Patricia Richards, who is 64 years old and lives in Salem, Massachusetts, looks forward to her daily chats with her cat Bella.
“I love Bella very, very much. She’s helpful … she does a lot of things for me and I’m so happy she’s in my house,” said Richards. Except Bella isn’t like most animals. As well as being able to talk, Bella checks if Patricia has taken her medication, plays the rock ‘n’ roll music she likes and reassures her when she is feeling anxious.
Because Bella is a digital pet that exists on a tablet. She was created by Care Coach, a social enterprise that is competing with traditional models of care for the elderly in terms of cost, flexibility and resources. As companies providing state-funded care work to deliver services with sometimes dwindling finances, technology is offering a way to balance challenging budgets.
In the United States, advances in healthcare and a public better informed about healthy lifestyles has lead to an increasingly ageing population. One in five of the nation’s population will be 65 or older by 2030, according to a 2014 government report.
Richards’ welfare is managed by healthcare organisation Element Care, which has engaged Care Coach to provide the pets. The element is now looking to increase the 15 current users because of the benefits that have resulted. Not only has Richards’ well-being improved but the company has saved money on the cost of her care, it says.
She was selected for the digital pet because of repeated visits to the hospital whilst suffering anxiety and a shortage of breath related to smoking. Richards had also suffered the loss of a family member which added to the anxiety, so was calling on therapists and care staff more often, partly for solace and partly for the company. “Our highest success is some of these lonely individuals who just need a little bit of extra help and attention,” said Kendra Seavey, the project administrator for the initiative.The pet also provides 24-hour care, whereas the care centre she attends is only open during office hours Monday to Friday.
Richards will now talk to the pet if she is short of breath. Bella will guide her through breathing exercises and play music to calm her down. This has prevented 13 hospital visits to the emergency department so far, Seavey said. Staff time has also been freed up as a result.
RISING CARE COSTS
This is good news for taxpayers. As the care provider, Element’s budget comes from the state-funded Medicare Programs of All Inclusive Care for the Elderly (PACE), which aims to keep people living independently, instead of going to a nursing home.
Care costs will inevitably rise as people live longer lives. People aged 80 and older account for a third of all the Medicare spending in the United States, according to a 2015 report by the Kaiser Family Foundation. Care Coach’s 30-year-old founder, Victor Wang, was inspired by the experience of his own family, who were living in the United States and trying to care for his grandmother, who was living alone in Taiwan.
“She was very lonely, she got depressed and then she was diagnosed with dementia,” said Wang, who said the avatars have also been used to monitor hospital patients. The pets – users can choose between a dog or a cat – are voiced by staff in the Philippines, who can see and hear users and voice the pets’ responses with a text-to-speech system.
Richards doesn’t keep a strict routine, so will talk to her pet at any hour of the day and night. The data helps care staff monitor sleeping patterns, which contributes to good health. Richards has been told she will be allowed to keep her pet as long as Bella continues to help her with her health.
“She is so cute. I can hear her purring when she’s sleeping,” said Richards. “If I want her I will just pat her on the top of her head and she’ll wake up.”