family caregiver walking with elderly parents in a garden

A Guide to Integrated Home & Day Care Centres (IHDC) in Singapore

For some seniors, a combination of both centre- and home-based services may be a more effective solution for all their care needs.

by Hannah Grey

What is an Integrated Home & Day Care Centre (IHDC)?

Integrated Home & Day Care Centre (IHDC) programmes are a centralised one-stop solution for seniors in Singapore to receive continued quality care as they go through their golden years. By integrating both home- and centre-based services, seniors have the flexibility of enjoying various activities with fellow seniors at a nearby day care centre and receiving nursing services in the privacy of their own homes. 

What makes IHDC programmes effective for older adults is their holistic approach to elderly care. Since January 2016, over 533 seniors have benefitted from these programmes. This has also led to a 75% decrease in hospital service utilisation and a 98% satisfactory rate among seniors and their caregivers. Through these care programmes, seniors who would’ve entered nursing homes can continue living at home with their family while their caregivers receive much needed support throughout their care journey as well.

How does IHDC work?

IHDC works on a case management basis where an initial assessment will be conducted with the client and their family members to understand their needs. Each client will then receive a personalised care and coordination plan designed by the centre’s multidisciplinary team based on the information gathered from the assessment. Based on the frequency and intensity of services needed by the clients, they will receive their customised care plan, which may consist of centre or home-based services, or even a combination of both. 

Each centre’s multidisciplinary team comprises doctors, nurses, social workers, and therapists who are equipped with the necessary skills and knowledge to guide your elderly loved one through their care journey. 

Services Provided under IHDC

The scope of services covered by IHDCs commonly includes personal and social care, medical and nursing care, and caregiver support. 

Personal and Social Care

These services are usually provided to clients who require assistance with basic ADLs such as showering, changing, and feeding; meal delivery; and transportation to and from the centre. Beyond their personal needs, IHDCs also take care of their clients’ social well-being by organising social and recreational activities for the seniors. 

Medical and Nursing Care

Medical services include medical assessment and review, medication review, management of chronic or acute medical conditions, while nursing care refers to anything in relation to the administration or supervision of medication, wound management, urinary catheter changing and care, and tracheostomy cases.

Caregiver Support 

Being a family caregiver is not easy. Their workload of caregivers is extensive and often stack on top of their existing responsibilities. If caregiver stress is not well-managed, it can take a toll on one’s physical and mental health, and lead to caregiver burnout. With IHDCs, caregivers can get much-needed respite. For caregivers looking to enhance their skills, caregiver education and training programmes are also available. 

 

Other services provided by IHDCs include rehabilitation, dementia care, care coordination, transportation to and from the IHDC centre, and an after-hours helpline. 

Who will IHDC benefit?

There are three main profiles that will benefit from the IHDC programme. 

The first category would typically include seniors who require slight supervision and assistance with specific ADLs and have no limitations in terms of their sitting tolerance. These individuals would have little to no prominent behavioural issues and can still manage themselves in public situations and environments. For seniors under this tier, mostly centre-based activities will be implemented in their customised care plan. 

Seniors who require constant supervision and assistance with some or all ADLs will fall under the second category. In comparison to the previous profile, the sitting tolerance of these individuals may only last up to at least four hours and they may also have moderate behavioural issues. As a result, their care programme will predominantly consist of centre-based activities but also partially include home-based services. 

The last category is for seniors who are wheelchair or bed-bound and require constant supervision and heavy assistance with most or all ADLs. Their sitting tolerance goes well under four hours and their behavioural issues are much more severe, but still manageable. Seniors who fall under this category will undergo mostly home-based services. 

Cost of IHDC Packages

IHDC packages normally range from S$1,100 to S$2,200 per month before any subsidies. When applying for the IHDC programme for your elderly loved one, care coordinators will then discuss your financial assistance and subsidy options available for you and your family. 

How to Apply

There are a total of 18 IHDC providers in Singapore and it is best to reach out to a centre that is within your region and vicinity to maximise your time during the programmes instead of spending it on travelling. To apply, you may contact any of the listed IHDC providers below. Alternatively, you may also contact a medical social worker, doctor or nurse at any hospital or call an AIC representative at 1800-650-6060. 

List of Integrated Home and Day Care (IHDC) Providers

Central

AWWA

Hua Mei EPICC, ComSA Whampoa Centre, Tsao Foundation

Ling Kwang Home for Senior Citizens

Ren Ci Senior Care Centre @ Novena

  • Website: https://www.renci.org.sg/ 
  • Location: Ren Ci Community Hospital, Level 3, 71 Irrawaddy Road
  • Telephone: 6355 6404
  • Operating Hours: Monday to Friday from 8:30am to 5:30pm; Saturday from 8:30am to 12:30pm 

North 

ECON Medicare Centre @ Yio Chu Kang

Sunshine Welfare Action Mission Home

South

Ghim Moh Edge Senior Care Centre

Hua Mei EPICC, HMCSA, Tsao Foundation

SASCO @ Telok Blangah

  • Website: https://www.sasco.org.sg/ 
  • Location: Blk 30 Telok Blangah Rise, #01-316
  • Telephone: 6273 5183
  • Operating Hours: Monday to Friday from 7:00am to 7:00pm; Saturday from 7:00am to 1:00pm 

Telok Blangah Parcview Senior Care Centre

East

ECONLIFE! Hub @ Sengkang

Tembusu Eldercare Centre

The Salvation Army Peacehaven Bedok Day Centre

The Salvation Army Peacehaven Changi Day Centre

West 

ECON Medicare Centre @ Choa Chu Kang

Jamiyah Nursing Home

SASCO @ Jurong West

  • Website: https://www.sasco.org.sg/ 
  • Location: Blk 715 Jurong West, #01-47
  • Telephone: 6273 5183
  • Operating Hours: Monday to Friday from 7:00am to 7:00pm; Saturday from 7:00am to 1:00pm 

SASCO @ West Coast

  • Website: https://www.sasco.org.sg/ 
  • Location: Blk 704 West Coast Road 
  • Telephone: 6273 5183
  • Operating Hours: Monday to Friday from 7:00am to 7:00pm; Saturday from 7:00am to 1:00pm 

Are Integrated Home & Day Care Centres For You? 

One of the main reasons why IHDC programmes are attractive for most elderly persons and their families is the combination of both centre and home-based services and activities. However, there are still some seniors who may not be as comfortable in social settings and would prefer a more private environment where they can age with their loved ones and receive the necessary care at home. 

With Homage, seniors can receive holistic care from day time care, meal delivery, assistance with ADLs, nursing and caregiving services, night care, and social and recreational activities—just as you would at any integrated home and day care centre.


To learn more about our home care services, you may get in touch with our Care Advisors at 6100 0055.

References
  1. Cafasso, J. (2018, September 29). Urinary Catheters: Uses, Types, and Complications. Retrieved November 30, 2020, from https://www.healthline.com/health/urinary-catheters 
  2. Caring for Dementia Patients at Home in Singapore. (2020, November 09). Retrieved November 30, 2020, from https://www.homage.sg/services/dementia-care/ 
  3. Grey, H. (2020, November 20). Activities of Daily Living (ADL) in Singapore. Retrieved November 30, 2020, from https://www.homage.sg/resources/activities-of-daily-living-adl/ 
  4. Huang, L., Teo, L., Lim, W., & Cheah, J. (2017, June 30). INTEGRATED HOME AND DAY CARE PROGRAMME: A PILOT TO CARE FOR FRAIL ELDERLY IN THE COMMUNITY. Retrieved November 30, 2020, from https://academic.oup.com/innovateage/article/1/suppl_1/1090/3901153 
  5. Hui, T., & A. (2020, November 20). Top Nursing Home and Old Folks Home in Singapore. Retrieved November 30, 2020, from https://www.homage.sg/resources/nursing-home-singapore/ 
  6. Krans, B. (2018, December 06). Tracheostomy: Purpose, Procedure, and Risks. Retrieved November 30, 2020, from https://www.healthline.com/health/tracheostomy 
  7. Respite Care in Singapore: Popular Short-Term Care. (2020, November 09). Retrieved November 30, 2020, from https://www.homage.sg/services/respite-care/
About the Writer
Hannah Grey
Hannah is an all-around creative with a flair for travel and photography. She also only has her coffee black, which should be the only way to drink it.
Make Home Care Personal To Your Loved One
curve

Make Home Care Personal To Your Loved One

Get started with a free consultation today, and learn why thousands of Singaporeans trust Homage to deliver the best care in their homes.

Get a Free Care Consult