PART IV: Future perspectives

Our societies are ageing, and we need to identify sustainable and empowering solutions for supporting frail older people in their homes.

Reablement offers an approach that may reduce the need for long-term care by actually reducing need for care, as well as supporting quality of life. It offers a radical new integrated and interprofessional care approach which seeks to support older people to regain and maintain functioning and independence through training in daily activities.

Reablement implies the provision of active, person-centred, and goal-oriented support; it should be seen as an alternative to other types of support that merely compensate for care needs and thereby increase the risk of the client becoming passive. In fact, understanding the client’s own priorities and concepts of independence is considered to be key to the potential for enhanced effectiveness. In other words, reablement has the potential to change the way societies approach long-term care policies and implement them into practice.

This interdisciplinary book provides a comprehensive introduction to the remarkable, if haphazard, international growth in reablement practices and policies in aged care over the past 20 years. The book introduces reablement models, and their ideational foundation, implementation, and outcomes across the world. Incorporating theoretical and empirical research, it critically considers the benefits for older people and care workers, the cost-saving potential, and how reablement may be provided for persons with dementia. Finally, the book reflects on key findings, challenges, and the way forward for applying reablement in long-term care for older people.

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