Jane Teasdale is well known for developing awareness of home and health care issues in the community and for encouraging collaboration between public and private entities in Ontario’s Greater Toronto Area.
Mosaic Home Care & Community Resource Centres offers a person-centered community integrated model of care that is unique to the homecare industry. It also operates community resources centres, across the Greater Toronto Area that provide information, education, events, space for hobby groups, community and memory cafés and much more. Since Covid-19, Mosaic has taken all their programs online.
In her presentations, Jane focuses on the importance of a more complete model of care that addresses the clinical, the personal supports, the wider non-clinical psychosocial needs of the person and their relationships with community.
In November, 2020 Jane received an award from Elder Abuse Prevention Ontario for her dedication and service in elder abuse prevention. Jane has spent many years presenting on community-based models of care to local hospitals, community agencies, social workers and conferences run by organizations including NICE (Canada), the Global International Federation on Aging and the European Society for Person Centered Care. She has also taught a module on person centered care for the European Society’s Masters’ Program at the University of West London and is an active member of the European Society of Person Centered Health Care.
Jane is a regular contributor to the North York Elder Abuse Network, Ontario Caregiver Coalition meetings and the Toronto’s Senior Strategy Accountability Table and numerous other bodies.
Addressing the domains of home and community care within an empathic model of person to person and environment interaction
Jane Teasdale, Mosaic Home Care Services & Community Resource Centres, Canada
This talk addresses an holistic model of person centered, community integrated home care focused on intrinsic capacities and a creative non-clinical lens of engagement within a conceptual empathic construct. Awareness of and sensitivity to vulnerabilities and clinical conditions, engagement with capacities (social, emotional, creative, physical, cultural, spiritual) and personhood, and activation of social network and community assets is we believe central to the provision of holistic home and community care.
Primary health care as described by the WHO acknowledges the limitations of the institutional clinical and has advocated looking beyond the health care sector and to the broader determinants of health and wellbeing. The model discussed has four domains: two supportive and two fundamental; the supportive domains are the clinical and the non-clinical personal supports; the fundamental domains are the personal and the social network and community asset domains.
Care should be sensitive to bio medical conditions (the clinical) and their interventions and the way these impact intrinsic capacities. Beyond this, personal supports should be collaborative and sensitive to intrinsic capacities and personal preferences. Engagement with the fundamental domains, those of the personal and the social and the community are critical to identity, personal growth and social and emotional well-being. Social networks and community assets are also key to providing a supportive and engaging environment.
Addressing these aspects of the person requires an extensive collaborative process, involving not just the clinical hierarchy but the person and their social network. Informed navigation, advocacy and education are overlays supporting the ability to adjust and adapt to vulnerabilities and resource constraints. Extending care to the wider domains, while being sensitive to clinical needs, requires engaged person centered assessment and planning processes. Social work, psychosocial, nursing and personal support skillsets are all emphasised as care intersects with complex clinical, palliative, existential and end of life interactions. The continuums have a number of dimensions and stand on numerous shoulders; harmonising inputs and hierarchies is critical.
But public health and social care resources are limited and the opportunity to design and deliver integrated holistic care models that address capacities, vulnerabilities, personhood and the social and community domains, as one, are constrained.
This talk addresses a developing model of complex care interactions and domains within a conceptual empathic construct that we believe expresses universal principles. Irrespective of environment (acute, long term care, the home, the hospice) and life stage, the supportive environment’s ability to see, to understand, to collaborate with and to give expression to a person and their intrinsic capacities is underpinned by empathy. From empathy we derive awareness, from awareness sensitivity, and from sensitivity actualisation and a common holistic goal.
To express the model’s wider fundamental domains, the talk will include a short theatrical presentation from Theatre in the Web. Theatre in the Web are a group of actors who have been providing creative web-based content to our communities during the last and a half of the pandemic.