Designing and Delivering Dementia Services (eBook)

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