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Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

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Page 1: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Alzheimer Cafes in the Netherlands

Growth, support and structure

Marco Blomdirector Research and PolicyToronto, March 28, 2011

Page 2: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Conflict of Interest Disclosure

Marco Blom MSc

Has no real or apparent conflicts of interest to report.

Page 3: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Topics

Start and growth of the Alzheimer CafesEffectiveness of the Alzheimer CafesBack office (strategy, support and standards)Quality as a key issueInternational development .....

Page 4: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Alzheimer Cafes: start and growth

Page 5: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Alzheimer Cafes: start and growth

TV-documentary ‘Living with dementia’Alzheimer Cafe: location and TV-format

Manual for setting up Alzheimer CafeSpecial symposium and workshopsDevelopment of training for leadersSupportive material

Page 6: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Dementia Award 2010

Page 7: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Topics

Start and growth of the Alzheimer CafesEffectiveness of the Alzheimer CafesBack office (strategy, support and standards)Quality as a key issueInternational development .....

Page 8: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Alzheimer Cafes: effectiveness

Growth as a sign of successNumber of people with dementia attendingNumber of family aregivers attendingMajority of people ‘stamgasten’ (core guests)Anecdotical information (satisfaction is high)

No scientific proofPart of the Dementia Guideline (NL)Recommended as good practice by Interdem (EUR)

Page 9: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Alzheimer Cafes: indirect effects

Gives a face to the disease Less tabooEmpowering people with dementia and family membersBalancing the emphasis on medical ‘treatment’

Platform for advocacy and lobbyFree publicity in local newspapers Educate professionals and other visitors (politicians)

Page 10: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Average number of visitors

Number of AC’s

< 20 32

20 – 40 6340 – 60 56

> 60 29

Page 11: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Number of AC’s

None 11

5 -10 % 108> 10 % 61

People with dementia attending

Page 12: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Number of AC’s

< 30% 0

30 - 50 % 5850 - 70 % 104

> 70 % 18

Family caregivers attending

Page 13: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Average number of visits per year

Page 14: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Alzheimer Cafes: in numbers

Every month: Number of visitors > 7.000Number of people with dementia > 600Number of family caregivers > 4.000

Every year: Number of unique visitors in a year: ± 35.000 Stamgasten are in majority people with dementia and family caregivers. Some professionals as well. Number of people with dementia we reach: ± 2.000.Number of family caregivers we reach: ± 15.000.

Page 15: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Topics

Start and growth of the Alzheimer CafesEffectiveness of the Alzheimer CafesBack office (support and standards)Quality as a key issueInternational development .....

Page 16: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Back office: support (2000 – 2005)

Manual with practical guidelinesInformation materials (flyers, posters)Workshop at annual national Volunteers DayNational meetings for regional branchesNational training for discussion leaders by Bere Miesen

Page 17: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Back office: support (2006 – 2010)

Manual with practical guidelinesInformation materials (flyers, posters)Workshop at annual national Volunteers DayNational meetings for regional branchesNational training for discussion leaders

Manual with practical guidelinesInformation materials (flyers, posters)Regional meetings for volunteers in CafesRegional training for discussion leadersTrain-the-trainers programme by Bere Miesen

Page 18: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Back office: standards

Alzheimer Cafe, registered by a European trademarkDevelopment of a set of quality criteriaBi-annual survey amongst Alzheimer Cafes

Regular contact with working groupVolunteer of the regional branch as contact personAlzheimer Nederland ‘owns’ information table

Alzheimer Cafe is part of the ‘Dementia’ guidelines (drawn by Ministry of Health, National body of Health Insurance companies and Alzheimer Nederland)

Page 19: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Topics

Start and growth of the Alzheimer CafesEffectiveness of the Alzheimer CafesBack office (strategy, support and standards)Quality as a key issueInternational development .....

Page 20: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Some quality criteria

Non-profit; free admission, normal prices for drinksMonthly / At least ten times a yearAvoid cancelling two meetings in a row

Year programme should cover whole range Emphasis on emotional and psychosocial aspects Information preferably by means of an interview

A variety of professionals play an active roleInvolvement of regional branch of Alzheimer NederlandIf there are no people with dementia, it is not a ‘real’ Alzheimer Cafe

Page 21: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Trained discussion leader

Experienced in supporting people with dementiaExperienced in supporting family caregiversMultidisciplinary knowledge about dementiaTherapeutic / Counselling and group workIs a role model in communicatingEmphasis on openness versus avoidanceResponsibility and continuity

Page 22: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

Topics

Start and growth of the Alzheimer CafesEffectiveness of the Alzheimer CafesBack office (strategy, support and standards)Quality as a key issueInternational development .....

Page 23: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

International development

BelgiumUnited KingdomDenmarkGermanyFinland

ItalySpainGreeceMaltaCyprus

Canada !!Australia

ArubaCuraçao

Alzheimer Tearoom

Page 24: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

International development: proposal

Support other countries in founding and running Alzheimer Cafes according to the original modelDraw up international criteria and guidelines for Alzheimer Cafes to improve the quality of lifeSelf-evaluation method for Alzheimer Cafes throughout the worldInternational research on the effectiveness of Alzheimer Cafes in several countries

Working together .... and .... setting the agenda

Page 25: Alzheimer Cafes in the Netherlands Growth, support and structure Marco Blom director Research and Policy Toronto, March 28, 2011

In collaboration with ….

All our volunteers Bere Miesen