Designing and Delivering Dementia Services

Dr Hugo de Waal is a Consultant in Old Age Psychiatry in Norfolk, UK. Since 2011 he leads the Norfolk Dementia Care Academy, which produced a comprehensive package of education, training and research in dementia care and more recently was appointed as the Clinical Director of the South London Academic Health Sciences Network for Dementia. He has published widely on education and dementia in peer-reviewed journals and international textbooks, including e-learning modules on 'learner-centred teaching'. Constantine G. Lyketsos, MD, MHS, is the Elizabeth Plank Althouse Professor and Chair of Psychiatry at Johns Hopkins Bayview. A world expert in the care and treatment of patients with Alzheimer's and related dementias (AD), Dr. Lyketsos has carried out pioneering work on the epidemiology and treatment of neuropsychiatric features of AD. He leads efforts to ensure the provision of state-of-the-art dementia care for people with dementia living at home in the community. Dr. Lyketsos was the 2012 American Association for Geriatric Psychiatry's Distinguished Scientist Award recipient and the 2006 William S. Proxmire Award recipient for extraordinary leadership in the fight against Alzheimer's. A Distinguished Fellow of the American Psychiatric Association and the American College of Neuropsychopharmacology, he has been elected to the American College of Psychiatrists. Dr. Lyketsos has written more than 350 peer-reviewed journal articles, chapters, and commentaries, as well as five books. He has been cited as one of America's Top Doctors for the past decade. David Ames is an old age psychiatrist who trained in Melbourne and London. He directs Australia's National Ageing Research Institute. He co-founded Melbourne's first memory clinic and has been involved in clinical work, research and teaching related to dementia since the mid-1980s. As of mid 2013 he has published over 210 papers in peer reviewed journals and co-edited or co-written 19 books on aspects of dementia or old age psychiatry. David Ames edited the peer reviewed journal International Psychogeriatrics from 2003-2011.

Foreword vii Preface ix Contributors xi Section 1 The need for dementia services of excellence: Setting the scene 1 1 The need for dementia care services 3 2 The historical development and state of the art approach to design and delivery of dementia care services 17 Section 2 Service models 31 3 Services for people with young onset dementia 33 4 Services for people with incipient dementia 46 5 Services for people with mild dementia 60 6 Services for people with moderate dementia 73 7 Services for people with severe dementia 90 Section 3 External drivers of service development 103 8 How to get results in public policy for Alzheimer's and dementia services 105 Alzheimer's disease international 105 Politics, dementia and ageing in Australia 107 Making dementia a European priority 111 Dementia and politics in England 115 9 Developing policy that works for dementia: National and global lessons in what makes a difference 119 10 Health economics, healthcare funding and service evaluation: International and Australian perspectives 126 Section 4 Services and developments around the world 139 11 The Americas 141 Argentina 142 Brazil 146 Chile 149 The United States of America 151 12 Australasia 155 Australia 156 China 159 India 163 Japan 166 South Korea 170 13 Eastern Europe 173 The Czech Republic 174 Hungary 176 Poland 179 Turkey 182 14 Western Europe 184 Germany 185 Spain 189 Sweden 192 The United Kingdom 195 Section 5 Designing and developing services 199 15 Developing a business case, negotiating, securing funding 201 16 Workforce planning and development 215 17 The role of assistive technology in the care of people with dementia 229 Index 241