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ABC News

Communities seek their own innovative dementia facilities in absence of adequate services

Cherry Servis' group has secured a planning permit for a local dementia respite centre.  (ABC Central Victoria: Shannon Schubert)

Fuelled by a mix of empathy and frustration — and funded only by the local community —  Woodend woman Cherry Servis is starting a dementia respite care centre in what could be the first of its kind.

It could be the first community-operated and owned dementia facility in the country, with most respite services part of private aged care facilities. 

Ms Servis looked after her husband with dementia for 15 years before he died in 2014. 

"When you're a full-time carer, you can't walk away," she said. 

"It's mentally and physically exhausting. You get very little sleep. It was an extremely exhausting time."

Cherry Servis looked after her husband Patrik when he had dementia.  (Supplied: Cherry Servis )

The respite care centre will aim to look after people with dementia for anywhere between one hour to a full day to give carers a break. 

She hopes it will,  one day, secure government funding to expand to provide overnight respite. 

"Most carers find that they're so isolated. They don't talk about it. It's a strange situation, being the carer of somebody with dementia," Ms Servis said. 

The Woodend Lifestyle Carers Group is now busy designing the building that will go on the donated land north of Woodend. 

Ms Servis first had the idea to start a respite centre, 10 years ago.  (ABC Central Victoria: Shannon Schubert)

Like everything else that has gotten the project this far, the land has been donated by locals supporting the cause. 

Ms Servis has put countless volunteer hours into the project. 

"I don't want carers to go through what I went through. If carers are going to survive, they need this." 

The Heathcote Dementia Alliance worked for nine years to bring 'Gilbruk Place', a dementia village, to life.  (Supplied: Heathcote Dementia Alliance )

Failed dementia village prompts calls for aged care overhaul 

Up the road, plans for a dementia village in the Central Victorian rural town of Heathcote have just come to a halt after nine years of planning and campaigning.

Community group Advance Heathcote Peter Maine said they had been unable to secure an aged care operator.

"They came to us and said, ' Look, we can't get a straight answer out of the government on funding, so we're going to have to pass because we just can't make the numbers work.'" 

Advance Heathcote has put the land proposed for the dementia village up for sale after potential operators withdrew from the project.

"They said, 'We think the project's fabulous, we think what you've done is absolutely extraordinary, but unfortunately circumstances don't allow us to pursue.'"

Mr Maine said there needed to be a "fundamental rethink" of aged care in Australia.

"There was a wonderful opportunity here for the government to actually pick up on it and go, this is quite something … having a fully integrated dementia village integrated into a town environment. 

"We're talking about people, depending upon their level of sickness, being able to move within the community." 

Carers and advocates say aged care staff are not educated and trained in dementia care.  (ABC News: Maren Preuss)

Education an issue 

Dementia Australia CEO Maree McCabe has commended both communities on making dementia support a priority. 

"I'm so inspired by that. I love to hear people are doing things like this. It is fabulous. We know the physical environment can have a significant impact on people living with dementia.

"This isn't just a government issue. This is a health system issue. It's a community issue."

She's called for more government funding for targeted support, with dementia the biggest health issue for Australians over 65.

"We've got about 400,000 Australians living with dementia. By 2058,  without a breakthrough of some sort,  we expect around 800,000 people will be living with dementia. There won't be anybody in Australia not impacted in some way."

Ms McCabe says dementia is not well understood and more services are needed.  (Supplied: Dementia Australia )

Ms McCabe's also urged health professionals to be better educated about the disease and for dementia care to be better integrated into the healthcare system. 

"Healthcare staff are under-educated when it comes to dementia. I think it's one of the biggest challenges we face. And it is difficult for healthcare staff to keep across all of the information that they need."

But, she said the greatest concern was that aged care staff were not well supported with the information that they needed.

"Around 70 per cent of people who are residents in aged care with dementia. We need to make sure that they're supported with the best possible information and knowledge."

How to care for a parent with dementia(Alison Costelloe)

A Department of Health and Aged Care spokesperson said a new National Dementia Action Plan was being developed, and the federal government was spending around $640m over four years on a range of dementia programs. 

"This includes over $100m for the National Dementia Support Program. The Australian government is also providing $13m over four years for the National Centre for Monitoring Dementia data and monitoring," it said. 

It also said the government recognised the need to have appropriately trained healthcare workers. 

"To ensure that aged care workers have the appropriate skills and knowledge to support people living with dementia, the government has also funded the Dementia Training Program. 

"Mandatory workforce education on dementia will be considered in the context of the National Dementia Action plan." 

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