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The memory clinic and psychosocial intervention: Translating past promise into current practices

Disproportionate negative effects since the pandemic have amplified the already limited post-diagnostic support for older people with dementia. This paper summarizes an exploratory randomized controlled study of a proactive family-based intervention compared with “usual” post-diagnostic dementia car...

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Autores principales: Moniz-Cook, Esme, Mountain, Gail
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10192709/
https://www.ncbi.nlm.nih.gov/pubmed/37214129
http://dx.doi.org/10.3389/fresc.2023.1052244
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author Moniz-Cook, Esme
Mountain, Gail
author_facet Moniz-Cook, Esme
Mountain, Gail
author_sort Moniz-Cook, Esme
collection PubMed
description Disproportionate negative effects since the pandemic have amplified the already limited post-diagnostic support for older people with dementia. This paper summarizes an exploratory randomized controlled study of a proactive family-based intervention compared with “usual” post-diagnostic dementia care. Memory clinic practitioners collaborated with the family doctor (GP) to coordinate this. At 12-month follow-up, positive effects on mood, behavior, carer coping and maintenance of care at home were found. Current approaches to deliver post-diagnostic support in primary care may require rethinking since (i) GP workloads have increased with low numbers of GPs per head of population in parts of England; and (ii) unlike many other long-term conditions, ongoing stigma, fear and uncertainty associated with dementia adds to the huge complexity of timely care provision. There is a case for return to a “one-stop facility”, with a single pathway of continuing multidisciplinary coordinated care for older people with dementia and families. Future longitudinal research could compare structured post-diagnostic psychosocial intervention coordinated by skilled practitioners in a single locality memory service “hub”, against other approaches such support organized mostly within primary care. Dementia-specific instruments for outcome measurement are available for use in routine practice, and should be included in such comparative studies.
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spelling pubmed-101927092023-05-19 The memory clinic and psychosocial intervention: Translating past promise into current practices Moniz-Cook, Esme Mountain, Gail Front Rehabil Sci Rehabilitation Sciences Disproportionate negative effects since the pandemic have amplified the already limited post-diagnostic support for older people with dementia. This paper summarizes an exploratory randomized controlled study of a proactive family-based intervention compared with “usual” post-diagnostic dementia care. Memory clinic practitioners collaborated with the family doctor (GP) to coordinate this. At 12-month follow-up, positive effects on mood, behavior, carer coping and maintenance of care at home were found. Current approaches to deliver post-diagnostic support in primary care may require rethinking since (i) GP workloads have increased with low numbers of GPs per head of population in parts of England; and (ii) unlike many other long-term conditions, ongoing stigma, fear and uncertainty associated with dementia adds to the huge complexity of timely care provision. There is a case for return to a “one-stop facility”, with a single pathway of continuing multidisciplinary coordinated care for older people with dementia and families. Future longitudinal research could compare structured post-diagnostic psychosocial intervention coordinated by skilled practitioners in a single locality memory service “hub”, against other approaches such support organized mostly within primary care. Dementia-specific instruments for outcome measurement are available for use in routine practice, and should be included in such comparative studies. Frontiers Media S.A. 2023-05-04 /pmc/articles/PMC10192709/ /pubmed/37214129 http://dx.doi.org/10.3389/fresc.2023.1052244 Text en © 2023 Moniz-Cook and Mountain. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Rehabilitation Sciences
Moniz-Cook, Esme
Mountain, Gail
The memory clinic and psychosocial intervention: Translating past promise into current practices
title The memory clinic and psychosocial intervention: Translating past promise into current practices
title_full The memory clinic and psychosocial intervention: Translating past promise into current practices
title_fullStr The memory clinic and psychosocial intervention: Translating past promise into current practices
title_full_unstemmed The memory clinic and psychosocial intervention: Translating past promise into current practices
title_short The memory clinic and psychosocial intervention: Translating past promise into current practices
title_sort memory clinic and psychosocial intervention: translating past promise into current practices
topic Rehabilitation Sciences
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10192709/
https://www.ncbi.nlm.nih.gov/pubmed/37214129
http://dx.doi.org/10.3389/fresc.2023.1052244
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