Family care for the elderly gets off to a promising start

The City of Helsinki has launched a pilot programme for family care for the elderly, following the example of many Finnish wellbeing services counties where similar initiatives are already in place. This ongoing six-month pilot aims to evaluate how the service can be integrated into Helsinki’s menu of services for the elderly. Four family caregivers are currently participating in the pilot.

Published
Image: Kaisa Sunimento

What is family care for the elderly?

Family care for the elderly involves providing care and support either in the family caregiver's home or in the home of the person receiving care. It is part of the social services outlined in the Social Welfare Act, and the Social Services, Health Care and Rescue Services Division is responsible for organising, producing, and implementing the service in Helsinki.

This service is particularly suitable for individuals with memory loss or those who require the presence of another person while still being able to live in their own home. For example, it offers support to informal caregivers by allowing them to take statutory leave while ensuring that the elderly can remain in their home or a similar environment during their absence.

Currently, Helsinki residents can receive regular family care on a part-time basis (3, 6, or 12 hours) or around the clock for a few days or weeks at a time. The pilot family homes are located in Vuosaari and Malmi.

To apply for the service, individuals can contact Senior Info or, if already receiving senior services, their designated worker. An assessment of the client's overall situation is required to determine eligibility.

The family caregivers participating in the pilot are Maila Anttila, Kirsikka Kaila, Elise Liikala, and Ulla Pohjanmaa.
Family caregivers for the elderly: Elise Liikala (left), Maila Anttila, Kirsikka Kaila, and Ulla Pohjanmaa. Elise’s dog Bamse, pictured here, provides additional companionship.

Family care as a way of life

The family caregivers participating in the pilot – Maila Anttila, Kirsikka Kaila, Elise Liikala, and Ulla Pohjanmaa – had long hoped for the introduction of this service in Helsinki.

Elise Liikala, the caregiver with the most experience, has worked with clients outside Helsinki for several years. She is delighted that the service is now available to Helsinki residents, as she has witnessed its positive impact on both the elderly and their families. Elise's spouse has been an essential support in this work. Organising family care always requires the commitment of the entire family.

“A suitable rhythm for us is that I work as a family caregiver in our home for two weeks, round the clock, and then take two weeks off. Managing a family home would not be possible without the support and involvement of my spouse,” says Elise.

Like Elise, the other caregivers also provide care in their homes, emphasising how the work can be tailored to fit their personal lives. They have the flexibility to adjust aspects such as the pace of care and the number of clients.

“The work requires a big heart and a genuine desire to connect with people. When the elderly stay with us, their slower rhythm brings a certain calmness to the home, which creates a more relaxed pace for me, too,” says Kirsikka Kaila.

Meeting the elderly and seeing the world from their perspective inspires new ideas in me as well.

For Maila Anttila, family caregiving is not just a job but a way of life, with a sense of responsibility for the care provided. She notes that even small things can be meaningful to the elderly, and family care often allows for these small details to be incorporated.

“Meeting the elderly and seeing the world from their perspective inspires new ideas in me as well,” says Maila.

Family care requires openness and trust

There is no specific educational or work background required for family caregivers, but they must complete training, and their home must be suitable for providing care. Family caregivers are paid according to agreements with the City of Helsinki. A single caregiver may have up to four clients at a time. Strong trust between the family caregiver, the client, and their loved ones is crucial. 

“The first meeting is all about getting to know one another. Family care only begins once we’ve found common ground and feel comfortable with the collaboration. At its best, family care fosters long-term relationships,” says Ulla Pohjanmaa.

“Instead of referring to someone as a client, we prefer to think of them as a family member,” adds Elise Liikala.

 “When we have a new family member, it’s vital that everyone in the household, whether living there permanently or temporarily, feels safe and that their needs are considered. Open communication with relatives is also essential.”

Building on experiences for the future

The pilot, which began in October 2024, will run until the end of March 2025. Feedback from both family caregivers and the elderly will be used to refine and establish the service in Helsinki.

So far, the results have been promising.

“It seems that family care can complement existing senior services by offering personalised care in a homelike environment,” says Project Specialist Heidi Haulismaa, who developed the family care model for the elderly in Helsinki.
 

Family care for the elderly is being enhanced through a sustainability project aimed at improving wellbeing and proactively preventing potential issues. This project is part of the Sustainable Growth Programme for Finland, funded by the EU Recovery Plan Next Generation EU. The programme is coordinated by the Ministry of Social Affairs and Health and is being implemented by all wellbeing services counties, as well as the City of Helsinki.