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S. Pagliara, G. Cinquemani, G. Novelli
A Pepino, C. Freda
[email protected] - www.centroausili.org
Phone +39 081 19301360
Autonomy
“…ability to design own life, to get into relation with others and to take part into
building up of society with them”
(Andrich) Indipendence doesn’t necessarily mean
doing things without help But it means to be actor of one’s own
life, promoter of one’s own choices
Introduction
The aim of this work is to facilitate the going back home of a person with a severe disability, by removing those barriers limiting activities and participation (ICF WHO 2001)
The case
The person is a women 50 y.o. She has a severe motor impairment She needs rehabilitation therapies all week
long to maintain fine mobility with her arms and hands and the control of respiration
She rests in bed when is unnecessary to do something
She moves with a wheelchair For all of this facts she has been so far
forced to live in rehabilitation centre
The needs
Living at home Near the rehabilitation centre Building up a “new” autonomy …
The project
Multidisciplinary approach taking into account different levels:Project design with herBuilding or strengthen her “Social Network”Implementation with less discomforts possibleCosts
Promoters
ASL NA1 - National Health Service, district of Naples
Department of Biomedical, Electronic and Telecommunication Engineering, University of Naples Federico II
Centro per l’Autonomia Ausilioteca Campana – A SME working in Assistive Technologies for Autonomy
The person with disability and her family
Project Phases
She demands ASL-NA1 for independent living at home
ASL-NA1 with UNINA – DIBET and CAAC build up an individual project that takes care the whole needs
CAAC implement the Project
Promoters: ASL NA 1
Legislative support partial funding for the project supervisor of the entire process
Promoters : Department of Biomedical, Electronic and Telecommunication(UNINA - DIBET) Scientific supervising Validation of multidisciplinary
intervention
Promoters:Centro per l’Autonomia Ausilioteca Campana (CAAC) Was born as a natural spin-off from the
Department of Biomedical Engineering Is composed by electronic and
biomedical engineers, psychologysts, AAC and rehabilitation therapists, ITC technicians
Biased on a multisciplinary model of intervention
Use ICF as a common language
CAAC’s - Workflow
Project implementation:CAAC main role linking in a unique network different
SMEs
For Home renovation Home automation Wheelchair and other assistive
technologies customizations
Project implementation:“side effects”
• Building up and strengthening of her social network through the action of health services, rehabilitation centre, family, caregivers and all other actors that could give contributions to this project.
Project implementation
Project ImplementationOutcomes• installation of an environmental control tailored
to the user’s real needs at lower costs • Two wheelchairs one electronic to get out
home and the other lighter to move faster in her house
• A new life… priceless
The Costs
Before: About 45.000 Euros per year only for long
staying
After A one-time expense (investment) of about
30.000 Euros for the first year and less than 10.000 Euros per year
The Costs
On a three years experimental project the gross amount is less than 50.000 Euros
Versus a previous expense of 135.000 Euros
S. Pagliara, G. Cinquemani, G. Novelli
A Pepino, C. Freda
[email protected] - www.centroausili.org
Phone +39 081 19301360
