|Opis:||Population ageing and thereby the share of elderly persons growing require changes also in the field of personal care of the elderly. In spite of a distinct institutional stance, it is necessary, for the purpose of ensuring the right to independent and self-reliant life in the old age, to begin with the implementation of the de-institutionalization process, of a consequence foreseen by the long-term care. Long-term care has to incorporate the general accessibility of support services to the users, high degree of their quality and long-term financial sustainability.
Elderly persons need to be offered as wide as possible selection of support services, enabling them a life in their home environment under affordable conditions and thereby postponing their institutionalization. Elderly persons, their needs and respect for their will have to be brought into the foreground and they must be treated as equal members of our society.
By deinstitutionalizing personal care of the elderly, they would be given a possibility to freely decide where they want to use support services, at home or in an institution. Nevertheless, uninterrupted health and social care must be ensured for them, available under the same conditions, the possibility of choice between formal and informal care, the possibility of accommodation in apartment communities, whereby no breach of rights to health care and no decrease in the quality of an elderly person’s life may occur.
The entire process will be accompanied by a comprehensive transformation which, in addition to the elderly, will include their relatives, the local community, social assistance providers, health service providers, volunteers, formal and informal caretakers, associations and other stakeholders. Deinstitutionalization means to change the perspective on the process of aging and the elderly.
This, however, does not mean that we no longer need the institutions. The institutions will continue to have an important role in providing social assistance and health care services to the elderly persons in cases where an elderly person can no longer stay in the home environment due to health, social or other reasons, taking into consideration subjective as well as objective circumstances. Deinstitutionalization will contribute to the transformation of the existing institutions and will, nevertheless, for the institution be a realization of the fundamental concept with regard to ensuring personal autonomy of an elderly person when choosing accommodation thereby ensuring the right to a quality, suitable and safe care of an elderly person.
Deinstitutionalization will provide for a process of simultaneous development of diverse support services, which will be available to all users, thereby decreasing the number of institutional accommodations in the long run.|