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Holistic Reablement Care Model – Interdisciplinary Support Program Social Return on Investment – Pingtung County Yeh Tzu Yuan Private Senior Residential Care Facility

Abstract

Founded in 1994, the Pingtung County Yeh Tzu Yuan Private Senior Residential Care Facility (hereafter “YTY”) serves older adults in the Kaohsiung–Pingtung area who cannot manage daily living and those who are bereaved, solitary, or otherwise in need of support. Guided by the mission to “advance older-adult welfare, promote respect for older adults, ensure stable daily living, safeguard health, and foster social harmony,” YTY provides diversified and individualized professional services, including nursing, personal care, social work, rehabilitation, and nutrition, and actively contributes to long-term care policy development. In 2016, YTY introduced the Self-Reliance & Life Reablement concept and advanced an innovative Holistic Self-Reliance Care model. The model was first piloted in community services; subsequent experience showed it could be implemented more fully within a residential setting, where Yeh Tzu Yuan Senior Residential Care Facility (hereafter “YTY Residential Care Facility”) now delivers the model through an interdisciplinary team. In parallel, YTY aligns with the Sustainable Development Goals (SDG 1, SDG 3, SDG 17), centering on strengthening older adults’ self-reliant living and quality of life as part of sustainable care.

Through meeting with Impact Express CO., LTD., YTY learned that Social Return on Investment (SROI) quantifies social benefits and therefore adopted this approach to assess the social impact of the Holistic Self-Reliance Care model. SROI enables YTY to present, with concrete data, how social inputs translate into outcomes so external audiences can clearly understand YTY’s contribution to long-term care in the Kaohsiung–Pingtung region. It also serves as a basis to review and optimize current services and to replicate the model, thereby expanding and deepening social value. This analysis compiles input costs, outcome data, and stakeholder feedback to quantify the social impact created by the Holistic Self-Reliance Care model implemented at the YTY Residential Care Facility.

This project is an evaluation-type SROI; covering 1 January 2024 to 31 December 2024 (one year). The Holistic Self-Reliance Interdisciplinary Care Support Program implemented in the residential facility generated an SROI of 4.57; sensitivity analysis ranged 3.46–5.08, indicating stable and high social value creation. From stakeholder consultations and feedback, the key outcomes are as follows:

• Older adults: positive body–mind–spirit changes, including improved physical health, reduced depression and negative thoughts, increased life motivation, and enhanced interpersonal relationships
• Family members: reduced caregiving burden and improved family relationships due to appropriate care for their loved ones.
• Care professionals: enhanced professional skills, gained a sense of accomplishment, cultivated empathy, and heightened risk awareness through participation in the model.
• Organization (YTY Residential Care Facility): expanded external resource linkages, strengthened team cohesion, and innovation in service-model development—demonstrating YTY’s overall contribution to sustainable long-term care.