . It accommodates men and women over retirement age who are unable to organize and meet their living needs on their own. The main activities in the Home are in line with the implementation of the standards and criteria for the provision of social services and the aim to support and expand the opportunities for the people accommodated to continue leading the most autonomous lifestyle. The main goal is the daily needs of the elderly to be satisfied, conditions for social contacts to be created and opportunities for older people to feel an integral part of society as well.

An important part of the service is to provide support for retirees who have left active life to overcome the psychological barrier that makes them feel unnecessary and to provide conditions for mutual assistance. The Home itself is divided into three houses, each on two floors. Each house has a lobby, living room, small kitchen, laundry room and elevator. The bedrooms are for two and three people. Each room has a balcony and a separate bathroom.

Social workers take care of organizational, cultural and work activities in the Home, as well as for effective communication and social adaptation of the elderly. Cultural events are also carried out - birthday celebrations, festive and congratulatory concerts. Emphasis is also placed on meeting the health and rehabilitation needs of individuals, as well as on respecting the inviolability of the rights of the elderly. In order to achieve basic trust, systematic group work is carried out with the old people, they are informed about the procedures and forms of protection in case of violation of their rights, relations with their relatives are also maintained. Registers, instructions and protocols regulating the behavior of employees in situations of violence are available in the social institution. The old people are also familiar with the regulatory documents.

Country of implementation: Bulgaria
Other country:
Resource’s directory:
URL:
Reference:

еmаil: ivan_cenov@abv.bg




Name of the practice: Agency EKIP “Care for old people in their home” at EKIP Foundation
Description of the practice:

The services include daily, short-term, long-term and / or home care on a specific occasion - individually or in separate client packages. Each package has a bonus program.

The services are performed by an assistant on weekends and holidays. The organization of them takes 1 to 5 days. They can be, daily, monthly, household help, on a specific occasion, consultation with a specialist on issues related to the elderly`s health, services on a specific occasion.

The services are complied with the wishes, preferences, specific characteristics and opinions of customers. Of major importance are the activities related to providing emotional and social comfort to consumers. Apart from the personal care for the elderly, assistants are committed to:

  • organizing meetings with their friends
  • visiting or inviting guests at home;- accompaniment to a retirement club, church;
  • and / or just talking to neighbors near the home place

When some tension is found in the elderly's relationship with their relatives, the assistants promptly notify the service management team, who provides counseling and mediation.The Agency has established procedures regarding possible violence:

  • Complaints and alerts procedure
  • Procedure for unacceptable behavior (by the staff and by the client / user)
  • Procedure in case of suspicion of possible violence against the user / client
  • Guidelines for the work of staff in case of established / proven violence.

All parties of the service delivery are familiar with the policies and procedures. Policies and procedures are subject to annual updating and training of assistants and domestic helpers. A working declaration is attached to everyone's work file, stating that he / she is familiar with the policies, has been trained and will apply them in his / her practice.In direct work with the elderly, if they suspect any violence, there is an active signaling procedure and also a package of additional services for the elderly is organized. Assistance / counseling is provided to the assistant / domestic helper.

Country of implementation: Bulgaria
Other country:
Resource’s directory:
URL:
Reference:

Bilyana Nikolaeva Jitarova
Executive director of EKIP Foundation, Burgas
е-mail:  zhitarova@abv.bg




Name of the practice: Retirement home and a day-care center for old people “Alexandrovska” – in the town of Bankya
Description of the practice:

The Retirement Home and the Day Care Center offers a complex of social services that create conditions for 24-hour customer service. The Home offers care to meet the basic daily, health and rehabilitation needs of the elderly, as well as their needs for leisure, entertainment and personal contacts. An advantage of the Home and the Day Care Center "Alexandrovska" is that it is part of the largest hospital in the city of Sofia, which guarantees timely collaboration with highly specialized staff and high-tech structures of the University Hospital "Alexandrovska". Initial and regular medical and psychological care for the accomodated old people is provided. The staff of the home is trained in specialized care for people with dementia, according to modern recommendations for a personalized approach. Periodically, examinations are performed by a neurologist and a neuropsychologist. Treatment and recommendations for individualized complex care for people with cognitive impairment and dementia are offered.

This is the only retirement home in Bulgaria with opportunities for permanent specialized care aimed at timely clarification, treatment and control of the signs of dementia. On a request of relatives and on the recommendation of staff, initial and regular medical care is provided for people with cognitive impairments and dementia. The new users are given the opportunity to be consulted for free by leading neurologists, dementologists and neuropsychologists. After discussion with relatives and with their consent, the patients undergo diagnostic procedures: neuropsychological examination to assess changes in memory, orientation, judgment, behavior and neurological consultation. It is possible for additional research such as a brain scan, consulting with other specialists in connection with the clarification of the dementia process. The Home and the Day Care Center Alexandrovska, along with social services, together with the Alexandrovska University Hospital, also offers 24-hour highly qualified medical care for the elderly and seriously ill patients. The patients are cared for by some of the best doctors, nurses, rehabilitators, psychologists, speech therapists and social workers.

In case of suspicion or evidence of violence against the elderly, the team acts in accordance with the approved state regulations and initially provides psycho-social support to experienced psychologists. In people with dementia, the subjective feeling of violence experienced can be quite increased and intense and very often does not correspond to the real circumstances. Above all, such people need serious psychological support and restoration of a sense of security. Each case is discussed in a team meeting, management is informed and specific action and supportive measures are planned.
Country of implementation: Bulgaria
Other country:
Resource’s directory:
URL:
Reference:


Name of the practice: Retirement home in village of Popica
Description of the practice:

The retirement home in Popitsa is a specialized institution for providing social services with a capacity of 60 beds . It accommodates men and women over retirement age who are unable to organize and meet their living needs on their own. The main activities in the Home are in line with the implementation of the standards and criteria for the provision of social services and the aim to support and expand the opportunities for the people accommodated to continue leading the most autonomous lifestyle. The main goal is the daily needs of the elderly to be satisfied, conditions for social contacts to be created and opportunities for older people to feel an integral part of society as well.

An important part of the service is to provide support for retirees who have left active life to overcome the psychological barrier that makes them feel unnecessary and to provide conditions for mutual assistance. The Home itself is divided into three houses, each on two floors. Each house has a lobby, living room, small kitchen, laundry room and elevator. The bedrooms are for two and three people. Each room has a balcony and a separate bathroom.

Social workers take care of organizational, cultural and work activities in the Home, as well as for effective communication and social adaptation of the elderly. Cultural events are also carried out - birthday celebrations, festive and congratulatory concerts. Emphasis is also placed on meeting the health and rehabilitation needs of individuals, as well as on respecting the inviolability of the rights of the elderly. In order to achieve basic trust, systematic group work is carried out with the old people, they are informed about the procedures and forms of protection in case of violation of their rights, relations with their relatives are also maintained. Registers, instructions and protocols regulating the behavior of employees in situations of violence are available in the social institution. The old people are also familiar with the regulatory documents.
Country of implementation: Bulgaria
Other country:
Resource’s directory:
URL:
Reference:

N/A




Name of the practice: Agency EKIP “Care for old people in their home” at EKIP Foundation
Description of the practice: The services include daily, short-term, long-term and / or home care on a specific occasion - individually or in separate client packages. Each package has a bonus program.

The services are performed by an assistant on weekends and holidays. The organization of them takes 1 to 5 days. They can be, daily, monthly, household help, on a specific occasion, consultation with a specialist on issues related to the elderly`s health, services on a specific occasion.

The services are complied with the wishes, preferences, specific characteristics and opinions of customers. Of major importance are the activities related to providing emotional and social comfort to consumers. Apart from the personal care for the elderly, assistants are committed to:

  • organizing meetings with their friends
  • visiting or inviting guests at home;- accompaniment to a retirement club, church;
  • and / or just talking to neighbors near the home place

When some tension is found in the elderly's relationship with their relatives, the assistants promptly notify the service management team, who provides counseling and mediation.The Agency has established procedures regarding possible violence:
  • Complaints and alerts procedure
  • Procedure for unacceptable behavior (by the staff and by the client / user)
  • Procedure in case of suspicion of possible violence against the user / client
  • Guidelines for the work of staff in case of established / proven violence.
All parties of the service delivery are familiar with the policies and procedures. Policies and procedures are subject to annual updating and training of assistants and domestic helpers. A working declaration is attached to everyone's work file, stating that he / she is familiar with the policies, has been trained and will apply them in his / her practice.In direct work with the elderly, if they suspect any violence, there is an active signaling procedure and also a package of additional services for the elderly is organized. Assistance / counseling is provided to the assistant / domestic helper.
Country of implementation: Bulgaria
Other country:
Resource’s directory:
URL:
Reference:

Bilyana Nikolaeva Jitarova 

Executive director of EKIP Foundation, 

Burgas




Name of the practice: HANDBOOK OF THE SOCIAL ASSISTANT IN BULGARIA
Description of the practice:

According to the Bulgarian legislation, the social assistant is a person providing a mix of services referred to social work and consultations of the users and also aiming to satisfying the needs of organization of the free time and making contacts. In the Handbook of Social Assistants, developed under the SANE project of the National Program "Assistants for People with Disabilities", the understanding of the activities of social assistants is expanded and it includes a range of services in support of daily activities (food, shopping, hygiene, payment of accounts), health status (support in taking medicines and contacts with medical specialists), consumer activity (accompaniment outside the home, support in activities, communication assistance, provision of information), administrative assistance (assistance in preparing various documents) .

  The handbook focuses on the minimum of necessary competencies of social assistants -  special, social and personal competence. The importance of the personal characteristics of social workers is also emphasized, including motivation, professional training and responsibility, faith in people's abilities, openness to one's own feelings, awareness of one's own values and beliefs and their non-intrusion on the values of others, ability to establish and maintain warm relationships with others, the realism of expectations, curiosity about the human person, a sense of humor. Special focus is placed on the activities of social workers in situations of domestic violence against the users. In this context, some important regulations are defined:

• Victims of domestic violence can go to court to impose urgent police protection measures.

• At the request of the injured person, each doctor is obliged to issue a document certifying the injuries or traces of violence found.

• There are various measures to ensure protection, such as removing the perpetrator from the shared home, etc.

• In order to clarify the various possible legal measures, it is good for the social worker to direct the user to a consultation with a lawyer or to an organization providing protection.

• The social worker must inform the social service provider, who in turn can inform the Social Assistance Directorate about the case of violence. Referral to the court and the police can be made by the victim, his relatives and by the Social Assistance Directorate.

    When an act of domestic violence against user has been identified, the social worker must carry out a risk assessment, which includes:

• Assessment of the degree of risk - whether there is a danger to the health of the user and whether it is necessary to make a safety plan.

• Assessment of the motivation for change - does the user want to stop the violence by the abuser, etc.

• Assessment of the supportive environment

• Is there a need for referral to a specialist

• Suicide risk assessment

It is regulated that the actions of the social assistant must be discussed, supported and monitored by the social service provider, colleagues and other specialists. The handbook also presents a number of case studies, which are useful  for the professionals.
Country of implementation: Bulgaria
Other country:
Resource’s directory:
URL: http://www.icss-bg.org/wp-content/uploads/2015/07/SA_Handbook.pdf
Reference: