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Henry Brodaty Chairman, ADI Future strategies

Henry Brodaty Chairman, ADI Future strategies. World Health Report 2001. Based on scientific and technical evidence for what works 10 feasible solutions to address current and future mental health needs

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Henry Brodaty Chairman, ADI Future strategies

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  1. Henry Brodaty Chairman, ADI Future strategies

  2. World Health Report 2001 • Based on scientific and technical evidence for what works • 10 feasible solutions to address current and future mental health needs • None of these recommendations is beyond the reach of countries IF technical and financial support are made available • These recommendations can help close the gap between current situation and what can be achieved

  3. Recommendations Provide treatment in primary care • Make appropriate treatments available • Give care in the community • Educate the public • Involve people with dementia, families, and communities

  4. Recommendations (con) • Establish national policies, programmes and legislation 7. Develop human resources 8. Link with other sectors 9. Monitor community health 10. Support more research

  5. Countries can be grouped according to levels of resources Low Medium High

  6. Provide treatment in primary care • Recognise that memory loss is not normal part of ageing • Early detection and differential diagnosis of dementia • Training in diagnosis and management of behavioural and psychological symptoms of dementia • and ……

  7. Provide treatment in primary care (continued) • Recognise dementia care as component of primary care • Include recognition and treatment of dementia in curricula of all health personnel • Provide refresher training to primary care physicians • Develop alternative models of primary heath care workers

  8. Make appropriate treatments available • Develop and evaluate educational and training interventions for caregivers • Educate health care workers in principles of care of PWD • Increase availability of drugs for treatment of dementia • Make available drugs for treatment of Behavioural and Psychological Symptoms of Dementia (BPSD)

  9. Give care in the community • People with dementia are best assessed and treated in their own homes • Standard needs assessments for use in primary care • Multidisciplinary community care teams

  10. Give care in the community • Avoid placing people with dementia in inappropriate institutional settings

  11. Educate the public • Public campaigns against stigma and discrimination • Educate public that memory loss is not a normal part of ageing • Educate public that dementia is an illness

  12. Educate the public • Educate public that treatment and help are available • Support NGOs in public education

  13. Involve people with dementia, families and communities • Support development of self help groups • Publicise availability of Alzheimer Associations • Support and fund NGOs

  14. National policies, programs and legislation • Develop dementia care policies and programs • Legal framework to protect those with impaired mental capacity • Include people with dementia in disability benefit schemes • Include carers in compensatory benefit schemes • Establish health and social care budgets for older people

  15. Develop human resources • Train primary health care workers • Train personal carers, residential care staff • Higher professional training for doctors and nurses in old age psychiatry and geriatric medicine • Develop training and resource centres

  16. Link with other sectors • Initiate community, school and workplace dementia awareness programs • Encourage activities of NGOs

  17. Monitor community health • Include dementia in basic health information • Survey high risk population groups

  18. Support more research • Conduct studies in primary health care settings on prevalence, course, outcome and impact of dementia in the community • Service orientated research

  19. www.alz.co.uk

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