DESK REVIEWS | 04.05.02.03. Provisions exist which promote the transition of dementia care to community-based services![]()
DESK REVIEW | 04.05.02.03. Provisions exist which promote the transition of dementia care to community-based services
There is no dementia-specific or universal legislation aimed at promoting the transition of dementia care to community-based services.
This section to be updated soon.
In the LTC guideline for Puskesmas, transitional/subacute care (from hospital to community care) is recognised as an important part of LTC. However, it is not yet widely available in Indonesia and needs further development (Kementerian Kesehatan RI Direktorat Jenderal Kesehatan Masyarakat, 2018).
References:
Kementerian Kesehatan RI Direktorat Jenderal Kesehatan Masyarakat. (2018). Pedoman untuk Puskesmas dalam Perawatan Jangka Panjang bagi Lanjut Usia. Kementerian Kesehatan RI.
No legislation was sourced as part of this desk review which supports the transition of dementia care to community-based services.
The care and protection of older members of society bill, 2018; PART III section 10 (1) states that “each county government shall establish and implement Community based programmes for the care and protection of older members of society residing within the county” (Republic of Kenya, 2018b), page 341. However, this is not specific to people with dementia.
References:
Republic of Kenya. (2018b). The Care and Protection of Older Members of Society Bill, 2018. Kenya Gazette Supplement No. 73 (Senate Bills No. 17), pp. 333–363. Nairobi, Kenya. http://www.parliament.go.ke/sites/default/files/2018-08/The%20Care%20and%20Protection%20of%20Older%20Members%20of%20Society%20Bill%2C%202018.pdf
There are no specific guidelines for transitioning to community-based services.
While formal provisions for the transition of dementia care to community-based service are not explicit in any legislation, there is the requirement to provide care and oversight in the least restrictive way possible.
The Older Person’s Act is based in a philosophy of ‘active aging’, whereby older persons are promoted to participate and live in communities as long as possible, promoting a movement toward deinstitutionalising care (Government Gazette, 2006; Jordan, 2009). However, these legislative frameworks acknowledge that funding is still biased to residential care instead of community-based services (Jordan, 2009).
References:
Government Gazette. (2006). Older Persons Act, No.13 of 2006 (Vol. 13, Issue 1098). Available from: https://www.westerncape.gov.za/other/2012/3/older_persons_act.pdf
Jordan, C. (2009). Older Person’s Programme: Concept paper. Available from: https://www.westerncape.gov.za/other/2009/10/concept_paper-_programme_older_persons.pdf