Aging & Social Change: Fourteenth Interdisciplinary Conference

Abstract

In many Western countries, including Israel and Germany, engaging migrant caregivers in dementia care has become a common practice. This approach creates a unique triad of relationships and potential vulnerabilities among individuals with dementia, their family members, and migrant caregivers. We provide a comparative perspective on the complexities within this triad and explore experts’ perceptions and assessments regarding migrant home care arrangements for older persons with dementia in Israel and Germany. This study applied a qualitative method using semi-structured interviews with German and Israeli experts in dementia care, including representatives from placement agencies, legal professionals, social workers, and NGOs. A comparative thematic analysis approach was conducted to extract key themes. We identified similarities and differences in expert opinions in Germany and Israel regarding migrant home care for persons with dementia. The analysis revealed common and specific vulnerabilities among individuals with dementia, their families, and migrant caregivers, as well as systemic factors at a meso and macro level impacting all parties in the care triad. This study highlights the complex vulnerabilities in migrant home care for persons with dementia in both countries. It demonstrates that while certain challenges are universal, their manifestations and solutions vary due to each country’s different cultural and systemic contexts. The findings thus emphasize the need for tailored policies and practices that address the specific needs of individuals with dementia, their families, and caregivers within this arrangement. This research underscores the importance of understanding and mitigating vulnerabilities in dementia care through a culturally sensitive and comprehensive approach.