Aging & Social Change: Ninth Interdisciplinary Conference

Abstract

Broadly aligned with desires of older people, much of Australia’s current aged care policy focuses on aging-in-place. However, little is known about the types and arrangement of care and services that most effectively support older people to remain living confidently in their homes, until death should they prefer. In September 2017, Elderly Citizens Homes (ECH) commenced the EnRICH (Enabling Responsive and Individual Care at Home) pilot study. After random selection, twelve clients with various clinical and social care presentations consented to participate. Aged 71-91 years, each displayed factors that heightened their likelihood of permanent admission to residential aged care (RAC). Each participant had a single Care Manager, who enacted broadened care management activity, additional funding (where applicable) and an enhanced service suite. Quantitative investigation explored the type, cost, quantity and construction of care and services that could support someone at risk of permanent RAC admission to remain living at home. Qualitative research explored both participants’ and their carer’s: views of, and approaches to, aging; experience of care, and feelings of safety during the EnRICH trial; opinions on sustainability of care at home, gaps and potential improvements to the EnRICH model. This study discusses the qualitative element of the project, including the issues that prevented clients taking up extra services; whether carers of clients struggled more with the notion of safety; and the positive finding that the more holistic approach enacted through the trial was effective. These findings are discussed, as are implications for care-at-home policies and programs.