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Primary care and dementia: 2. Long-term care at home: psychosocial interventions, information provision, carer support and case management.

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Title:	Primary care and dementia: 2. Long-term care at home: psychosocial interventions, information provision, carer support and case management.
Authors:	Robinson L (AUTHOR), Iliffe S (AUTHOR), Brayne C (AUTHOR), Goodman C (AUTHOR), Rait G (AUTHOR), Manthorpe J (AUTHOR), Ashley P (AUTHOR), Moniz-Cook E (AUTHOR), DeNDRoN Primary Care Clinical Studies Group (CORPORATE AUTHOR), Robinson, Louise (AUTHOR), Iliffe, Steve (AUTHOR), Brayne, Carol (AUTHOR), Goodman, Claire (AUTHOR), Rait, Greta (AUTHOR), Manthorpe, Jill (AUTHOR), Ashley, Peter (AUTHOR), Moniz-Cook, Esme (AUTHOR)
Source:	International Journal of Geriatric Psychiatry. Jul2010, Vol. 25 Issue 7, p657-664. 8p.
Abstract:	Objective: To write a narrative review of the role of primary care physicians in the long-term care of people with dementia living at home, with a focus on psychosocial interventions, the provision of information and carer support, behavioural and psychological symptoms and case management.Methods: The systematic review carried out for the NICE/SCIE Guidelines was updated from January 2006, Cochrane Reviews were identified and other publications found by consultations with experts.Results: In primary care, the long-term care of people with dementia living at home can be structured around several key themes: reframing dementia with a focus on a social model of disability; active use of information sources; supporting carers (caregivers); the management of behavioural and psychological symptoms and a structured case management approach.Conclusions: Caring for people with dementia in primary care demands the same systematic approach as the management of other long-term conditions. The systematic follow-up of both people with dementia and their carers should be integrated into primary care. Reframing dementia, with an emphasis on abilities retained may allow people with dementia and their families to develop more effective coping strategies; an increase in skill mix within primary care is required to deliver this and may also improve the management of behavioural problems. The potential benefits of person-centred interventions, like advance care planning, and alternative models of service delivery, such as a structured, collaborative care approach which promotes integrated case management within primary care, require further evaluation. [ABSTRACT FROM AUTHOR]
	Copyright of International Journal of Geriatric Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database:	Psychology and Behavioral Sciences Collection

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