Showing posts with label Assisted Living - Special Needs. Show all posts
Showing posts with label Assisted Living - Special Needs. Show all posts

Tuesday, May 10, 2022

Interview With The SCAN Group Regarding Their Inclusive Assisted Living Project

         Dear friends, many parents of children with special needs dream of a place that is inclusive and part of a mainstream society, when they envision a place for their loved ones after them. But somewhere, along the way, we give up on our dream. Today, we will meet a group of parents, who worked relentlessly to make this dream come true! We will chat with two core members of the group, let's meet them:



 

B. 'Nary' Narayanaswamy

                                                                                                 

                                                      Gopinath Ramakrishnan


 From Mitr cafe to Inclusive living society, the scan group had an amazing journey. Would you like to share a few glimpses of the journey with our readers?

It all began with yoga classes for special needs families that was started in our home in  2012. Over a period of time we found that, in addition to the yoga practice itself, the coming together of special needs families in a relaxed environment had a very positive impact on both the children and the parents. We also realized that there were many parents of special needs children who were looking for such peer interaction and socializing opportunities. This gave rise to the idea of starting a parent support group, to meet, to discuss and share experiences of having a child with special needs. It began in a small way as a WhatsApp group, some parents then started meeting at coffee shops and so on. It was mid-2015 that we actually gave it the name Special Child Assistance Network (SCAN) . We were operating virtually on Facebook and WhatsApp and then migrated to Telegram when we outgrew WhatsApp. SCAN now has over 4000 special needs families and well-wishers on Facebook. Since November 2017, SCAN is a registered Trust. 


We were also fortunate that one of our members, Vimal Balachander, decided to open an associated support center for special needs, called Mitr, in Oct 2015. Mitr became the de facto hangout place for SCAN parents and children. We used to conduct workshops, parent meets, etc., and ran a cafe called Mitr Cafe on Sunday evenings - a social occasion for special needs families, where the children help prepare and serve food, have music programs as well as celebration of events like Diwali, Navarathri Dandiya, Christmas, New Year and so on Our vocational unit Tarang, started operating from there in 2017. We also had a variety of classes for children over the years - yoga, art, clay modelling, dance, music and many more.


                                              




                From the start, one of the discussion points for the group was all about who would look after our children after the parents' time. What After Us? is a concern that every parent of a special needs child has at the back of their mind. And during the enforced inactivity during the Covid lockdown we decided to do something about it! We were again lucky that a wonderful team of parents came together. Our core team of Meera & Balaji, Kannan, Kiran and the two of us, Nary and Gopi spent a lot of time discussing options, identifying different developers and talking to other parents. We found a ready interest for this initiative and a group of over 30 parents were able to go visit different sites to evaluate the project facilities and amenities. This helped make the process very systematic and democratic; the final selection was based on the clear set of parameters that were rated by a large number of parents, rather than being the choice of only a few of us.


                                                    



 Please tell us about the inclusive living project you are planning.

Nary:

It's inclusive - so families with members who have special needs or disabilities will be a part of the community. We are currently over 60 special families and we expect this to become over 100 families soon, in a complex which as over 2100 flats.


             It's customized to the needs of adults with special needs and their families - accessibility features in the flat and in the larger campus, groups with caregivers, services, central cafeteria, therapy centre, vocational centre, opportunity for employment/self-employment such as managing stores, managing cafe's, car wash services, medical services., to name just a few. Plus, they will have access to all the other amenities such as swimming pool, gymnasium, parks, club house, auditorium, etc.


            It's Transformational and not just a Place to live. All of the above make for each adult with special needs to discover and fashion for him/herself a purpose, a process and a lifestyle that facilitates a continuous learning. It gives an opportunity to their parents to transform into individuals in their own right - and not just the role of a caregiver that they have spent most of their lives on.

       

Gopi:

The basic operating model is as follows:

1.     Parents buy an apartment of their choice – 1BR, 2BR or 3BR – within the community. They can choose any block, any floor, etc. – purely their preference.

2.     Their child with support needs can either stay with them or in the Group Home if he/she is an adult. Some families want their adult child in the Group Home from the beginning so that he/she starts becoming more independent from the start. Others would like to have the child with them for a few more years before shifting to the Group Home. Again, purely their choice.

3.     The Group Home is similar to a service apartment – fully furnished, and all the basic amenities are provided, services like housekeeping are included. Payment is on a monthly basis for the stay. Food, laundry and medical expenses are extra, based on the actual usage.

4.     Caregivers will be provided based on the requirements of each individual. In some cases the person may need a dedicated caregiver fulltime. For most others a shared caregiver would suffice, which brings down the cost. The care requirements would be determined by Vidya Sagar through an assessment and discussion with the family before the person is admitted to the Group Home.

5.     There is a Cafeteria to provide food for the Group Home residents (all others in the community can also use this facility). The Group Homes also have fully equipped kitchens, as some of our children like to prepare food themselves on occasion – making a sandwich or preparing instant noodles is possible and they don’t always have to eat at the cafeteria. The Cafeteria will be in the hands of a carefully selected caterer who can offer quality food at reasonable prices. As the cafeteria will be open to all the residents in the community, this will enable significant economies of scale.

6.     The Vocational Centre is where many of them will spend their day. Based on their interest and aptitude we will also help them with employment opportunities within the campus. The Vocational Centre will also be the focal point to organize all the sports and recreational activities – yoga, fitness, swimming, music, etc.

7.     The Therapy Centre will offer the full range of therapies at a reasonable cost.

8.     There will be a clinic in the community to take care of basic medical requirements. We are also planning to tie up with Chettinad Hospital which is a multi-speciality hospital less than 2 km away, for regular health check-ups as well as any hospitalization required.

9.     The entire initiative will be managed by a Management Committee comprising parents, persons with disability and also experts like a doctor and psychologist.

 

                             


 

Interaction with some of the Caregivers undergoing Training

 

 

 You are tying up with other well known names in the field to provide services to the residents there, do share the details with us

Nary:


Vidya Sagar is a pivotal part of the project. Vidya Sagar is a 35-year-ols organization based in Chennai that focuses on the holistic development and education of children and adults with special needs, and on empowering persons with special needs and their families with knowledge and skills, while strongly advocating on issues of inclusion in all spheres of life.

          

             The Group Homes are like service apartments shared by 3 or 4 adults with special needs. They will be managed by Vidya Sagar through specially trained caregivers and group home managers.


         The hardware can be replicated - apartments, kitchen and space for therapies .. but managing this day to day, catering to a set of people with special needs each of whom are unique in their needs - requires specialized capabilities to know what to do and to train people to do that. Vidya Sagar brings that speciality.


                     They literally offer a Home Away From Home while the parents are alive; and thus a continuity of the life and lifestyle that the person is accustomed to.


         And after the parents' lifetime, it becomes Home - with other members sharing the apartment providing an emotional net; and the professionally run care services providing an infrastructural and vocational net.


Gopi:


The Vocational centre will ne run by SCAN parents. Some of them were running our vocational unit Tarang for many years, till it had to be closed due to covid lockdown.

           We also hope to be able to include people, who, in the normal course, may not be seeking vocational option. It's a captive unit, run by parents and also offers a lot of flexibility in customizing it to individual needs.



                                                           














          We will also be involving the best professionals for the Therapy centre as well as other activities. As an organization and as individual parents, we already have links with numerous experts - Speech therapists, occupational therapists, special educators, fitness coaches, swimming instructors, art therapists, music teachers, yoga instructors, etc. We will be bringing in such experts as required for the community.     


What are the different facilities available in your project?

Some of the key features of the project are:

1.     Group Homes (shared accommodation) for the children needing support, with trained caregivers, on rental basis for lifetime care

2.     Parents buy an apartment and stay in the community itself, close to the children

3.     Cafeteria for all meals at reasonable cost (currently planning for Rs. 250 per day)

4.     Therapy centre – with a full range of therapy services

5.     Medical centre on the premises. Also planning tie-up with Chettinad Hospital which is very close to the project site

6.     All common areas to be accessible

7.     Employment opportunities within the community

8.     Vocational centre with various activities: art & craft, music, bag making, weaving, etc.

9.     Sports & recreation activities: Yoga, Zumba, swimming, skating, Music, Art, etc.

 Strong emphasis on Governance. The Initiative will be managed by a Board of Parents, similar to the Board in a company. 


                                                            






 

 

Please find below a couple of links that would give you more insights into what the project is about, and the facilities offered:

 

1.     Brief AV introducing the project: https://www.youtube.com/watch?v=AragWBJpDMs

2.     Recording of the Webinar we conducted on Nov 28th: https://www.youtube.com/watch?v=ARzoFMleamc&t=10s  – this has all the details of the initiative, the facilities offered, pricing, etc.

 

 

 Would you like to share a typical day of the young adults living there?

 

Maybe this is wishful thinking, but we would like to imagine that there is no such thing as a “typical day”! Or rather, that the “typical day” is different for each one! For example:

·       An early riser should be able to go for a walk, a cycle ride, or perhaps a yoga session in the morning, whereas a late riser perhaps gets woken up just in time for breakfast

·       Someone who likes to make themselves breakfast can do so – whether eggs and toast or cereal with milk, or whatever they can fix for themselves… while others get theirs at the cafeteria

·       Daytime occupation can be delivery person for the grocery store, or handling the reception at the clubhouse, or weaving in the vocational centre – based on choice

·       The day is interspersed with recreation and sports activities of the individual’s choice – swimming, Zumba, music, painting, etc.

·       Those who need physiotherapy or speech therapy, or any other such service will go for those sessions

·       Evening leisure time is also choice based – watch TV in your Group Home, or go sit in the garden, or cycle around… on a weekend, attend one of the fun events that we organize – a music performance, games for all ages, or just a get-together!

·       Dinner options too are varied – eat at the cafeteria, make yourself some instant noodles or oats… or even order a pizza, why not?

 

 I recently heard about the SCAN Hyderabad project? Are more such projects on the way?

Right from the time we launched our project, we have been asked to start similar projects in other cities. We would be very happy to expand to other cities in due course. We felt that it would be important to first establish the facility in Chennai, as a proof of concept. In the case of Hyderabad, there are a few parents, some who are members of SCAN, who are keen to start a similar project immediately. So we have been sharing the learnings and helping them in the initial steps. Hopefully this will take off soon. We would be happy to support such groups of parents in other cities as well.

 

 How do you cater to individual needs in an assisted living facility?

The essence of the initiative is to enable each person to live life on their terms to the extent possible. The initiative is designed to encourage individuality and independent decision making.

·       Each Group Home has only 3-4 residents and they can each decide their daily schedule, whether to eat in the cafeteria or cook in the apartment, what to do in their leisure time, etc.

·       There is a wide range of employment and vocational activity, and each person will be given the option of what they want to do, based on their interest and ability.

·       When it comes to specific individual support needs, the approach is to customize the care and support provided. Each individual’s care needs will be assessed by Vidya Sagar before they enter the Group Home: the extent and type of care required; whether a dedicated caregiver or a shared caregiver; whether care is required through the day or only at specific times, and so on, will be determined and an Individual Care Plan will be drawn up. This will be monitored on an ongoing basis by the Group Home manager, and adjustments made as required.

·       The initial screening by Vidya Sagar will serve to decide on the decision to admit the individual based on the condition and care requirements; as well as on the choice of co-living residents.

 

 Parents and siblings are often looking for a second home for their loved one when searching for an assisted living facility. What are the key points we should focus on in our quest?

The biggest challenge is to find a place where the quality of life will be as close as possible to what the person enjoyed at home with their family. The reality is that most of the time the available and affordable options are much like a hostel, where life is regulated and individual choice is limited.

·       So, our first suggestion would be to look for places that are more “home-like” and allow a greater degree of flexibility for the individual.

·       Look for places that are integrated with the larger society, where the individuals get to meet and interact with others from the community around them. Being only with others like them who need support is not natural and has been proven to have many negative effects on behaviour and mental health.

·       It is very important that you, or someone representing the family, have free and unfettered access to the individual. You should be able to see how they are being taken care of, how their physical, mental and emotional wellbeing is addressed. The facility should be transparent in terms of how it is run, the safeguards it has in place, and how the residents are being looked after,

·       Here is where the Governance layer we plan becomes important. In institutional / hostel set ups the problem is not just that it’s a one-size-fits-all approach; often there is no connect point for the loved ones to be sure that the care needs are met at the desired levels (medications, check-ups, even simple things like status of clothes!, etc.).

 

 

 Your advice to others who are planning to start an assisted living facility in India?

 

·       Be Inclusive, don’t remove yourself and the residents from the rest of society

·       Focus on what would suit the individual rather than what would be easier to run

·       Give choices and decision-making opportunities to each person - they should be there because they want to stay, not because they have no option

·       Empower your team, your staff – they should also be there by choice and not just for the money

 

                            I hope this interview helped you envision that the sky is the limit when we work together to fulfill our dream - a dream of a life for our children where there is love, respect, understanding and a great bond among community members. 

Friday, April 15, 2022

Interview With Aparna Das Regarding Arunima Assisted Living Facility

 

 

Arunima, was the first assisted living facility I heard about a few years ago and    was full  of admiration for the people behind this venture. Today, I feel honoured           to interview Aparna, the founder-director of Arunima; that is located in the beautiful Dehradun. Aparna is a wonderful soul, who has provided a safe home for many special needs individuals. She answered the haunting question of ‘What after us?’ with an inspiring venture!

Throughout the interview, you will find glimpses of life at Arunima.




                                                                         




Q) What was your inspiration behind starting Arunima and a few details about the initial days please ...

                                 

                                                       Arunima ( aka Runi), my sister who is 38  years old now, was my inspiration. She has been with me most of our lives, since our mother passed away when we were both very young; Runi was 6 and I was 15.



As she grew older, it was becoming more and more challenging to provide a meaningful life to her. I had young children, was working, and while Runi  was a welcome part of our family, she was unhappy with nothing of her own to do. Apart from this was her growing and ever present dependency on me, as well as my fear about what would become of her if something were to happen to me. I am a certified special educator, and while I loved my work, there was always a sense that I was not able to make enough of a difference in my own sister’s life. A search for answers followed, and my father and I came to the conclusion that WE    had to create something for her and others, that would be a place that families could look to for current as well as future support. And the rest, as they say, is history.


 

                                                                    


 


Q) How many residents are currently in Arunima, their age  group please..



There are 19 residents at Arunima, and they range in age from 23-42. In other words, this is an adult centered program. We also have a day program, and our residents are joined by 5 day trainees for about 6-9 hours

 


                                                      





 

Q) A few details about your  team please                



First of all, this is a team I am so grateful for, both as the Director as well as a family member. We have 22 staff working directly with our friends at Arunima, and this group of   workers includes men as well as women. A Program Coordinator heads the team.. The rest of our team is made up of a few special educators, but mostly individuals who approached us, without a background in special education, but a strong desire to work in a program such as ours. They receive intensive in house training, both theoretical as well as practical, for three months, before they are considered ready to take on independent responsibility.





Q) How are they engaged throughout the day?


                                     Learning begins for each of us the moment we wake up, and I would say it is the same for our friends at Arunima. From getting one's morning milk/tea and snacks independently to  making beds, activities of daily living including personal care, breakfast and getting ready for work, our days begin like everyone else’s. Everyone leaves for the office at 9:30. There, each person is engaged in a variety of activities, ranging from cooking, shopping, yoga, exercises, physical fitness, sensory activities, social skills training, vocational workshop activities,  gardening, conversations and discussions, office work, IT training….the    list is long and ever evolving. We come back from work at around 1:45, and lunch is followed by free time where everyone rests. And then starts the evening routine which includes household chores, walks, games, TV time, bath, dinner and sleep. You can find more information on our website : https://www.projectarunima.org/




                                         



Q) What are the other facilities available at Arunima?

I think the question is answered above .... but we have not created any special facilities.  We prefer for our friends to use facilities like the gym, swimming pool, playgrounds, hospitals; that are available to the rest of the community too.



Q) Tell us more about Arukriti. Your recycled planters are truly unique! What are the other products available?


Thank you:-). As mentioned above, our friends are involved in vocational training and our sheltered workshop as well. Arukriti is the name we use to sell the products we make at our sheltered workshop. The products have evolved from the needs and interests of our friends as well as from some research into  market demands. We sell handmade paper and fabric products such as jewelry, stationary and some utility items. We have recently started selling cooked products such as biscuits, murmure and mathri and pickle at a few local stores. And ofcourse, there’s our gardening and nursery section (called Haryali) where our friends have been involved in different processes such as painting bottles, potting plants, preparing seeds and caring for plants. We have also been making  diyas every year, and have some very regular customers now -most of whom order our diyas from outside of Dehradun, and we courier the packages. Some of our friends’ artwork was used by a boutique to design stoles, and these are beautiful too. All the currently available designs can be found on our Arukriti Facebook page.





                                                                    





Q) Wonderful Aparna! How can we purchase them?

Regarding purchase, the best way to purchase a product from Arukriti is to inbox us on our page. We are very quick to get back to you.




 

 

 


Q) A few details about the amazing achievements in special olympics a     nd please share some training details too..

 

     We are thrilled to be able to participate in the Special Olympics this year, first at the district level and then at the state level. One of our ladies was selected for National level games as well, and all of us, her family as well as the Arunima family, were extremely proud of her. It was a new experience for our friends who participated, and we were blown away by how well they managed the new place, so many instructions, the HEAT  everything. Many of them won medals too, and even those who didn’t, came back a little grown up for the new adventure!

People may think we were constantly training our friends for them to have been     so  successful. However, we had no special training – just a consistently wholesome and healthy diet, plus daily exercises and many physical activities. But now that we have participated and experienced what it can be like, we will structure the physical activities to make them more attuned to the competitive events offered in these events.



                                



Q)  What are the most common challenges you have faced while running Arunima and how you cope with them?



The biggest challenge we face is staff turnover, especially with the male staff. As mentioned earlier, we train our staff intensively for three months, before we consider them ready to take on responsibilities at Arunima. And when they start working, our friends form close relationships with them too. However, while our salaries are comparable with most other NGOs for people with special needs in Dehradun, they are still low for men who are looking to be eventual providers for their families. And if the promise of better remuneration comes along, most people will go. This is always a big blow for all of us -residents and staff alike, as one can well imagine. As far as coping with this high turnover goes – we are doing a few things:


1.    Training all the staff to deal with emergency situations

2.    Building relationships with leaving staff so that they will return and help in an  emergency

3.    Encouraging existing staff to do extra shifts but paying them overtime too


However, all of the above are only temporary, emergency measures and will not help in the long term. For this reason, after our most recent board meeting, we have decided to make staff salaries our fund raising focus. Hope people reading this interview can help connect us to potential donors who understand the importance of staff retention.



Q)  Your advice to Autism parents on what are the three most important skills they should focus on?



All of us, family members of persons on the Autism Spectrum, and indeed, people   with any  sort of disability should keep our vision focused on three things:


1.    Independence, to the highest degree possible, in personal care.

 

2.    A mode of communication that can be understood by a large number of people

 

3.    If possible, building up an interest or skill that can be turned into a vocation later.


Q)  Your advice to others planning to start an assisted living facility in India.


                    To others planning to start assisted living facilities in India, I would say a few things:


1.  Look at the models already available. You have the luxury of being able to see and replicate the best practices from already existing centers. Many of us, who were some of the pioneers, did not have this luxury available and had to learn so much the hard way.

2.  Try your best to make the facility as close to home as possible. The world is moving away from “institutionalization”. India has joined  the Assisted Living bandwagon very recently, but it does not mean we have to use methods that belong in the dark ages.

3.  Be willing to learn and evolve all the time. Keep your residents at the center of all planning. Be alert to their needs and communication, as they will be the best guides as we strive to build great facilities.



Q) How do you manage to take into consideration the individual needs in the assisted living facility?


We believe strongly that one size does not fit all, and just as we are able to provide a variety of activity options at the training center, Arunima’s living set up also caters to individual needs. Some of our residents are very independent, and can manage their household with minimal support. They live with 1 or 2 other flat mates, and are joined at different times by one staff member, whose job is more of a friend and counselor. These adults manage their grocery, cooking, and all other activities on their own, or with just as much support as is needed.

Other residents who have higher support needs, live in slightly bigger flats, that accommodate 4 residents. These flats will always have two staff on duty, supporting each resident as needed.


Q) An assisted living facility should ideally be the second home for the individual with special needs. What, according to you, are the key points parents/siblings should focus on when looking for such a place for their loved ones?


                        What kind of home would I personally want to live in? A place that is comfortable, has lots of plants and open places. Someone else might feel comfortable with a place that is much bigger and has many electronic appliances and modern gadgets and so on. All of us come from different backgrounds and varied lifestyles. So how do we find a place that is a good fit for our loved one, who is in any case, going to be a little more resistant to change?


                         One of the magic words here, is the vibe. No plants, no fancy gadgets, no luxury, can create a happy vibe if it is missing. It's about the way people are with one another. It's about love and respect. There is no way anyone can tell our residents to " pretend" to be happy, if they are not.


                So the first and foremost thing to look for is the vibe. ( This also means that you do not make a decision based on how a place looks in photos; you make an actual visit and spend time before making up your mind.) Coming to the point about varied backgrounds and resistance to change - these seem to melt away when love and respect exist in a home.


                  Other aspects to look out for and in no particular order, are - hygiene, the food and the staff.

   

                      I hope that as years pass, there will be a variety of places to choose from. Because an individual should be able to choose where he/she is going to spend their life away from their parental home.              

     



There are a few among us who don’t sit and worry about their problems but take  the hurdles head-on and come up with solutions that help many others. They restore our faith in humanity. Aparna, you belong to this category of people! I completely agree with your response to the aspects we should focus on when choosing an assisted living facility for our children.  This is the most important decision you will make as a parent/sibling as it will impact our loved one's life for a long time. To help in this process, the new series of interviews on assisted living facilities in India was started. I hope you gain from the experience and wisdom shared here.  Stay tuned for more interviews in this series!