Innovating mental health at Europe - Catalonia (Spain)

Innovating Mental Health at EuropeSabadell 5th September, 2013

Visit the webpage event:

www.parcdesalut.com/innovating-mental-health

Sabadell 5th September, 2013

INNOVATING MENTAL HEALTH AT EUROPE

MENTIONS AND SPECIAL ACKNOWLEDGEMENTS

INNOVATING MENTAL HEALTH AT EUROPE has received the support of NeuroRescue as EUCluster of Excellence on Neuroscience. The journey, taking part of the Catalan Mental HealthCluster activities has been organized by PARC DE SALUT together with the CatalanObservatory on Mental Health OSAMCAT as key member of the Cluster, and has counted withthe participation and involvement of XISCAT Network as part of its commitment on thethe participation and involvement of XISCAT Network as part of its commitment on theenhancement of innovation in network as well as with relevant guest speakers.

A day-journey on mental health dedicated to show innovation and last trends as result ofcollaborative and multidisciplinar framework, international network and which conclusionswill be powered at EU level thanks to PARC DE SALUT and the involvement on NeuroRescue.




Cluster Development in Catalonia

Maria Dolors NuñezACCIÓ, Agència per a la competitivitat de l’empresa

Sabadell, 5th September 2013


INNOVATING MENTAL HEALTH AT EUROPEINNOVATING MENTAL HEALTH AT EUROPE

Clusters: a global phenomenaClusters: a global phenomena+

SwedenTurkeyLithuania

AustriaJordanianMéxico

Aprox. More than

3.000 initiatives in

different countries

and regions (*)

PakistanKazakhstanPoland….

Regions and countries with initiatives based on cluster development

2001199719921980

-

Emilia-RomagnaToscana....

Basque CountryScotlandArizonaCataloniaMassachusetts New Zealand

Costa RicaCalifornia....

MéxicoSouth Africa....

FranceEstoniaDenmarkSloveniaUKMinas Gerais...

1990 2003 2005

….

2011

(*) Estimation from TCI,European Cluster Observatory 2011



Catalonia: Catalonia:

pioneer countrypioneer countrypioneer countrypioneer country



COMPETITIVENESSCOMPETITIVENESS

WINNINGSTRATEGIESWINNING

STRATEGIES BUSINESSBUSINESS

Last target

Tool: place to discuss group strategy and implement actions according to the strategy

CLUSTER CLUSTER

STRATEGIESSTRATEGIES

Segment by business and not by statistical codes

BUSINESSBUSINESS

Success or future strategies in this business


Business Cooperation

+Obsolete collectivestrategy.

Collective winningstrategy.

Competitiveness +__

ObsoleteIndividualstrategy.

Individual winning strategy.



Health Initiatives

Mental HealthMental Health

BioTechBioTech

TecMedTecMed

SeniorsSeniors

Mental HealthMental Health



The future will be hybridThe future will be hybrid

Intercluster projects

Children’s health

Kid’s cluster

Sports cluster

Medical devices cluster

Aquaculture cluster

Children’s health

Mental Health



Mobile technologies



Fashion cluster

Videogames cluster

Automotive cluster

Mobile technologies

Mental Health Cluster

Medical Devices Cluster



Seniors



Seniors

SportMental Health

Medical Devices

Food Domotics



1.000 active companiesin 24 clusters

Pro-clusters Government since 1993

TCI Headquarters

Catalonia: A Holistic Cluster Catalonia: A Holistic Cluster EcosystemEcosystem

in 24 clusters

Business Schools (IESE, ESADE)

trainingCluster Professionals

Some world-leadingCluster Consultants



Moltes gràcies

Thank you very muchThank you very [email protected]


Innovating Mental Health at EuropeSabadell, 5th September 2013Sabadell, 5th September 2013


SANT BOI DE LLOBREGATAND MENTAL HEALTH

On 2008, the approval of theMunicipality Action Plan definedthe Community Mental Health asone of the main strategic axis atSant Boi de Llobregat.

On 2008, the approval of theMunicipality Action Plan definedthe Community Mental Health asone of the main strategic axis atSant Boi de Llobregat.



On October 2008 there was signed the Protocol of Intent todevelop the strategic Community Mental Health with theaim of promoting the city as a national and European level

SANT BOI DE LLOBREGATAND MENTAL HEALTH

aim of promoting the city as a national and European levelin this area.



On 16th January 2013, Sant Boi de Llobregat, the driving city Cluster project, hosted thesignature of the Cluster constitution, with 22 cluster members across Catalonia.

Sant Boi City Council driving the Catalan Mental Health Cluster



Potencial Founders

19/10/2013 19

Junta directiva

Non-membercollaborator

Potencial Partners

Support institutionswww.parcdesalut.com/innovating-mental-health


New headquarters for the Mental Health Cluster

Palau de Marianao premises, emblematic building at St. Boi del Llobregat

Centre d'Excel·lència Internacional per a la Salut Mental de Catalunya (CEISAM)



DINAMIZATION PLAN – MENTAL HEALTH CLUSTER

Includes a proposed action to enhance the ICT application on mental health




European Cluster on neurosciences

Ramon Maspons BoschParc de Salut






ContextCare for people with dementia is agrowing concern in many Europeancountries. In the context of an ageingpopulation, an increasing number ofpopulation, an increasing number ofEuropean citizens are likely to be affectedby mental disorders, dementia orneurodegenerative diseases (such asAlzheimer’s).

Addressing the opportunities for patients suffering from dementiaas well as addressing the issue of caring, is of particular concernto policy makers at regional, national, EU and global levels.





JAP Actions

2012 (II) 2013 (I) 2013 (II)1. Interactive map (1000 references), of

enterprises, research institutes, VC put onthe website

2. Databases of private investors, VC,business angels on the website (500+references)

1. Mentoring events (1 in Budapestfocused on Eastern Europe,)

2. Matchmaking event in Garching –MedTech Partnering BtoB

3. Promotion of job opportunities in

1. Mentoring event (1 in Marseille)focused on Mediterranean area

2. InterRoK meeting to match with otherRoK projects in ageing (Marseille – July1-2)

references)

3. Fact Sheets on reseaech ecosystem (in 4regions)

4. Research of synergies between regions toapply for the European calls (2 projectssubmitted, 4 match-makings betweenSMEs)

5. Exchanges with other European initiatives(JPND, ESCAN, Alzheimer Europe)

6. Soft-landing opportunity promoted onthe website (2 incubators per region).

3. Promotion of job opportunities inthe neurosciences field through thewww.neurorescue.eu website

4. Promotion of living labs inter-regional cooperation

5. Further exchanges with otherEuropean initiatives and RoKprojects (NeuroMed, DANAAlliance, European Brain Council,JADE, Ami4Europe.

3. Matchmaking event in France –NeuroConnection BtoB

4. Dissemination of the best practices

5. Creation and launch of the businessintelligence unit (financial, regulatory,technological watch)

6. Start of the lobbying activity incoordination with other neurosciencesinitiatives

7. State of the art in the field of ClinicalTrials






INNOVATING MENTAL HEALTH AT EUROPEMentoring activities• Budapest and other eastern countriesThe main goal at an international level is to implement commonprojects also based on the existing cooperation initiatives (e.g.Mobility and Multimedia Cluster, Hungarian Medical Cluster)within the NeuroRescue community.within the NeuroRescue community.One mentoring visit in Budapest April 10, 2013

• Mediterranean areaFocus on the Mediterranean area, because of the good historicrelationship between PACA and this area. The Maghreb countries are characterized by the rise in life expectancy. Ageing population healthcare and neurodegenerative diseases are therefore becoming an important societal issue.One workshop in Marseille with countries from the Mediterranean area planned for July 2013.


INNOVATING MENTAL HEALTH AT EUROPENeuroRescue JAP:

• Helping companies to become more competitive by enhancing access to researchexcellence, funding mechanisms and innovation through the improved interconnection ofthe actors in the field of Neurosciences.

• Promoting the collaboration, the exchange and the dissemination of best practices relatedto Neurosciences at the European level and beyond.to Neurosciences at the European level and beyond.

• Supporting the internationalization efforts of academics and research institutes in the fieldof Neurosciences through improved collaboration between themselves and with companies,notably SMEs.

• Supporting policy makers in developing innovative clusters and healthcare policies such asresearch & innovation smart specialization framework conditions.

• Developing a holistic approach to raise awareness and increase prevention on societal andpatient care issues linked to Neurosciences such as the prevention of ageing relateddiseases. www.parcdesalut.com/innovating-mental-health


Lobbying

Lobbying at a European level is required to raise awareness of the needs associated with neurodegenerative diseases (too long application procedures for researchers, hard to find adequate funding, etc.).

NeuroRescue can be a lobbying tool to raise interest and awareness with EU and regional policy makers.

Therefore, the NeuroRescue community decided to • Contact the EU brussels offices of each region in the health sector and to provide PACA with the name of the contacts• Organize a meeting with researchers/SMEs and establish a lobbying group (3-4 key opinion leaders from each region) and look for a good practice in terms of lobbying



THANK YOU

Visit NeuroRescue website Visit NeuroRescue website www.neurorescue.eu

More events at Catalonia www.parcdesalut.com/neurorescue




Innovation on neurosciences and treatments for childrens - teenagerstreatments for childrens - teenagers

Josep Moya Ollé

Coord. OSAMCAT



V CATALAN CONGRESS ON MENTAL HEALTH OF CHILDREN AND

ADOLESCENTSADOLESCENTS

Experiences on mental health: assistance, research and education

Barcelona, 13 and 14 november of 2014



PROGRAM:Inaugural conference: Dra. Begoña Roman,teacher of ethics, Philosophy faculty ofteacher of ethics, Philosophy faculty ofBarcelona University. Catedra of ethicsEthos Ramon Llull director, Ramon LlullUniversity



1. Assistance table (I):" Responses to the current Pathology "

•Development and use of a Protocol Conduct in a dayhospital “

•Experiences of using " Video Feedback “



2. Assistance table (II): "Network experiences in working with severe mental pathologies "

•Psychosis in the Adolescence: ways to approach on the Network •Psychosis in the Adolescence: ways to approach on the Network

•Detection and treatment of Psychosis in medical education unit

•Rehabilitation work with young people



3. Education:

•Transmission guide of information between services (Xarxabaix). Social Information unitsservices (Xarxabaix). Social Information units

•Training program for teachers serving students with Autistic Spectrum Disorder



4. Research:

•Intelligent recognition behavior and medicalimage applied to the ADHD analysis.image applied to the ADHD analysis.

•Functional connectivity of the brain at rest.Applications in clinical and psychotherapy.




RARE DISEASE IN CHILDRENMALALTÍES RARES EN INFANTS MALALTÍES RARES EN INFANTS

Jordi Cruz President of Spanish MPS Society and Member of the

Rare Disease Federation Sabadell, 5th September 2013





WHAT ARE RARE DISEASE?

-Low prevalence are of diferents conditions, more are verycomplicate syndroms, and the majority of this syndroms are of infants. infants. -7.000 ~ 8.000 diferents rare disease.-4.000 are genetic originary and are of the peditrician poblation.-For the majority of rare syndroms there are treatments and medical experts.



•35% are death about one year of age.•10% are children between 1~5 years•50% death before of 30 years.•50% death before of 30 years.

The prevalence in Europe is about 5 cases for 10.000 people (or thesame, 1 case for every 2.000 people borns).



Between 6~8% of the general poblation is possible that have a rare disease. a rare disease. In Europe are 30~35 millions with rare disease.In Spain for exemple, there are about 3 millions. In Catalonia Community there are about 300.000 affected people.



WHAT ARE THE MPS ?

Mucopolysaccharidoses (MPS) and related diseases are genetic lysosomalstorage diseases (LSD) caused by the body's inability to produce specific enzymes. Normally, the body uses enzymes to break down and recycle materials in cells. materials in cells.

In individuals with MPS and related diseases, the missing or insufficient enzyme prevents the proper recycling process, resulting in the storage of materials in virtually every cell of the body.

There are from MPS I to MPS VII, and Related Diseases.


SPANISH MPS SOCIETYMPS SPAIN

*MPS Catalonia/Central Office

•MPS Community of Valencia

•MPS Community of Castilla-La Mancha

Special acknowledgement for its contribution

•MPS Community of Castilla-La Mancha

•MPS Community of Andalucía

•MPS Community of Murcia.

•Delegation of Madrid

•Delegation of Marbella

*Foundation


• MUCOPOLISACCHARIDOSE

WE REPRESENT


• RELATED DISEASES

• FABRY DISEASE







PARTNERS OF HONOR


PARTNERS OF HONOR



PSICHOLOGY



PHISIOTHERAPY



SERVICES POLICYSERVICES POLICYPHYSIOTHERAPY / PSYCHOTHERAPYPHYSIOTHERAPY / PSYCHOTHERAPY

LAW FIRMLAW FIRM

MEDICAL ADVICEMEDICAL ADVICE




Innovating on social attention

Ester Fornells Admella

Consell Comarcal del Baix LlobregatSabadell, 5th September 2013



Necessity of innovationin social attention

- Territory characteristics

- Work in a network


XARXA BAIX

OSAMCATOSAMCAT

Consell Comarcal del Baix Llobregat

Diputació de Barcelona


History

- Work areas- Work areas

- Social risk population increase

- Legislation in social services and LDOIA

- Different network models


Field of action

• Territorial (Baix Llobregat)

• Intervention services: SSB, EAIAs, education, health and mental health, juvenile justice, SIE, SIAD, DGAIA & others


Objectives• To establish and consolidate collaboration dynamics, strategic cooperation

and work in a network

• To define and share intervention models

• To develope the work in a network• To develope the work in a network

• To connect the territory

• To organize preventive and coordinative actions

• To share routes, resources, devices, metodologies, programs, projects andexperiences

• To use a work model in the Catalan territory that offers real solutions


Theorical frame

• Social changes• Economic crisis• Economic crisis• Family transformation• Childhood vulnerability• Intervention model of the work

in a network


Methodology and activities

1. Work commission. Since 2011 1. Work commission. Since 2011

2. Interprofessional seminars (SIXB)

3. Information transfer. Social InformationUnities (UIS)


Work commission

Formed by: Social services professionals, education CSMIJ and CDIAPeducation CSMIJ and CDIAP

Objectives:

• To consider a regional work model need

• To analyse the local networks situation


Interprofessional seminars (SIXB)• Objective: To establish a base of a network for the childhood,

adolescence and psycho-social risk families attention• Metodology: To approach on complex and serious cases

that require an articulated work between the implicatedthat require an articulated work between the implicatedprofessionals

• Conclusions: • Hypothesis diagnosis• Intervention plan: implicated actors implicats

and temporarisation• Avaluation


What do we reach throught the SIXB?

• To reflect

• To analyse

• To listen• To listen

• To share the professionals discomfort

• To make a community work

• To reach conclusions


SIXB's qualities

• The Interprofessional Seminars allow to talkabout professionals discomfort and protectHuman Resources responsibility on Human Resources responsibility on the mental health sector

• Mental Health mechanisms are moredependent of human technologythan instrumental technology


SIXB's qualities

• Professionals request can be exhausting for themand cause lost of motivation and leak of comprehensioncapacity

• Need of additional training and care for the professionals

• This is a base of the work in a network (Josep Moya, 2012. Page 130)


Information tranfer between services

Xarxa Baix is born as a reflection area. Xarxa Baix is born as a reflection area. It starts a valuation about the informationtransfer to achieve the objective of givinga better attention and support to the peoplewith better quality and efficiency


Information transfer difficulties

• Confidentiality right• Contradiction and incompatibilities between• Contradiction and incompatibilities between

information transmission and confidenciality• Number of professionals and working services

choosing• Stigmatization risk


Information transfer guide

Comission: education professionals, CDIAP, CSMIJ, SSB and EAIASSB and EAIA

Objective: to give response...• “What information do I need?”

• “What happens when I ask for information?"

• “What happens when I have to give information?”


Debate forum

• Work in a network

• Transferring information:• Transferring information:• Which

• How

• Use

• Usefuleness


Guide objectives

• To work on a network

• To define the information needs• To define the information needs

• To give the information neededin a faith environement

• To know the legal frame


Why to work in a network

• Problems to be faced have a complex nature and can not be solved only withnature and can not be solved only withone service or speciality

• Cooperation and reciprocity needthe actors will and implication


Why to work in a network

• To offer a customised attention to the peoplenecessities: individual, group and communitynecessities: individual, group and communitydynamics

• To establish an evaluation system usinga connection and collaboration atmosphere


Information transfer between services• An aswer from the intervention and prevention

• Being optimal and efficient through a work in a network • Being optimal and efficient through a work in a network between various services

• Families attention is focused on its globality, complexityand community sense. That is why it need a connectionbetween services and professionals


SOCIAL INFORMATION UNITIES (UIS)

Aimed to the person as the system center

Professionals predisposed to share information and resources

Team work increase professionals confidence and helps to providea better assistance

To share information makes a collective subjectivity and avoid hierarchicknowledges and acting alone risks and problems


UIS and its professionals

• Interaction with other professionals

• Cooperation between different institutions

• To increase the reality environement knowledge• To increase the reality environement knowledge

• User services centralization to make good decisons

• Holistic, documentated and consensuted servicesbenefit




MENTAL HEALTH PROJECT ON PREVENTION FOR CHILDREN POPULATION

AT 'SANT BOI DEL LLOBREGAT'

OSAMCAT- CRAPPSI-FUNDACIÓ ORIENTA-CONSELL COMARCAL BAIX LLOBREGAT

Ajuntament de Sant Boi de LlobregatAtenció Primària Sant Boi de Llobregat

Centres educatius de Primària de Sant Boi de LlobregatCDIAP DE Sant Boi de LlobregatCSMIJ de Sant Boi de LLobregat

Ms. Núria Valero Mayor's Office, Sant Boi del Llobregat City Council





1. JUSTIFICATION• The prevention on mental health problems should be

focused in child and teenage population for tworeasons:

• First of all, because a very important part of the• First of all, because a very important part of themental disorders start in this period of life.

• A second reason is that: childhood is a vital stage. Inthis stage, defense mechanisms and relational suportelements related to prevention and risk aredeveloped.



Where do we start?

Getting to know wich are the crucial factors of protection and wich are the risk factors. Focusing attention in the kids and teenager’s life

environment. environment.

Therefore we find two principal elements we should focus on: family and school. But we also include less formal elements such as: street environment and other leisure spaces.



Fast Prevention

A previous detection of the problem allow aquicker intervention and at the same time aprevention in terms of “risk factor.”

We will focus preparing health proffesionals suchWe will focus preparing health proffesionals suchas pediatritians or nurses and educationprofessionals such as teachers. These are theproffesionals that are closest to the kids andteenagers.



POPULATION SEGMENT TO WHICH WE

FOCUS THIS PROJECT

• The population segment to wich we direct thisproject are:project are:

• a)Primary and secondary educationprofessionals in Sant Boi.

• b) Primary and secondary PTA’S (ParentsAssociation) of Sant boi.



a)Primary and secondary educationprofessionals in Sant Boi

• I) Etapa infantil (o-12 anys):

14 public center

• 14 focal groups 2 sessions x group 28• 14 focal groups 2 sessions x group 28

• 9 concerted

• 9 concerted center 2 sessions x group 18

• AMPA 23 focal groups 2 sessions x group 46

• Total 46 2 sessions x group 92



b) Primary and secondary PTA’S (Parents Association) of Sant boi.

• 13-18 years

5 public centers .5 focal groups 2 sessions x group 10

6 concerted centers. 6 focal groups 2 sessions x group 12

• AMPA 11 focal groups 2 sessions x group 22

• Total 22 focal groups 2 sessions x group 44



Contact should be established

with health primary atention

Methodology

with health primary atentionprofessionals



Methodology

It will consist in the realization of focal groupsconsisting of: proffesionals and parents. Twosessions per focal group will be done.

In the first session we will analyze theIn the first session we will analyze thedifficulties found in the exercise of education.



During the second season, they will be giventhe instruments needed to detect andaboard the problems produced in school or

Methodology

aboard the problems produced in school orin home.



Thanks for your attention.

NURIA VALERO CLUSTER DE SALUT MENTAL DE CATALUNYA.

[email protected]




TECHNOLOGY AND INNOVATION ON MENTAL HEALTH

Detection, analysis and control on therapies and treatmentstherapies and treatments

Dr. Sergio EscaleraUniversitat de Barcelona, Centre de Visió per Computador UAB


98





Motivation

Observational techniques are essential forclinical diagnosis and therapy.

Accuracy is required during the observation.Accuracy is required during the observation.International criteria tend to ignore thedependent variable contexts.

Need of more precise techniques:Automatic extraction of indicators



Our group: • Process automation for diagnostic support : “Human Pose Recovery and Behavior Analysis”

http://www.maia.ub.es/~sergio/http://www.maia.ub.es/~sergio/

SENSORS DATA ENTRY

BEHAVIORAL AND ENVIRONMENTAL

ANALYSIS (OBJECTS)

AUTOMATIC FEEDBACK OF INDICATORS

Automatic data analysis: image, video, audio, medical image, so on. Intelligent software based on: •Computer Vision•Pattern Recognition•Statistical Learning



Antonio Hernández-Vela, Nadezhda Zlateva, Alexander Marinov, Miguel Reyes, Petia Radeva, Dimo Dimov, and Sergio Escalera, Human Limb Segmentation in Depth Maps based on Spatio-Temporal Graph Cuts Optimization, Journal of AmbientIntelligence and Smart Environments JAISE, 2012



Relación con la innovación en Europa

Horizonte2020 approach:

Health: Priority area

Key subtopics:Key subtopics:

-ICT (Theories of the Information and Communication) on Health:-Computer vision, learning, different sensors, mobile devices

-Active Ageing:-ICT for enhancing autonomy

-European multi-disciplinariety trend: The union of different areas of knowledge enriches and fosters innovation

Involving the use of living labs and user involvement � positively valued by Europe



ADHD diagnosis algorithm

At least 6 of the criteria for attention deficit or 6

At least 6 of inattention, 3 hyperactivity, and 1


attention deficit or 6 hyperactive-impulsive criteria

3 hyperactivity, and 1 impulsivity

Comorbidity: less with schizophrenia, autism iTGD

Discard multipleDiagnoses




Noninvasive Filming in different contexts (previous surveys):- Custom Computer Games- Math Exercises "

Automaticquantification of

indicators

Detected: “body support on the table"





Sergio Escalera, Josep Moya, Laura Igual, Verónica Violant, and M. Teresa Anguera, Automatic Human Behavior Analysis in ADHD,Eunethydis 2nd International ADHD Conference, Barcelona, 2012.

Antonio Hernández-Vela, Nadezhda Zlateva, Alexander Marinov, Miguel Reyes, Petia Radeva, Dimo Dimov, and Sergio Escalera,Human Limb Segmentation in Depth Maps based on Spatio-Temporal Graph Cuts Optimization, Journal of Ambient Intelligenceand Smart Environments JAISE, 2012


INNOVATING MENTAL HEALTH AT EUROPEConclusions

•Research and advances in information technology are enabling high applicability in mental healthsettings: Just appreciate the generality of the technology: Prevention, detection, follow-up, detectionof anomalous behavior, so on.•Line recognition of people, behaviors and automatic quantification of indicators provides differentbenefits:

NoninvasiveNoninvasiveObjectivityComputer systematic (not tired)ComfortReliability so on.

•In the case study of ADHD we have demonstrated the feasibility to automatically quantify theindicators established in the DSM-IV-TR and ICD-10 in different contexts.•Use for different purposes in mental health (project on interaction analysis in autism active).•Defining an automatic labeled dataset for clinical studies.



The motivation on ADHD (also known as TDAH)

•Brown (2006) mention the fact of displacement of the concentration. The same subjects whohave chronic difficulty focusing on a task may have the opposite problem of being unable towithdraw attention and redirect certain point to another point concentration when needed.

• Some authors refer to this as hyperalertness and described as focusing on a task in which they

are interested while totally ignore or lose track of anything else, including who should attend.are interested while totally ignore or lose track of anything else, including who should attend.

• From this it follows the need to check ADHD symptoms vary greatly depending on the contexts(variable motivation).

•Automatically analyze correlation or significant differences in different contexts indicators ofmotivation.



Special thanksMulti-disciplinary team

(Matemáticos, Informáticos, Psicólogos, Psiquiatras)Josep Moya, M. Teresa Anguera, Verónica Violant, Laura Igual




The implication of medical

Innovating Mental Health at EuropeSabadell, 5th September 2013

The implication of medical

professionals on the mental health

of elderly people

Dr. Antoni Yustewww.parcdesalut.com/innovating-mental-health





ESTIMA, cap a la gent gran amb demènciademència

Ester González Aguado, PhDConsorci Sanitari del Garraf

Servei de Geriatria - PsicogeriatriaSabadell, 5th September 2013





ESTIMA Project:

ESTImulació Multisensorial en la demència

Projectes Socials de l’Obra Social de la Caixa, convocatòries 2011-2013

Caixa Manresa

Donacions particulars



Person Centered Attention

Rise of NFT for dementia / Access to new technolgy

Snoezelen / Multisensory environments



Person Centered Attention

Rise of NFT for dementia / Access to new technolgy

Snoezelen / Multisensory environments



• The origins…

Moderate-advanced dementia (GDS-Reisberg 5-7).

Presence of psychological and behavioral Presence of psychological and behavioral symptoms associated to dementia.

Interventions with primary caregivers.



Major goals:

• Prevent primary caregiver claudication.• Prevent primary caregiver claudication.

• Improve some indicators of QoL.

• Dignify the care of people with dementia.



Requirement for PCA in dementia:

Life history

Each person is unique Individuality is a value.Recognizing the individuality promotes personal Recognizing the individuality promotes personal

attention.

Requirement for multisensory interventions:

Sensory profile





+ Life history

/ Potentiality

/ Communication

Medical record

Disability

Behavioral disorders / Communication

/ Support needs

+ Sensory profile

/ Vital translator

Behavioral disorders

Dependency

Sensory limitations

Reference caregiver



• Scope:

Community services / day care centers

• Target population:• Target population:

Frail elderly (cognitive impairment, social fraility…)

Requirement:

Reference caregiver / vital translator



• Methodology:

Sample selection (Day Care Center).

Collect life history data and sensory profile analysis.

To train in multisensorial techniques to primary cares.To train in multisensorial techniques to primary cares.

Design and develop the individualized multisensory plan.

Assess the outcomes.



DAY CARE CENTERVilanova i la Geltrú (64.905 registered inhabitants, 2012).

Attending 60 persons / day.

Aprox. 25% with moderate-severe dementia.



• Measuring scales:

Cornell Scale for depression in dementia (Alexopoulus et al)

Pfeiffer’s SPMSQ

GENCAT Quality of Life Scale (Verdugo et al)

Caregiver Burden Interview (Zarit)



• Design and development of individualized multisensory plan (I):

Collect and analyze de data (life history and sensory profile).sensory profile).

Collect material for the sessions (video recordings, photographs, personal objects, letters…).



• Design and development of individualized multisensory plan (II):

Design sessions according to structured programme:programme:

I. Body conciousness

II. Contrasts and rythms (communication).

III. Personal integration (significant sensory stimulation)



I. Body conciousness:

Body and skin as limits (propioception):

Vibratory stimulationVibratory stimulation

Vestibular stimulation

Somatic stimulation



II. Contrasts and rythms (communication):

Internal rythms (body listening).

External rythms (music melodies; pauses and External rythms (music melodies; pauses and silence; go-no go tasks, …).



III. Personal integration (significant sensory stimulation):

The Knowledge and sense of stimuli.The Knowledge and sense of stimuli.

New sensations, old senses (reminiscence).

Biography: Sense of identity.



• CONCLUSIONS:

ESTIMA project expects to promote person-centered care.centered care.

Empowers the person with dementia and their loved ones to lead the intervention.

No matters how much, but HOW


Thank you!

Innovating Mental Health at EuropeSabadell, 5th September 2013


Innovating Mental Health at EuropeSabadell 5th September, 2013

Visit the webpage event:


Sabadell 5th September, 2013

Health & Medicine

Innovating mental health at Europe - Catalonia (Spain)