Prevention and rehabilitation for older people within Long-term Care in seven European countries –overarching topics and the meaning of social participation

European and national public and political debates focus on the potential of prevention and rehabilitation (PR in some, relevant approaches can be found. Some common issues were identified across countries: aspects of governance as promoting or compromising integrated pathways; inequalities in access; cultural issues promoting or inhibiting preventive and rehabilitative orientations; self-determination and self care as normative orientations. Non-medical intersectoral and integrated approaches to P&R, especially those addressing social inclusion, were under-represented. Still, some interesting examples demonstrate P&R approaches enabling also social participation for older people in LTC. Discussion and Conclusion: P&R in LTC need further research and development in order to improve the evidence and identify effective elements for strategies in policy and practice