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.

InhaltsangabeForeword 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

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