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Designing and Delivering Dementia Services




Designing and Delivering Dementia Services

Hugo de Waal (Editor), Constantine Lyketsos (Editor), David Ames (Editor), John O'Brien (Editor)

ISBN: 978-1-118-37868-7 May 2013 Wiley-Blackwell 272 Pages

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Dementia is increasingly and widely recognised as a serious health and social challenge, in the developed world as well as in the developing world. The need therefore to design and implement dementia care services of high quality is becoming more and more vital, particularly given the likelihood of ever increasing demand in a world, which likely sees resources at best remaining at current levels.

Designing and Delivering Dementia Services describes current developments in the design and configuration of dementia services. It offers an informative and detailed overview of what constitutes high quality care, considering the circumstances patients and carers may find themselves in.

For dementia to get the priority it deserves, a number of factors are important and the book charts the invaluable contributions of various Alzheimer's Associations and Societies: this provides a focus on dementia strategies and plans at national levels: the book reports on the state of affairs regarding such strategies and provides a unique insight into the process of how one of these was developed and implemented.

Recognising the need to prove that service developments lead to a higher quality of care, increased productivity and increased efficiency, the book links the resulting picture to service-based research methodologies, with an emphasis on the strengths and limitations of that research.

Contributions from 17 countries on 4 continents give an overview of the state of affairs across the world, paying attention to successful - and less successful - initiatives to improve dementia care. The book furthermore provides pragmatic approaches to ensure planning becomes reality, highlights the need for structured workforce development, education and training and describes the opportunities afforded by assistive technology.

This book is of prime informative and practical value given that pressures on dementia services are projected to mount across the world against a backdrop of limited resources and expertise.

Designing and Delivering Dementia Services

  • Defines the problems involved in meeting an increasing demand for dementia care services in a poorer world
  • Maps initiatives and developments in the design and configuration of these services in a variety of international settings
  • Analyses these developments against the background of political and health economic circumstances
  • Provides a road map of where health services should go in response to this growing challenge.

The first book to define, analyse and map initiatives for dementia care services in a time of increasing demand and decreasing resources, this book is essential reading for commissioners, senior clinicians and service planners in health and social care. It will also be of interest to academic researchers involved in qualitative services research as well as quantitative health economic research, health and social care managers and those involved in workforce planning and development.

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