20.500.12556/RUL-167741 A map of long-term care for people with dementia at the level of local communities the needs of people with dementia and the vision of care Long-term care for people with dementia has been studied using the Rapid Assessment of Needs and Services method, which has been used to map long-term care needs in order to stimulate the development of care that effectively meets the needs of people with dementia. In this paper, we present the results of three focus groups with key stakeholders in long-term care for people with dementia in three selected communities, involving 29 people from a variety of organisations: social work centres, homes for the older people, health centres, general and psychiatric hospitals, municipalities and non-governmental organizations. Qualitative analysis of the empirical material showed that the following problems are prevalent in the communities: (i) acute and unmet needs of informal caregivers, (ii) a multi-tiered system of long-term care that puts people in an unequal position, (iii) a lack of community-based long-term care, and inadequate responses to the needs of people with dementia. Even in communities where there are various forms of support, both institutional and community-based, available across all service sectors, long-term care for people with dementia is based on informal care. We propose the development of a national strategy for family caregivers, with special attention to informal caregivers of people with dementia. The support offered by existing facilities is inadequate, poorly accessible, or nonexistent. Homes for older people are overcrowded, and people with dementia wait months or years to be admitted to a home. Home-based assistance is not evenly distributed across communities, and its scale (20 hours per week) in particular is insufficient to meet the needs of people with dementia. There is a lack of alternative forms of care that enable people with dementia to remain in their own home environment for as long as possible, for example in the form of personal assistance. We suggest that the development of long-term care for people with dementia should be based on the proposed research methodology. dementia social work community care long-term care elderly rapid assessment of needs and services demenca socialno delo dolgotrajna oskrba lokalna skupnost potrebe true false true Angleški jezik Slovenski jezik Članek v reviji 2025-03-10 12:09:40 2025-03-10 12:09:46 2025-03-11 04:03:04 0000-00-00 00:00:00 2023 0 0 Licenca Creative Commons je navedena na pristajalni strani članka: "This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.(https://creativecommons.org/licenses/by-nc-nd/4.0/)". (Datum opombe 10. 3. 2025) Str. 109-124 [no.] 2 [Vol.] 20 2023 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 364-783.4 1854-0031 10.51936/gmuf2033 200555267 mz-2023-20-2-3-mali_(1).pdf mz-2023-20-2-3-mali_(1).pdf 1 146E4E3DE73B0BEC5D51847307722D8B 6b4b416abc200634fe426abe4877b651d30fb2ec591fc9c5a1c4d779f5002fba 0229a6dd-fda0-11ef-b232-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=200481 https://mz.mf.uni-lj.si/index.php/ams/article/view/mz-2023-20-2-3/mz-2023-20-2-3-mali.pdf 1 360d20ff-fd9f-11ef-b232-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=200477 Fakulteta za socialno delo Metodološki zvezki 0 0 0