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Luis Salvador-Carulla MD, PhD Luis.salvador-carulla@sydney.edu.au

A building blocks strategy for developing bridging and knowledge transfer between ageing and disability care and policy. Luis Salvador-Carulla MD, PhD Luis.salvador-carulla@sydney.edu.au. BADIN Bridging Ageing and Disability Intnl . Network.

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Luis Salvador-Carulla MD, PhD Luis.salvador-carulla@sydney.edu.au

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  1. A building blocks strategy for developing bridging and knowledge transfer between ageing and disability care and policy Luis Salvador-Carulla MD, PhD Luis.salvador-carulla@sydney.edu.au

  2. BADIN BridgingAgeing and Disability Intnl. Network J. Bickenbach, C. Bigby, L. Salvador-Carulla, T. Heller, M. Leonardi, B.LeRoy, J. Mendez M.Putnam, A. Spindel

  3. KNOWLEDGE IN CARE • KnowledgeTranslation • Knowledge Transfer • KnowledgeSharing • Knowledge-to-Action • Tacitknowledge / Explicitknowledge

  4. Knowledge & Care Health Policy (Tobaccocampaigns) SHARING Transfer Health Care Health Sector Translation Biomedicine (egCancer)

  5. KnowledgetoAction • RTSP:Rapid Synthesis • & TranslationProcess • (Division of Violence • Prevention CDCP, US) • GuidingQuestions • Sixsteps • Processcomponents • KtAstrategy in Violence Thigpen et al. Am J CommPsychol 2012

  6. B&KT Context • 2011 WHO World Report on Disability: 1 billion people with disabilities in the world whom nearly 200 million experience significant difficulties • 2011 Global Health and Aging Report: people 60+ to reach 1.5 billion by 2050 • 2011 UN Global Strategy for the prevention & Control of NCD: need for an integrated care • 2011 WEF Global Economic Burden of NCD • 2012 WB Burden of diseases and Disabilities Study

  7. What are the challenges? • Strains on pension and social security systems; • Preparing health and social providers and societies to meet the new needs of care: populations aging with and aging into disability, chronic care & LTC, complexity • Designing sustainable policies to support healthy aging and community-living as well as long-term and palliative care; • Developing new services and encouraging independent living and person-centeredness, (empowerment, self-support, recovery, disability and age-friendly services and settings). • Need of integratedcare

  8. What are the challenges? • We need to know more about the link A&D • Persons with disabilities who grow old • Older persons who become disabled • AGEING as a field has a lot to contribute to the field of DISABILITY and viceversa • AGEING AND DISABILITY share common • Values, models, needs and priorities and policy agenda (implicit – hidden) • Competing funding sources

  9. A&D Gap: Unwanted consequences • Functional Dependency EU Recommendation and related Dependency laws were based exclusively on Ageing sector and failed to provide effective coverage for SMI, ID and other Disabilities in Europe • UN Convention for Persons with Disabilities is seen as ‘alien’ by the ageing sector • Missing opportunities of knowlegde, innovation and policy change, partenariates and co-funding

  10. AGEING Universalism Active aging Transgeneration living Age-friendlycities DISABILITIES Empowerment Recovery Flexible employment Person-centredcare Ejemplos Similar programswithoutKn. transfer…

  11. BARCELONA DECLARATION www.ijic.org Bridging knowledge in Long Term Care and Support • Political stand to make bridging and knowledge transfer key components of any program in the fields of disability and aging in Europe. • Call for action involving policy makers and stakeholders, including those from the health, education, social and justice sectors, social partners, as well as civil society organisations. • Call for research and funding • Improve the knowledge base

  12. TORONTO DECLARATION www.ficcdat.ca • 2011 Growing Older with a Disability (GOWD) Conference, a part of the Festival of International Conferences on Caregiving, Disability, Aging and Technology (FICCDAT) • Expert-basedconsensus: J. Bickenbach, C. Bigby, L. Salvador-Carulla, T.Heller, M. Leonardi, B.LeRoy, J. Mendez M.Putnam, A. Spindel • Global scope / specific issues for action • Based on previous declarations and key principles in persons with disabilities and ageing

  13. A&D: What is bridging?: definition & tasks • Bridging encompasses a range of concepts, tasks, technologies and practices aimed at improving knowledge translation, sharing and collaboration across stakeholders, organizations and fields in care and support for persons with disabilities, their families, and the aging population. Bridging tasks include activities of translation research, dissemination, coordination, assessment, empowerment, service delivery, management, financing and policy.

  14. Bridging • ObjectiveImprove efficiency, equity of care, inclusion and support at all levels, from the person to the society • Conceptual Frame: Recognising the complexity of the human condition from birth to death, the capabilities of all people, and the need for a conceptual vision that takes into consideration when planning a society where participation of all citizens is the ultimate goal.

  15. CONSENSUS STATEMENTS www.ficcdat.ca • National and international bridging of A&D knowledge, policy and practice must be actively promoted • Building effective bridges across A&D requires interdisciplinary collaboration and engagement with national and international decision-makers • Connecting the field of A&D will require development of a clear model of bridging • Bridging requires developing a common terminology and knowledge base.

  16. PRIORITY AREAS www.ficcdat.ca • Health and well-being • Inclusion, participation and community • Long-termsupports and services • Incomesecurity • Science of bridging

  17. B&KT/ A&D: BADIN Strategy and KtA • Conferences: Barcelona, GOWD, other Org. • Declarations: • 2009 Barcelona Declaration on bridging knowledge in long-term care and support. • 2012 Toronto DeclarationBridging knowledge, policy and practice in aging and disability • Publications: IJIC 2009 and 2012 • International Research Network: BADIN 2013 • Development of a Knowledge base • Institutional contacts and agreements • Partnerships: Integrated care, PCM, Other

  18. KT IN MENTAL HEALTH • 2011 CANADA: MHCC-KEC (Knowledge Exchange Centre) • SupportingthePromotion of Activated Research and Knowledge (SPARK) • Training Institute for improvingthecapacity of implementingeffective KT practices in MH & drug abuse • Innovation toimplementation: A practical Guide toKnowledgeTranslation in HealthCare: stepbystep guide tocreate KT plansfollowing a widerange of perspectives

  19. KT IN MENTAL HEALTH 2012 NEW ZEALAND: Partnership SPARK and Tepou (NZ): KT Institute in Auckland 2012 Newfoundland (Canada) IIMHL-KEC: International Knowledge Exchange Network for Mental Health (IKEN-MH): Can, NZ, UK, Aus, US Sweden, Ireland 2013: Meetings in Auckland and Sydney

  20. We build too many walls and not enough bridges I. Newton

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