All the World takes readers to Macau, China, to uncover a pioneering service of The Salvation Army.
In 2016, Macau (an autonomous region on the south coast of China) took a major step forward in dementia care by launching its first Dementia Policy, aligning with the World Health Organization’s Global Action Plan on the Public Health Response to Dementia (2017–2025). Recognised by Alzheimer’s Disease International as the 27th national dementia policy worldwide, Macau’s initiative laid the foundation for a 10-year strategic framework aimed at creating dementia-friendly communities and establishing a comprehensive service network across the region.
A landmark moment came in December 2021 with the opening of The Salvation Army’s Rui Xi Integrated Elderly Service Centre – Macau’s first dedicated integrated care facility for older people living with dementia. Guided by the Social Welfare Bureau’s people-oriented philosophy and the principle of ‘family care, ageing in place’, the Rui Xi centre represents a new era of compassionate, community-based dementia care.
An holistic approach
The Salvation Army centre offers both day care and residential services tailored to the needs of elderly individuals with moderate to severe physical impairments. The centre’s care model is rooted in two internationally respected philosophies: the Eden Alternative, which promotes the core belief that ageing should be a continued stage of development and growth, rather than a period of decline, and the Montessori-based intervention method, which encourages independence and engagement through personalised activities.
At the heart of the centre’s approach is a person-centred care model built on four key pillars:
- Valuing people with dementia
- Treating people as individuals
- Understanding the perspective of the person with dementia
- Creating a supportive social psychology.
Staff undergo Montessori training to understand the unique characteristics of dementia and how to design daily routines that reflect each resident’s interests, skills and abilities. This not only affirms their sense of self-worth but also helps reduce behavioural and psychological symptoms, while fostering stronger family involvement and support.
Creating a familiar and empowering environment
The centre’s physical environment is thoughtfully designed to reflect Macau’s rich cultural heritage, offering a familiar and comforting setting for residents. Activity tools and spaces are adapted to encourage participation and showcase each individual’s abilities. Group activities based on Montessori principles help alleviate loneliness and boredom, while boosting mood and motivation.
Driving community change from the ground up
Despite the growing need, Macau has historically lacked comprehensive community education and support around dementia. The Salvation Army Rui Xi Centre is actively changing that through a bottom-up community engagement strategy focused on building:
- Dementia-friendly groups
- Dementia-friendly citizens
- Dementia-friendly communities
As a member of the Alliance to Build a Dementia Friendly Macau, the centre collaborates across the medical community and other sectors to promote awareness, reduce stigma and foster inclusive environments.
In 2024, the centre established a dementia-friendly community plan with many schools, government agencies and commercial organisations in Macau, combining resources to jointly promote dementia prevention and create inclusive communities. This community plan earned the Top Ten Quality Social Service Award in Hong Kong and Macau from Lions Clubs International District 303, recognising its innovative and impactful work.
A model for global excellence
Macau’s efforts have not gone unnoticed. In Alzheimer’s Disease International’s 2023 report From Plan to Impact VI, Macau’s Dementia Policy was ranked at the highest global level (Stage Five), highlighting its success in improving diagnosis rates, reducing waiting times, and integrating medical and community care into a seamless support network.
The Salvation Army has been present in Macau since 1999.
