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.
Tabela de Conteúdo
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
Sobre o autor
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.
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