Supporting People With Dementia at Home

This book describes an intensive case management scheme designed for older people with a diagnosis of dementia, identified as likely to be at risk of entry to residential care. The study used a quasi-experimental approach, where individuals in one community mental health team for older people received case management and were matched to those in a similar community mental health setting without such a service. The evidence was analysed in relation to the eventual placement of the older person -- their quality of care, quality of life and overall needs, and also the needs of their careers. Cost information was studied. In addition, detailed analyses were carried out of the ways in which case managers undertook their work and how they addressed the problems and needs of the older people and carers in the study. The book offers valuable evidence about the factors which enhance the likelihood of older people with dementia remaining in their own homes, from the perspective of older people, their carers and those who commission services.