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Slovenia

2013: National policies covering the care and support of people with dementia and their carers

Background information

Where people with dementia receive care and support

The following table provides estimates of the number of people with dementia living at home, in various types of residential care and in hospitals or psychiatric institutions.

Place of residence

 

YES or NO

Estimated number/

Additional information

At home (alone)

Yes

 

At home (with relatives or close friends)

Yes

 

At home (with other people with dementia)

No

 

In general/non-specialised residential homes

 

 

In specialised residential homes for people with dementia

Yes

In Slovenia, there are homes for the elderly with residential  and nursing units

In general/non-specialised nursing homes

 Yes

It is estimated that 25% live in non-specialised nursing homes and nursing homes for people with dementia

In specialised nursing homes for people with dementia

 Yes

 

In hospitals, special wards or medical units

 Yes

Only temporarily, for treatment

In psychiatric establishments

 Yes

Only temporarily, for treatment

According to Spomincica, there were some 17,386 residents living in homes for the elderly in 2011. Of those, 25% were estimated to have dementia at various stages (form early to late stage). Most of the homes for the elderly in Slovenia have departments dedicated to people with dementia. 

Around 120 nursing homes shelter some 1,950 people with dementia.

In general/non-specialised residential homes, the ratio of staff to residents is 2 for 20 people.

The organisation of care and support for people with dementia

In Slovenia, nursing homes do not have dedicated dementia wards.

The auxiliary staff is well organised all over Slovenia. They provide meals on wheels for the people with dementia or can help with the cleaning

For daily home support, the person with dementia or the carer must find a helper and pay for the related costs. Public social organisations or local communities can provide home support twice or 3 times a week. While these will pay part of the cost, a financial contribution will be requested from the carer. 

Volunteers are rare and hard to find. This is a challenge: an increasing number of young people will be diagnosed with dementia in the future and their carers will be faced with the dilemma of how to take care of these people with being still at work.

Training

Which social and healthcare professionals provide care and support

The following social and healthcare professionals are involved in the provision of care and support to people with dementia in residential care or living at home.

Social or healthcare professional

Involved in the provision of care and support to people with dementia in residential care or at home

Nursing staff

Yes

Auxiliary staff

Yes

Allied health professionals

Yes

Specialists (e.g. psychiatrists, gerontologists, neurologists)*

No

General practitioners*

No

* Only if they are linked to the provision and organisation of care and support (i.e. not with regard to their role to provide medical treatment).

The type of training that social and healthcare professionals receive

Some of the education nurses and healthcarehealthcare providers receive training during the education process. After completion of the formal education process, training of the healthcare staff very much depends on how the nursing homes are managed. Nursing home staff members can usually attend a number of different trainings. Training is provided and partly financially supported by the Ministry of health, the Ministry of labour and the Social Chamber. Some of the nursing homes also organise and financially support the training itself. The training is organised a few times per year and it usually lasts for two to three days. It is officially recognised.

How the training of social and healthcare professionals is addressed

Training of social and healthcare professionals is not addressed in any national policy. However, training will be included in the dementia strategy that different stakeholders are currently developing in Slovenia.  At the time of preparing this report, a Dementia Working Group was working with the Ministry of Health of the new government to continue the work engaged under the previous government with the goal to produce a National Dementia Plan for Slovenia.

Support for informal carers

It is possible for an informal carer to become a ‘Family Helper’, but the governmental financial support is very low. Most families decide to look for help from another informal carer. This assistance is payable. The cost is around EUR 3 to 7 per hour and the price varies depending on how many hours the carer stays with the patient.

There are few organisations in Slovenia that provide help with patient’s nursing, feeding, bathing, as well as bringing prepared meals to the patients at home. This support is 80% substituted by the government and provided by the local community care. It is controlled by Social Services organisations. The cost of this kind of care service is approximately EUR 3.43 per hour and 20 hours per week can be used by the patient. Additional cost is for bringing prepared meals to the patients at home.

The government provides daytime centres in nursing homes with different activities for patients with dementia. Also, supervised sections for dementia patients are available in nursing homes.

Spomincica provides activities for dementia patients and their relatives named “Forget me not”. The programme runs over 10 year and the lectures are held by the medical doctors, specialists for dementia, as well as other healthcarehealthcare workers involved in the dementia care. Its purpose is consultation and training at home.  

The association has other subsidiary associations all over Slovenia. They organise and coordinate self-help groups once per month in all major Slovenian cities.

Spomincicaprovides support for dementia patients and their families in various ways:. it organises events such as “Alzheimer cafés” in open public spaces (library, café shops, bistro) for formal and informal carers. Here they can get new information about dementia and share their experiences. 

National Alzheimer Association

The table below lists services provided by Spomincica:

Helpline

x

Information activities (newsletters, publications)

x

Website

x

Awareness campaigns

x

Legal advice

x

Care coordination/Case management

x

Home help (cleaning, cooking, shopping)

 

Home care (personal hygiene, medication)

x

Incontinence help

x

Assistive technologies / ICT solutions

 

Tele Alarm

 

Adaptations to the home

 

Meals on wheels

x

Counselling

x

Support groups for people with dementia

x

Alzheimer cafes

x

Respite care at home (Sitting service etc)

 

Holidays for carers

 

Training for carers

x

Support groups for carers

x

Day care

x

Residential/Nursing home care

x

Palliative care

x

Acknowledgements

Aleš Kogoj, President, Spomincica

Stefania Lukic Zlobec,  Spomincica

Mihaela Spanja, Carer, Spomincica

 

 
 

Last Updated: Tuesday 25 February 2014

 

 
  • Acknowledgements

    The above information was published in the 2013 Dementia in Europe Yearbook as part of Alzheimer Europe's 2013 Work Plan which received funding from the European Union in the framework of the Health Programme.
  • European Union
 
 

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