Innovating mental health at Europe - Catalonia (Spain)

Innovating Mental Health at Europe
Sabadell 5th September, 2013

Visit the webpage event:
www.parcdesalut.com/innovating-mental-health

INNOVATING MENTAL HEALTH AT EUROPE
MENTIONS AND SPECIAL ACKNOWLEDGEMENTS
INNOVATING MENTAL HEALTH AT EUROPE has received the support of NeuroRescue as EU
Cluster of Excellence on Neuroscience. The journey, taking part of the Catalan Mental Health
Cluster activities has been organized by PARC DE SALUT together with the Catalan
Observatory on Mental Health OSAMCAT as key member of the Cluster, and has counted with
the participation and involvement of XISCAT Network as part of its commitment on the
enhancement of innovation in network as well as with relevant guest speakers.
A day-journey on mental health dedicated to show innovation and last trends as result of
collaborative and multidisciplinar framework, international network and which conclusions
will be powered at EU level thanks to PARC DE SALUT and the involvement on NeuroRescue.


Cluster Development in Catalonia
Maria Dolors Nuñez
ACCIÓ, Agència per a la competitivitat de l’empresa

Sabadell, 5th September 2013


+
Regions and
countries with
initiatives based
on cluster
development

Aprox. More than
3.000 initiatives in
different countries
and regions (*)

Clusters: a global phenomena
Sweden
Turkey
Lithuania

Pakistan
Kazakhstan
Poland
….

Austria
Jordanian
México
South Africa
....

Emilia-Romagna
Toscana
....

Basque Country
Scotland
Arizona
Catalonia
Massachusetts

1980

1990

1992

New Zealand
Costa Rica
California
....
1997

France
Estonia
Denmark
Slovenia
UK
Minas Gerais
...

2001

2003

2005

2011

(*) Estimation from TCI,European Cluster Observatory 2011



Catalonia:
pioneer country


COMPETITIVENESS
Last target

WINNING
STRATEGIES

BUSINESS

Success or future strategies in this business

Segment by business and not by statistical codes

CLUSTER
Tool: place to discuss group strategy and
implement actions according to the strategy


Obsolete
collective
strategy.

+

Collective
winning
strategy.

Business
Cooperation
Individual
winning
strategy.

Obsolete
Individual
strategy.

_
_

Competitiveness

+



Health Initiatives

BioTech
Mental Health
TecMed
Seniors



The future will be hybrid
Intercluster projects

Children’s health
Kid’s
cluster

Sports
cluster

Medical
devices
cluster

Mental
Health

Aquaculture
cluster




Mobile technologies
Fashion
cluster

Videogames
cluster

Automotive
cluster

Mental
Health
Cluster

Medical
Devices
Cluster




Seniors
Sport

Mental
Health

Medical
Devices

Food

Domotics


TCI Headquarters

Pro-clusters
Government since 1993

1.000 active companies
in 24 clusters
Business Schools
(IESE, ESADE)
training
Cluster Professionals

Some world-leading
Cluster Consultants

Catalonia: A Holistic Cluster
Ecosystem


Moltes gràcies
Thank you very much
dnunez@gencat.cat


SANT BOI DE LLOBREGAT
AND MENTAL HEALTH

On 2008, the approval of the
Municipality Action Plan defined
the Community Mental Health as
one of the main strategic axis at
Sant Boi de Llobregat.


SANT BOI DE LLOBREGAT
AND MENTAL HEALTH
On October 2008 there was signed the Protocol of Intent to
develop the strategic Community Mental Health with the
aim of promoting the city as a national and European level
in this area.


Sant Boi City Council driving the Catalan Mental Health Cluster
On 16th January 2013, Sant Boi de Llobregat, the driving city Cluster project, hosted the
signature of the Cluster constitution, with 22 cluster members across Catalonia.



Founders
Potencial
Partners

Junta
directiva

Non-member
collaborator
19/10/2013

Support institutions

19


New headquarters for the Mental Health Cluster
Palau de Marianao premises, emblematic building at St. Boi del Llobregat

Centre d'Excel·lència
Internacional per a la Salut
Mental de Catalunya (CEISAM)



DINAMIZATION PLAN – MENTAL HEALTH CLUSTER
Includes a proposed action to enhance the ICT
application on mental health


European Cluster on neurosciences
Ramon Maspons Bosch
Parc de Salut



Context
Care for people with dementia is a
growing concern in many European
countries. In the context of an ageing
population, an increasing number of
European citizens are likely to be affected
by mental disorders, dementia or
neurodegenerative diseases (such as
Alzheimer’s).
Addressing the opportunities for patients suffering from dementia
as well as addressing the issue of caring, is of particular concern
to policy makers at regional, national, EU and global levels.

JAP Actions


2012 (II)
1. Interactive map (1000 references), of
enterprises, research institutes, VC put on
the website
2. Databases of private investors, VC,
business angels on the website (500+
references)
3. Fact Sheets on reseaech ecosystem (in 4
regions)
4. Research of synergies between regions to
apply for the European calls (2 projects
submitted, 4 match-makings between
SMEs)
5. Exchanges with other European initiatives
(JPND, ESCAN, Alzheimer Europe)
6. Soft-landing opportunity promoted on
the website (2 incubators per region).

2013 (I)

2013 (II)

1. Mentoring events (1 in Budapest
focused on Eastern Europe,)

1. Mentoring event (1 in Marseille)
focused on Mediterranean area

2. Matchmaking event in Garching –
MedTech Partnering BtoB

2. InterRoK meeting to match with other
RoK projects in ageing (Marseille – July
1-2)

3. Promotion of job opportunities in
the neurosciences field through the
www.neurorescue.eu website
4. Promotion of living labs interregional cooperation
5. Further exchanges with other
European initiatives and RoK
projects
(NeuroMed,
DANA
Alliance, European Brain Council,
JADE, Ami4Europe.

3. Matchmaking event in
NeuroConnection BtoB

France

–

4. Dissemination of the best practices
5. Creation and launch of the business
intelligence unit (financial, regulatory,
technological watch)
6. Start of the lobbying activity in
coordination with other neurosciences
initiatives
7. State of the art in the field of Clinical
Trials


Mentoring activities
• Budapest and other eastern countries
The main goal at an international level is to implement common
projects also based on the existing cooperation initiatives (e.g.
Mobility and Multimedia Cluster, Hungarian Medical Cluster)
within the NeuroRescue community.
One mentoring visit in Budapest April 10, 2013

• Mediterranean area
Focus on the Mediterranean area, because of the good historic
relationship between PACA and this area. The Maghreb countries are
characterized by the rise in life expectancy.
Ageing population healthcare and neurodegenerative diseases are therefore
becoming an important societal issue.
One workshop in Marseille with countries from the Mediterranean area planned for July 2013.

NeuroRescue JAP:
•

Helping companies to become more competitive by enhancing access to research
excellence, funding mechanisms and innovation through the improved interconnection of
the actors in the field of Neurosciences.

•

Promoting the collaboration, the exchange and the dissemination of best practices related
to Neurosciences at the European level and beyond.

•

Supporting the internationalization efforts of academics and research institutes in the field
of Neurosciences through improved collaboration between themselves and with companies,
notably SMEs.

•

Supporting policy makers in developing innovative clusters and healthcare policies such as
research & innovation smart specialization framework conditions.

•

Developing a holistic approach to raise awareness and increase prevention on societal and
patient care issues linked to Neurosciences such as the prevention of ageing related
diseases.


Lobbying
Lobbying at a European level is required to raise awareness of the needs associated with
neurodegenerative diseases (too long application procedures for researchers, hard to
find adequate funding, etc.).
NeuroRescue can be a lobbying tool to raise interest and awareness with EU and
regional policy makers.
Therefore, the NeuroRescue community decided to
• Contact the EU brussels offices of each region in the health sector and to provide PACA
with the name of the contacts
• Organize a meeting with researchers/SMEs and establish a lobbying group (3-4 key
opinion leaders from each region) and look for a good practice in terms of lobbying


THANK YOU
Visit NeuroRescue website
www.neurorescue.eu
More events at Catalonia
www.parcdesalut.com/neurorescue

Innovation on neurosciences and
treatments for childrens - teenagers
Josep Moya Ollé
Coord. OSAMCAT


V CATALAN CONGRESS ON MENTAL
HEALTH OF CHILDREN AND
ADOLESCENTS
Experiences on mental health: assistance,
research and education
Barcelona, 13 and 14 november of 2014



PROGRAM:
Inaugural conference: Dra. Begoña Roman,
teacher of ethics, Philosophy faculty of
Barcelona University. Catedra of ethics
Ethos Ramon Llull director, Ramon Llull
University



1. Assistance table (I):
" Responses to the current Pathology "
•Development and use of a Protocol Conduct in a day
hospital “
•Experiences of using " Video Feedback “


2. Assistance table (II): "Network
experiences in working with severe mental
pathologies "
•Psychosis in the Adolescence: ways to approach on the Network
•Detection and treatment of Psychosis in medical education unit
•Rehabilitation work with young people



3. Education:
•Transmission guide of information between
services (Xarxabaix). Social Information units
•Training program for teachers serving students
with Autistic Spectrum Disorder



4. Research:
•Intelligent recognition behavior and medical
image applied to the ADHD analysis.
•Functional connectivity of the brain at rest.
Applications in clinical and psychotherapy.


RARE DISEASE IN CHILDREN
MALALTÍES RARES EN INFANTS
Jordi Cruz
President of Spanish MPS Society and Member of the
Rare Disease Federation


WHAT ARE RARE DISEASE?
-Low prevalence are of diferents conditions, more are very
complicate syndroms, and the majority of this syndroms are of
infants.
-7.000 ~ 8.000 diferents rare disease.
-4.000 are genetic originary and are of the peditrician poblation.
-For the majority of rare syndroms there are treatments and
medical experts.



•35% are death about one year of age.
•10% are children between 1~5 years
•50% death before of 30 years.
The prevalence in Europe is about 5 cases for 10.000 people (or the
same, 1 case for every 2.000 people borns).



Between 6~8% of the general poblation is possible that have
a rare disease.
In Europe are 30~35 millions with rare disease.
In Spain for exemple, there are about 3 millions. In Catalonia
Community there are about 300.000 affected people.



WHAT ARE THE MPS ?
Mucopolysaccharidoses (MPS) and related diseases are genetic lysosomal
storage diseases (LSD) caused by the body's inability to produce specific
enzymes. Normally, the body uses enzymes to break down and recycle
materials in cells.
In individuals with MPS and related diseases, the missing or insufficient
enzyme prevents the proper recycling process, resulting in the storage of
materials in virtually every cell of the body.
There are from MPS I to MPS VII, and Related Diseases.


MPS SPAIN

SPANISH MPS SOCIETY

*MPS Catalonia/Central Office
•MPS Community of Valencia
•MPS Community of Castilla-La Mancha
•MPS Community of Andalucía
•MPS Community of Murcia.
•Delegation of Madrid
•Delegation of Marbella
*Foundation
Special acknowledgement for its contribution

WE REPRESENT
• MUCOPOLISACCHARIDOSE
• RELATED DISEASES
• FABRY DISEASE

PARTNERS OF HONOR



PSICHOLOGY



PHISIOTHERAPY



SERVICES POLICY
PHYSIOTHERAPY / PSYCHOTHERAPY

LAW FIRM

MEDICAL ADVICE


Innovating on social attention
Ester Fornells Admella
Consell Comarcal del Baix Llobregat

Necessity of innovation
in social attention
- Territory characteristics
- Work in a network


XARXA BAIX
OSAMCAT
Consell Comarcal del Baix Llobregat
Diputació de Barcelona


History
-

Work areas
Social risk population increase
Legislation in social services and LDOIA
Different network models


Field of action
• Territorial (Baix Llobregat)
• Intervention services: SSB, EAIAs,
education, health and mental health,
juvenile justice, SIE, SIAD, DGAIA & others


Objectives
•
•
•
•
•
•
•

To establish and consolidate collaboration dynamics, strategic cooperation
and work in a network
To define and share intervention models
To develope the work in a network
To connect the territory
To organize preventive and coordinative actions
To share routes, resources, devices, metodologies, programs, projects and
experiences
To use a work model in the Catalan territory that offers real solutions


Theorical frame
•
•
•
•
•

Social changes
Economic crisis
Family transformation
Childhood vulnerability
Intervention model of the work
in a network

Methodology and activities
1. Work commission. Since 2011
2. Interprofessional seminars (SIXB)
3. Information transfer. Social Information
Unities (UIS)

Work commission
Formed by: Social services professionals,
education CSMIJ and CDIAP
Objectives:
• To consider a regional work model need
• To analyse the local networks situation

Interprofessional seminars (SIXB)
•
•
•

Objective: To establish a base of a network for the childhood,
adolescence and psycho-social risk families attention
Metodology: To approach on complex and serious cases
that require an articulated work between the implicated
professionals
Conclusions:
• Hypothesis diagnosis
• Intervention plan: implicated actors implicats
and temporarisation
• Avaluation

What do we reach throught the SIXB?
•
•
•
•
•
•

To reflect
To analyse
To listen
To share the professionals discomfort
To make a community work
To reach conclusions


SIXB's qualities
• The Interprofessional Seminars allow to talk
about professionals discomfort and protect
Human Resources responsibility on
the mental health sector
• Mental Health mechanisms are more
dependent of human technology
than instrumental technology

SIXB's qualities
• Professionals request can be exhausting for them
and cause lost of motivation and leak of comprehension
capacity
• Need of additional training and care for the professionals
• This is a base of the work in a network
(Josep Moya, 2012. Page 130)


Information tranfer between services
Xarxa Baix is born as a reflection area.
It starts a valuation about the information
transfer to achieve the objective of giving
a better attention and support to the people
with better quality and efficiency

Information transfer difficulties
• Confidentiality right
• Contradiction and incompatibilities between
information transmission and confidenciality
• Number of professionals and working services
choosing
• Stigmatization risk

Information transfer guide
Comission: education professionals, CDIAP, CSMIJ,
SSB and EAIA
Objective: to give response...
•
•
•

“What information do I need?”
“What happens when I ask for information?"
“What happens when I have to give information?”

Debate forum
• Work in a network
• Transferring information:
•
•
•
•

Which
How
Use
Usefuleness

Guide objectives
• To work on a network
• To define the information needs
• To give the information needed
in a faith environement
• To know the legal frame

Why to work in a network
• Problems to be faced have a complex
nature and can not be solved only with
one service or speciality
• Cooperation and reciprocity need
the actors will and implication


Why to work in a network
• To offer a customised attention to the people
necessities: individual, group and community
dynamics
• To establish an evaluation system using
a connection and collaboration atmosphere


Information transfer between services
•

An aswer from the intervention and prevention

•

Being optimal and efficient through a work in a network
between various services

•

Families attention is focused on its globality, complexity
and community sense. That is why it need a connection
between services and professionals


SOCIAL INFORMATION UNITIES
(UIS)
Aimed to the person as the system center
Professionals predisposed to share information and resources
Team work increase professionals confidence and helps to provide
a better assistance
To share information makes a collective subjectivity and avoid hierarchic
knowledges and acting alone risks and problems

UIS and its professionals
•
•
•
•
•

Interaction with other professionals
Cooperation between different institutions
To increase the reality environement knowledge
User services centralization to make good decisons
Holistic, documentated and consensuted services
benefit


MENTAL HEALTH PROJECT ON
PREVENTION FOR CHILDREN POPULATION
AT 'SANT BOI DEL LLOBREGAT'
OSAMCAT- CRAPPSI-FUNDACIÓ ORIENTA-CONSELL COMARCAL BAIX
LLOBREGAT
Ajuntament de Sant Boi de Llobregat
Atenció Primària Sant Boi de Llobregat
Centres educatius de Primària de Sant Boi de Llobregat
CDIAP DE Sant Boi de Llobregat
CSMIJ de Sant Boi de LLobregat

Ms. Núria Valero
Mayor's Office, Sant Boi del Llobregat City Council


1. JUSTIFICATION
• The prevention on mental health problems should be
focused in child and teenage population for two
reasons:
• First of all, because a very important part of the
mental disorders start in this period of life.
• A second reason is that: childhood is a vital stage. In
this stage, defense mechanisms and relational suport
elements related to prevention and risk are
developed.

Where do we start?
Getting to know wich are the crucial factors of
protection and wich are the risk factors.
Focusing attention in the kids and teenager’s life
environment.
Therefore we find two principal elements we
should focus on: family and school. But we also
include less formal elements such as: street
environment and other leisure spaces.


Fast Prevention
A previous detection of the problem allow a
quicker intervention and at the same time a
prevention in terms of “risk factor.”
We will focus preparing health proffesionals such
as pediatritians or nurses
and education
professionals such as teachers. These are the
proffesionals that are closest to the kids and
teenagers.



POPULATION SEGMENT TO WHICH WE
FOCUS THIS PROJECT
• The population segment to wich we direct this
project are:
• a)Primary
and
secondary
education
professionals in Sant Boi.
• b) Primary and secondary PTA’S (Parents
Association) of Sant boi.



a)Primary and secondary education
professionals in Sant Boi
• I) Etapa infantil (o-12 anys):
14 public center
• 14 focal groups 2 sessions x group 28
• 9 concerted
• 9 concerted center 2 sessions x group 18
• AMPA 23 focal groups 2 sessions x group 46
• Total 46 2 sessions x group 92


b) Primary and secondary PTA’S (Parents
Association) of Sant boi.
• 13-18 years
5
6
•
•

public centers .5 focal groups 2 sessions x group 10
concerted centers. 6 focal groups 2 sessions x group 12
AMPA 11 focal groups 2 sessions x group 22
Total 22 focal groups 2 sessions x group 44


Methodology

Contact should be established
with health primary atention
professionals


Methodology
It will consist in the realization of focal groups
consisting of: proffesionals and parents. Two
sessions per focal group will be done.
In the first session we will analyze the
difficulties found in the exercise of education.


Methodology

During the second season, they will be given
the instruments needed to detect and
aboard the problems produced in school or
in home.



Thanks for your attention.

NURIA VALERO
CLUSTER DE SALUT MENTAL DE CATALUNYA.
nvalero@santboi.cat


TECHNOLOGY AND INNOVATION
ON MENTAL HEALTH
Detection, analysis and control on
therapies and treatments
Dr. Sergio Escalera
Universitat de Barcelona, Centre de Visió per Computador UAB


98


Motivation
Observational techniques are essential for
clinical diagnosis and therapy.
Accuracy is required during the observation.
International criteria tend to ignore the
dependent variable contexts.
Need of more precise techniques:
Automatic extraction of indicators


Our group:
• Process automation for diagnostic support :
“Human Pose Recovery and Behavior Analysis”

http://www.maia.ub.es/~sergio/
Automatic data analysis: image, video, audio,
medical image, so on.
Intelligent software based on:
•Computer Vision
•Pattern Recognition
•Statistical Learning
SENSORS DATA
ENTRY

BEHAVIORAL AND
ENVIRONMENTAL
ANALYSIS (OBJECTS)

AUTOMATIC
FEEDBACK OF
INDICATORS



Antonio Hernández-Vela, Nadezhda Zlateva, Alexander Marinov, Miguel Reyes, Petia Radeva, Dimo Dimov, and Sergio
Escalera, Human Limb Segmentation in Depth Maps based on Spatio-Temporal Graph Cuts Optimization, Journal of Ambient
Intelligence and Smart Environments JAISE, 2012


Relación con la innovación en Europa
Horizonte2020 approach:
Health: Priority area
Key subtopics:
-ICT (Theories of the Information and Communication) on Health:
-Computer vision, learning, different sensors, mobile devices
-Active Ageing:
-ICT for enhancing autonomy
-European multi-disciplinariety trend: The union of different areas of knowledge enriches
and fosters innovation
Involving the use of living labs and user involvement

positively valued by Europe


ADHD diagnosis algorithm

At least 6 of the criteria for
attention deficit or 6
hyperactive-impulsive
criteria

At least 6 of inattention,
3 hyperactivity, and 1
impulsivity

Comorbidity: less with
schizophrenia, autism
iTGD

Discard multiple
Diagnoses


Noninvasive Filming in different contexts (previous surveys):
- Custom Computer Games
- Math Exercises "

Automatic
quantification of
indicators

Detected: “body support on the table"


Sergio Escalera, Josep Moya, Laura Igual, Verónica Violant, and M. Teresa Anguera, Automatic Human Behavior Analysis in ADHD,
Eunethydis 2nd International ADHD Conference, Barcelona, 2012.
Antonio Hernández-Vela, Nadezhda Zlateva, Alexander Marinov, Miguel Reyes, Petia Radeva, Dimo Dimov, and Sergio Escalera,
Human Limb Segmentation in Depth Maps based on Spatio-Temporal Graph Cuts Optimization, Journal of Ambient Intelligence
and Smart Environments JAISE, 2012


Conclusions
•Research and advances in information technology are enabling high applicability in mental health
settings: Just appreciate the generality of the technology: Prevention, detection, follow-up, detection
of anomalous behavior, so on.
•Line recognition of people, behaviors and automatic quantification of indicators provides different
benefits:
Noninvasive
Objectivity
Computer systematic (not tired)
Comfort
Reliability so on.
•In the case study of ADHD we have demonstrated the feasibility to automatically quantify the
indicators established in the DSM-IV-TR and ICD-10 in different contexts.
•Use for different purposes in mental health (project on interaction analysis in autism active).
•Defining an automatic labeled dataset for clinical studies.


The motivation on ADHD (also known as TDAH)
•Brown (2006) mention the fact of displacement of the concentration. The same subjects who
have chronic difficulty focusing on a task may have the opposite problem of being unable to
withdraw attention and redirect certain point to another point concentration when needed.
• Some authors refer to this as hyperalertness and described as focusing on a task in which they
are interested while totally ignore or lose track of anything else, including who should attend.
• From this it follows the need to check ADHD symptoms vary greatly depending on the contexts
(variable motivation).
•Automatically analyze correlation or significant differences in different contexts indicators of
motivation.


Special thanks
Multi-disciplinary team
(Matemáticos, Informáticos, Psicólogos, Psiquiatras)
Josep Moya, M. Teresa Anguera, Verónica Violant, Laura Igual


The implication of medical
professionals on the mental health
of elderly people
Dr. Antoni Yuste

ESTIMA, cap a la gent gran amb
demència
Ester González Aguado, PhD
Consorci Sanitari del Garraf
Servei de Geriatria - Psicogeriatria


ESTIMA Project:
ESTImulació Multisensorial en la demència
Projectes Socials de l’Obra Social de la Caixa,
convocatòries 2011-2013
Caixa Manresa
Donacions particulars

Person Centered
Attention

Rise of NFT for
dementia /
Access to new
technolgy

Snoezelen /
Multisensory
environments



• The origins…
Moderate-advanced dementia (GDS-Reisberg 57).
Presence of psychological and behavioral
symptoms associated to dementia.
Interventions with primary caregivers.


Major goals:
• Prevent primary caregiver claudication.
• Improve some indicators of QoL.
• Dignify the care of people with dementia.



Requirement for PCA in dementia:
Life history
Each person is unique
Individuality is a value.
Recognizing the individuality promotes personal
attention.
Requirement for multisensory interventions:
Sensory profile


Medical record

+

Life history

Disability

/

Potentiality

Behavioral disorders

/

Communication

Dependency

/

Support needs

Sensory limitations

+

Sensory profile

Reference caregiver

/

Vital translator


• Scope:
Community services / day care centers

• Target population:
Frail elderly (cognitive impairment, social fraility…)

Requirement:
Reference caregiver / vital translator



• Methodology:
Sample selection (Day Care Center).
Collect life history data and sensory profile analysis.
To train in multisensorial techniques to primary cares.
Design and develop the individualized multisensory
plan.
Assess the outcomes.



DAY CARE CENTER

Vilanova i la Geltrú
(64.905 registered
inhabitants, 2012).
Attending 60 persons /
day.
Aprox. 25% with
moderate-severe
dementia.



• Measuring scales:
Cornell Scale for depression in dementia
(Alexopoulus et al)
Pfeiffer’s SPMSQ
GENCAT Quality of Life Scale (Verdugo et al)
Caregiver Burden Interview (Zarit)


• Design and development of individualized
multisensory plan (I):
Collect and analyze de data (life history and
sensory profile).
Collect material for the sessions (video
recordings, photographs, personal objects,
letters…).



Design and development of individualized
multisensory plan (II):
Design sessions according to structured
programme:
I. Body conciousness
II. Contrasts and rythms (communication).
III. Personal integration (significant sensory
stimulation)
•



I. Body conciousness:
Body and skin as limits (propioception):
Vibratory stimulation
Vestibular stimulation
Somatic stimulation



II. Contrasts and rythms (communication):
Internal rythms (body listening).
External rythms (music melodies; pauses and
silence; go-no go tasks, …).



III. Personal integration (significant sensory
stimulation):
The Knowledge and sense of stimuli.
New sensations, old senses (reminiscence).
Biography: Sense of identity.


• CONCLUSIONS:
ESTIMA project expects to promote personcentered care.
Empowers the person with dementia and their
loved ones to lead the intervention.

No matters how much, but HOW

Thank you!


Innovating mental health at Europe - Catalonia (Spain)

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