Peer support for people with dementia is a relatively new concept in Asia, except for countries like Japan and Taiwan. The approach to dementia care can be quite paternalistic, and people with dementia are passive recipients of care. Thus, the focus is on keeping the people with dementia occupied and engaged via activities rather than providing them with a space to empower and support each other. Moreover, center-based activities cater to older people with dementia, making the center less appealing to those with young onset dementia. Even older people with mild Alzheimer’s disease are reluctant to attend the programs offered by these centers.
In August 2021, during the second year of the Covid 19 pandemic in Singapore, the online La Kopi Peer Support Group was established. Initially, the service was under Dementia Alliance International (DAI) but has since been supported by Dementia Singapore.
The name La Kopi means come together for coffee in Hokkien , a local
Chinese dialect in Singapore. The name and logo were intentionally crafted to generate a welcoming and fun feel to come together and have conversations. Emily Ong, who started this online peer support group, has been hosting it weekly for an hour plus and it is open to people with young-onset dementia and older people with mild dementia. The group is currently serving 12 alumni with dementia of Voices for Hope program and their care partners.
The La Kopi peer support group is unique from the usual peer support group in that it adopts a multi-domain approach. While social interaction and support remain an integral component of peer support, Emily incorporates cognitive activities, brain education, wellness, physical exercise, and music performance by peers into the weekly get together session. The goal is to get her friends to stay active mentally, socially, physically, and cognitively.
The other uniqueness of the La Kopi peer support group is that engagement can be customized to support those members who need extra support to ensure they are included and not left behind. For example, we have a friend who has increasingly difficulty comprehending and following the conversation and expression. In such a situation, Emily will simplify the conversation and activity so that he can participate at his level without feeling inadequate.
Although English is the primary language, the support group also caters to Chinese-speaking and Malay-speaking individuals. The practice not only embrace cultural diversity but also to take into consideration that individuals with dementia might lose their ability to speak English and revert to only speaking or understanding their mother tongue.
The key success factor of the La Kopi peer support group is that everyone feels empowered, included, and respected regardless of their abilities and cultural background.
“I think it’s very good for people like us [with dementia]. We don’t know how to do, when we come in we learn a lot from you all. I look forward to it. I can see so many people here, talk [about] a lot of things, then I can learn […] from each other. So, I think this is a good thing.”
– Peck Hoon, regular participant since sessions first started in August 2021
My advice for those who might want to consider setting up a local peer support group in your community:
Get to know the potential members and have their inputs into what they would want from the peer support group
Be sensitive of cultural differences and potential distress among members in response to a certain topic
Watch for members that might be dominating the conversations and learn how to manage it in a diplomatic manner because the person with dementia might not be socially aware.
Feel free to contact me if you would like to know more about La Kopi.