Services for Younger Sufferers of Alzheimer's Disease

Williams, D. D. R.

doi:10.1192/bjp.166.6.699

Cited by 10 publications

(10 citation statements)

References 5 publications

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“…Community and residential services could make special provision for younger people with dementia, who are in danger of being overlooked while aged care services are increasing (Williams, 1995). While the low geographical density of presenile dementia militates against regional organization of services, other strategies such as supraregional centres, support groups focusing on younger people with dementia, telephone conferencing to link carers, allocation of special days in day centres and linkage with other groups such as young people with head injuries or AIDS may be useful.…”

Section: Discussionmentioning

confidence: 99%

Younger people with dementia: diagnostic issues, effects on carers and use of services

Luscombe

Brodaty

Freeth

1998

Int. J. Geriat. Psychiatry

111

104

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Section: Discussionmentioning

confidence: 99%

Younger people with dementia: diagnostic issues, effects on carers and use of services

Luscombe

Brodaty

Freeth

1998

Int. J. Geriat. Psychiatry

111

104

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“…Six participants of the Amsterdam Meeting Centers project were aged under 60, compared to none in the control group. In The Netherlands, as in other countries (Newens et al, 1995;Williams, 1995), young AD patients (and their spouses) rarely use the regular day centers in nursing homes, because of the mean age of the participants (mostly elderly people) in those centers. The Amsterdam Meeting Centers project demonstrated that the young AD patients and their spouses were much less resistant to participation in the general community centers that are frequented by people of all ages.…”

Section: Discussionmentioning

confidence: 99%

Effect of Integrated Family Support Versus Day Care Only on Behavior and Mood of Patients With Dementia

Dröes

Breebaart²,

Ettema

et al. 2000

Int. Psychogeriatr.

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ABSTRACT. Objective: This study tests the hypothesis that integrated family support, in which patients and caregivers are both supported by one professional staff, is more effective in influencing behavior problems and mood of the dementia patient than nonintegrated support, such as psychogeriatric day care only. Design: A quasi-experimental pretest-posttest control group design with matched groups was applied. Setting: Psychogeriatric day-care centers of four community centers and three nursing homes. Participants: Fifty-six dementia patients living at home and their caregivers. Intervention: The patients in the experimental group (n = 33) participated together with their caregivers in an integrated family support program, whereas the patients in the control group (n = 23) received psychogeriatric day care only. Measurements: Behavior problems and mood were observed using standardized behavior observation scales. Results: After 7months the experimental support program, compared to the regular psychogeriatric day care, showed a large positive effect on the total number of behavior problems (effect size .75), and also specifically on the degree of inactivity (effect size .66) and nonsocial behavior (effect size .61). No effect on mood was found. Conclusions: In influencing the total amount of behavior problems, as well as the degree of inactivity and nonsocial behavior, the integrated family support program proved to be more effective than psychogeriatric day care. Because behavior problems are an important determinant for admission of persons with dementia into a nursing home, integrated family support may contribute to the delay of institutionalization.Behavioral and mood problems of persons with dementia often make it difficult to take care of these people at home. Research shows that behavioral problems constitute the main determinant of institutionalization of a person with dementia into a nursing home (Christie & Wood, 1988;Grafstrom et al., 1994;Reisberg et al., 1987;Steele et al., 1990). It is also well known that behavioral problems

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“…The specific needs of younger people with dementia have tended to be neglected by service providers, only 12 NHS trusts have specialist services (Williams, 1995;Barber 1997;NHS Health Advisory Service, 1997). In 1995 Leeds Community and Mental Health Services NHS Trust, with the City of Leeds Department of Social Services, developed a multi-disciplinary community oriented early onset dementia team.…”

Section: Discussionmentioning

confidence: 99%