1. C HALLENGES AND P OSSIBLE A NSWERS OF H OME C ARE IN H UNGARY Zsuzsa Szeman Demographic Change in Central and Eastern Europe JPI More Years, Better Lives Vienna, 24 March 2015

2. D EMOGRAPHIC CHANGES IN H UNGARY http://www.ksh.hu/interaktiv/korfak/orszag.html

3. D EVELOPMENT OF L ONG - TERM CARE 1993 Social Welfare Act – home care is a mandatory task of local government: maximum 4 hours daily help/care contracting out with NGO-s, churches possible 1994 - amendment of regulations, elaboration of better conditions for residential homes 2003-2005 model of obstacle free environment 2006 incorporation of the social alarm into the Social Welfare Act

4. W ITHDRAWING STATE 2009 Residential homes only for those with more than 4 hours care need Decreasing budget of social alarm 2011 New Constitution: care - task of family 2013 Financing of home care - decreased by 30% Home care with social alarm centralised 2015 Criteria to receive home care - made stricter

5. CONSEQENCE Increasing care demand – not enough caregivers 1995 1 caregiver 3.6 old persons 2011 1 caregiver 7.3 old persons 201265+ 6.4% received care but more care demand!  Shift from care to nursing - no suitable structure  Gap : older people with milder care need – out of formal care

6. T REND OF SOCIAL INNOVATION IN LTC, MODELS AND PROGRAMS 1992-1994 social alarm – model 1990s dissemination of social alarm 2003-2005 obstacle-free home – model 2009 dissemination of obstacle-free home

7. LATEST TRENDS - 3 MODELS Skype Care 1 2011-2014 Skype Care 22015in progress Complex home care2015in progress *

8. OLDER PEOPLE in home care PLANNING NGO Research ACTION young volunteers FINANCING NGO (private ) SKYPE CARE MODEL 1 Secondary education

9. OLDER PEOPLE in home care PLANNING Research, NGO Local Gov. ACTION young volunteers ! FINANCING Local Gov. Market Tender SKYPE CARE MODEL 2 Teaching Secondary education Tertiary education HOME CARERS Training

10. COMPREHENSIVE HOME CARE * OBJECTIVE: ─ complex home care, ─ service for elderly with milder care need HOW? Incorporate ICT / ICT market New human resource Professional carers with new skills Special labour market - public workers = program elaborated to avoid unemployment Help for family carers Prevent abuse Quick, reliable information Provide training RESPONSIBLE ACTOR: LOCAL GOVERNMENT ! Elaborated by Zs. Szeman, Jeneiné Dr. Cs. Rubovszky

11. CENTRE: ICT CASE MANAGER CARER TRAINING MARKET/ INTERNET PROVIDER MARKET/ EQUIPMENT LOCAL GOVERNMENT LABOUR M./ PUBLIC WORKER INFORMAL HUMAN RESOURCE YOUNG STUDENTS SOCIAL WORKER STUDENTS OTHERS FAMILY SERIOUS CARE NEED HOME CARE MILDER CARE NEED OUT OF CARE SYSTEM POLICE INFOCUMMUNICATION

12. W HAT IS CHARACTERISTIC FOR THE RECENT HUNGARIAN INNOVATION TREND ?  Models are built on earlier ones.