An activity program for groups of 6 to 8 residents was implemented for 51 residents of 3 dementia units. Nursing assistants, not the activity director, led the small group activities. Observations across a 16-week period indicate that, after the program began, residents walked with others more, sang more, frowned less, and were physically restrained less. In addition, psychotropic medications were reduced for 7 of 20 who were on this type of medication. These results suggest that an inexpensive small group activity program, ifused in conjunction with a supportive, caring staff, is valuable in avoiding some excess disabilities of residents of special care units . Alzheimer's disease or some other type of dementia afflicts at least 50% of nursing home residents (Office of Technology Assessment, 1987). Because of behavior problems associated with dementia, many nursing homes have established special care units (SCUs) to accommodate the special needs of demented residents. SCUs stress not only basic medical and physical needs but also social needs with activity programs and more interaction between staff and residents. These units tend to cost more to maintain, but research has suggested that SCUs are helpful in reducing problem behaviors (Cleary,