Living at home longer with dementia in Rotterdam

    Pilot project

    Publication date: 01 July 2015

    In the spring of 2013, health insurance company Zilveren Kruis/ Achmea and the municipality of Rotterdam concluded the covenant “Working on a healthy Rotterdam together”. From the assumptions that people grow old more pleasantly in their own familiar surroundings and that living at home longer involves lower costs than intramural care, the ambition is to postpone or acquit intramural admission. Additionally, the aim is to organise health care and support at home so that this can be effectuated in a pleasant and safe manner.


    Intended results

    A document with findings with regard to fitting up the care and support of people with dementia and their informal carers as efficiently as possible. At any rate, the findings will be reported on:

    • The use of integral care and support of participating clients.
    • Expenses and revenues of integral support at home of participating clients.
    • The required expertise of present and new professionals in the domain of welfare and care who are involved in the support of people with dementia.
    • Experiences with regard to the deployment of specialist expertise for people with dementia in the home situation.
    • Experiences with regard to organising social and practical support for the informal carer.

    With regard to the implementation of integral care and support of participating clients, the following partial results are produced:

    • 40 to 50 care plans for integral care and support, in which there is attention for self-sufficiency, the utilisation of the informal network, collective welfare provisions, and informal carer support. If applicable, care and support are included from Health Insurance and municipal funding, the deployment of payable technological applications and evidence based interventions.
    • List or toolkit of possible (practice or evidence based) interventions that meet the needs of people with dementia and their carers.
    • Measurement of experiences and the perceptions of care and support of people with dementia and their informal carers in various stages of the disease (evaluation study by Erasmus University Rotterdam).
    • Escalation model: Cooperation agreements between Health Insurance Company, Municipality en Care organisations, where, the moment when the professionals and informal carers get stuck, extra care and support can be deployed making it possible for people with dementia to continue to live at home.
    • A document with recommendations for the benefit of an efficient and effective organisation of care and support of people with dementia and their informal carers and advice about sustaining the learning experiences and new perceptions.