Miriama Eyre, Jane Schembri, Neville Schembri

October 2009

Elderly Mental Health Conference

(Malta)

• Formed in 1992 (12 employees / 2 residents)

• Largest private company in elderly care

• Today operates in six facilities

• In 2010 will operate 7th facility in Attard

• Offer Independent Living for Active Adults

• Cater for Nursing Care for Dependent Elderly

Cospicua

Mosta

Rabat

ZejtunAttard

Sliema

Mellieha

Casa Arkati Opened August 1993

Capacity 131 residents

Villa Messina Opened August 1996

Capacity 125 residents

SPECIAL CARE UNIT (Capacity 23 residents)

Zejtun Home (P.P.P.)Opened March 1994

Extended May 2000 Capacity 167 residents

Cospicua Home (P.P.P.)Opened December 1999

Extended July 2004 Capacity 130 residents

Prince of Wales Apartments

Malta’s first Independent

Living Apartments for

Active Adults

Opened December 2005 Capacity 58 Apartments

Mellieha Home (P.P.P)May 2007

Completed in record time : 323 days (Apr07 – Feb08)

Home officially opened on the 1st March 2008

Capacity 154 residents

March 2008

What’s Next ?????

Opening June 2010

CareMalta Staff

Activity Cordinator

1%

Receptionists6%

Housekeeping15%

Clerical3%

Home Assistants4% Kitchen

Assistants11%

Chefs2%

Laundry Assistants

3%Maintenance

4%

Care Staff (Nurses/ Care

Assistants)

50%

Managers1%

Mission Statement

To be the Market leader in providing high quality healthcare and management services in the care of the elderly in our country

Corporate Care Philosophy

To maintain a safe, comfortable and efficient environment recreating a home like atmosphere.

To encourage independence where appropriate, and provide sufficient privacy to maintain individual dignity.

To promote at all times, social interchange between our residents and our staff.

To continuously train and support in the physical and emotional well being of our residents.

Person-Directed Care

Returning decision making and choices

to the individual.

Enhancing the primary caregiver’s

capacity to engage with the individual

and respond to his/her needs.

Establishing a home-like environment in

our facilities.

Person-Directed CareRecognizes and honors the person despite the level of

cognitive impairment (a disease of certain parts of the

brain.)

Person with Dementia

Person with Dementia

“The skills and capacities of people living with

Alzheimer’s that don’t diminish over time, or do so

more slowly, provide windows for connection and

communication.”

John Zeisel, Ph.D.

Persons with Dementia Memory problems

Disorientation - in time and environment,

exchanging day and night.

Problems with ability to think –

- with abstract

thinking

- not able to take

decisions.

- discernment

Apraxie – problem with simple

instructions.

Problems with recognizing things and

people

Speech problems – difficulties in finding

the right word, their vocabulary is shrinking,

they make new words.

Behavioral problems

Wellness – Curative Therapy Program

• Ergo Therapy

• Art Therapy

• Music Therapy

• Hydro Therapy

• Memory Training

• Psychomotor

Therapy

CurativeEducation

The Aim of a Curative Education

Programme is not only to resolve

the problem, but also to help a

person gain self- competence

(managing relationships, training

in problems-solving, making

systematic plans, hobbies, new

habits and skills) so the client will

be able to deal with his everyday

life tasks.

The Curative Programme- Three phases of the Curative Programme

- Introduction – diagnostic information of

patient, forming partial goals, creating

atmosphere of trust & relationship,

cooperation…etc.

- Realization – creation of and adapting to

various situations, enrichment of

expression tools, practicing of skills,

preparing for changing habits. Also

modification of all steps according to

clients’ needs during the process.

- Concluding - reinforcement of new

habits, expansion of the possibility to use

new skills, encouragement, affirming

habits of model of searching for help and

resistance of stressful situations.

Types of the program

Basal Stimulation

Sensory-movement stimulation

Supporting

Reeducation

Social - integration

Psycho social rehabilitation

Individual education

Emergency plan

Ergo Therapy• Utilizes different

methods, materials

and handicraft

activities with the aim

of helping residents as

much as possible to

develop and improve

their ability in actions.

• As treatment it uses

work activities.

Use of Ergo Therapy The goal is to use and enjoy our

time together through creative

daily activities.

Facilitates the social/emotional

needs.

Builds their self-confidence.

Increases creativity, initiative,

communication, frustration

tolerance, cooperation, social

habits and also improves

understanding of the rules.

Materials Any we can find at home: wood,

textile, paper, cotton and also food for

cooking, glue.

Art Therapy

Is expressive therapy that uses art materials, such as

paints, pastels, clay, markers, and collage.

Art therapy combines traditional psychotherapeutic

theories and techniques with an understanding of the

psychological aspects of the creative process, especially

the affective properties of the different art materials.

Art Therapy helps with achieving insight; resolving

conflicts; to express emotions and formulating new

perceptions that in turn lead to positive changes, growth,

and healing.

Art Therapy Uses wide spectral, visual, tactile

and emotional experiences.

It is also a form of assessment using some of following tests:

1. Body Image test (Machoverova)

2. Baum Test (Koch 1952)

3. The Draw a Person Test(Goodenough-Harris)

4. Drawing a “Person taking apple from a tree”(Lindy Gatt)

5. Clock Drawing Test

The Colours results from the above tests are not conclusive. Further examination is required.

Drawing examples “Person taking apple from a tree”(Lindy Gatt)

Drawing examples “Draw a Person test”(Goodenough - Harris)

Drawing examples

Clock Drawing Test

Drawing examples

ClayNew challenge. To feel, smell, touch, mould and taste.

Using Clay Improving fine motor and sensory skills.

Using it as hand print – expresses emotion.

Also it is a safe and good channel for releasing

behavioral problems.

Music Therapy Uses music to address physical, emotional, cognitive, and social

needs of individuals of all ages. Music therapy interventions can

be designed to:

promote wellness

manage stress and anxiety

alleviate pain

express feelings

• enhance memory

• improve communication

• promote physical rehabilitation.

• decrease depression

Music in Group Therapy Effect of the melody, harmony and rhythm evocate nice experiences

and imagination.

It gives a new way of communication through sounds, tones, rhythm

and so it opens clients up to self-expression.

Use of Musical instruments We use singing and playing on simple rhythmic instruments

(Karl Orff Instruments)

Music therapy also helps clients with speech, concentration and emotional problems.

Hydro Therapy The use of water for soothing pains and treating diseases.

Hidding et al:

A spa exercise therapy combined with drug treatment and

group physical therapy providing beneficial effects.

Hydrotherapy improves blood flow and the lymphatic

system. Increasing this circulation improves the immune

system.

Relieve Tension and stress

Stress is related to every disease. Hydrotherapy helps to reduce headaches, depression, andstress.

Memory TrainingAn educational program which

focuses on stimulating the brain

and enhances thinking abilities.

Psychomotor Therapy We communicate through movement with

our environment.

It is the source of basic information about the

client: the way they walk, body-control, face

play, condition of gross and fine motor skills.

The main aim of this exercise is to stimulate

neuromotor function, improve coordination

and proprioception between all body parts,

self-esteem through posture, experiencing

joy through tactile input, massage and

movement games.

We use dance, movement games, mimes,

relaxation techniques and massage amongst

other techniques.

Dance Therapy Help build self-esteem and body image, to develop effective

communication skills and to improve relationships, laugh and expression of emotions.

Also to expand movement vocabulary, help to gain insight into patterns of behaviour, as well as create new options for coping with problems.

Kairos Dance Theatre, Dancing Heart - Walker, photo ©Rich Ryan, Skyway News 2005

Exercises: Wii-Sport

Exercises Exercises for legs,

abdomen, and hands to

keep their body fit. Also

coordination training,

fine and gross motor

skills such as standing

up and sitting down,

bending, throwing,

holding , pressing and

also balance when

walking.

Core Psychological Needs

Increase Self

Esteem

Give and

Receive

LOVE

To Care For Self

and Others

To be Useful

Thank you

info@caremalta.com