Computer Security Service for People with Alzheimer's or other Cognitive Diseases

Project location: ITALY, Lazio Region
Project start date: December 2010 - Project end date: September 2011
Project number: 2010-74
Beneficiary: Alzheimer Uniti Roma Onlus

THE TRIAL
During the three-month trial, service was available from 8:00 to 20:00 seven days a week
Patient Profiles
Gender
• Females: 60%
• Males: 40%
Age: from 65 to 88 years
Duration of illness: from 1 to 7 years
At Risk of escape: 10%
At Risk of loss: 90%
After a three month trial no patients fled or were lost
Service Simulation*
We therefore performed a series of simulations:
• Patient, partially self-sufficient, got lost.
- The Carer phoned the Operations Center. The Operations Center helped trace the patient.
• Patient, constantly monitored, escape from the controlled area.
- The Operator's Control Center received an alarm from the system, once the patient exceeded the limit set in the protected area. The operator phoned the carer and helped him to trace the patient.
• Patient, partially self-sufficient, was lost.
- The carer, being unable to trace the patient requested assistance from the Operations Center, which in turn asked the Police, transferring all information in its possession. The Police then traced him.
• Patient, constantly monitored, fled from the controlled area.
- The carer, being unable to track the patient, requested the intervention of the Operations Centre, which transferred all information to the police who traced the patient.
* The simulation was performed in the first two cases, with patients and carers who acted under the constant control of an Alzheimer Uniti psychologist, who observed a state of distress in the patients and carers during the first two simulations, by agreement with Professor Bartorelli, SDP decided to use ordinary people as actors for subsequent simulations.

All the simulations demonstrated the full functionality and suitability of this service to the exigencies manifested at commencement of the experiment.

 

MINISTRY OF THE INTERIOR
As requested at the meeting on 23 May 2011, chaired and directed by Bruno Frattasi the Prefect, which was attended by the Special Commissioner for missing persons Prefect Michele Penta, the representatives of the Combined Joint Police Force, Professor Luisa Bartorelli, President of Alzheimer Uniti and Ing Luciano De Petris, CEO of SDP-Sistemi di Protezione, the Rome Police Operations Centre director and the commanding officer of the Carabinieri Rome Provincial Command Operations Room, with the support of SDP drafted the " Technical Operative Manual for Search and Rescue"

Technical Operative Manual
for Search and Rescue
of persons with Alzheimer's disease
Diogene's Project

Introduction
The disease, known as "Alzheimer's disease" or "Alzheimer's Dementia", affects the brain cells of elderly people who, due to a chronic degenerative process, progressively deteriorate, making the person affected, unable to continue lead a normal life.
The loss of memory follows the same course to cause dangerous situations which may escape the attention of the Carer putting the life of the sick person at risk, like getting lost and not being able to find the way home.
Many people each year are lost and are never found because the carer becomes tardily aware of the disappearance or because, lacking elements of support, are late warning the Police.
The service provided in the sphere of this project aims to eliminate this lack by providing the carer with the appropriate instruments.
Diogene's Project
A specialized device is placed on the wrist of the diseased patient, which locates their position by GPS and provides all necessary information through a SIM to the SDP Control Center.
If the carer tasked with control is unable, for various motives, to find the patient, they call the SDP Control Center providing all information needed to search, such as, for example, the person's apparel. The center manager assigns the operation to an operator with the role of assisting the carer in finding the missing person.
It may be that the patient is found and the operation is declared closed, or that the patient cannot be reached and then an alarm is generated in the competent Exchange/Operations Room with transmission of the data pertaining to the patient and their latest location
The Operations Room which takes over the operation in the territory informs the SDP Control Center when they find and give succour to the patient.

Technical Operative Manual

The Technical Operative Manual follows, at the test phase, the indications of the "Guidelines to the process and emergency management between the SDP Control Center and the State Police Central Operations Room and the Carabinieri rome and Province Operating Rooms," established during the meeting of the Combined Joint Committee of the Police Forces on 13 April 2011 and refined at the meeting on 23 May 2011, convened and chaired the Prefect Bruno Frattasi, Director of the 'Office for the Coordination and Planning of Police Forces in the Department of Public Security of the Ministry of the Interior.
The police forces and the project promoters agreed at the meeting as follows:

1. To provide the Police with geographical indications about the location of patients involved in the test phase in order to identify the most appropriate operational structures with better speed of action;
2. Simultaneous alarm transmission to both operations rooms in case of disappearance of the sick person: when the alarm is received by one of the two forces, the SDP control center will inform the other force that the call was being handled;
3. The transmission by the SDP Control Center to the Police force which took charge of the operation, all the data necessary to commence searching for the patient (photo, personal details, somatic features, clothing worn), whilst it remains essential that the carer formally reports the disappearance to legitimize data processing and operational intervention procedures.

Operating Procedure

At the meeting on 8 October 2011 between the commanders of of the Police Rome Operations Room and the Operations Room at the Provincial Command of the Carabinieri in Rome and the head of the SDP Control Center it was decided that, until the PCCT is made official in the Province of Rome, the operational coverage of the two police forces is practically identical. As one force has no possibility of knowing the location of the other force's patrol vehicles at the time of request for intervention, it is impossible to proceed with the Principle of Proximity applied moreover by both forces in their operations.

Both Police Forces decided to ask the SDP Control Center to transmit requests on a parity basis to the forces (the first request to the Police, the Carabinieri in the second, third to the Police, etc.).

Operational activities, in the case of a missing person with Alzheimer's, will be executed as follows:

Carer
• Interacts with the operator of SDP Control Center to attempt to find the missing person
• If unable to do so, the Carer asks the operator to contact the police forces to intervene.

SDP Control Center
• Activates a distress call via audio alarm to the Police Operations Room with jurisdiction for the territory, in the sequence agreed;
• Transfer all data useful to the search: photo, personal details, somatic features, clothing worn, and a geographical map with the localisation of the missing person's last known position and any previous locations.
• Update localisation of the missing person at regular intervals or upon request from the Operations Room.
• Activate new calls to the Operations Room with jurisdiction for the territory, in the sequence agreed, when there are new reports during the search for the first patient. In these cases the procedure will be as above;
• Control Center awaits closure of the operation, continuing to monitor, via GPS, the persons or persons missing;
• Eventually communicate with the Operations Room of reference via the specific VoIP phone line.

Police Operations Room

• Receive a distress call by audio alarm from the SDP Control Center, in the sequence agreed;
• Takes charge of the request, closing the audio alarm;
• A new window is opened automatically displaying, to the left side, the data propaedeutic to the search: photo, personal details, somatic features, clothing worn, and to the right a map showing the last location of the missing person. The map can be enlarged or reduced by the operator, as needed and the display can change from a traditional map view to satellite. The operator may also, via a dedicated button, see the last previous locations on the map. The locations are updated at predefined times.
• If a new alarm sounds, the Operator with the appropriate key, can return to the home window and take in charge the new distress call.
• When the missing person is found, the Police operator using the appropriate button in the home window, calls the SDP Control Center to close the distress call and notifies the carer, by phone, the Carer to reach the missing person at the location indicated.


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