Skip to main content
SpringerLink
Log in
Book cover

Dementia Care pp 45–60Cite as

Memory Clinics and Care Management Programs

  • Chapter

  • 2738 Accesses

Abstract

Memory clinics were initially described in the US in the 1970s, expanded to the UK in the 1980s and have since become an adopted concept internationally (Postgrad Med J 82:199–206, 2006; Oxford textbook of old age psychiatry, Oxford University Press, 2013). Dementia rates worldwide are rising yet diagnoses, especially in early stages when interventions are most likely to be effective, are not well established in primary care. Families and caregivers have high rates of burden and the high societal cost of dementia care has been well-established (World Alzheimer’s Report. Journey of caring, an analysis of long term care for dementia http://www.alz.co.uk/research/world-report-2013, 2013; World Alzheimer’s Report. http://www.alz.co.uk/research/world-report, 2011). Memory clinics can help meet the needs of persons with dementia and their families by providing interdisciplinary and collaborative approaches to improve outcomes of care. Other innovative models such as care management may also provide a benefit in delaying institutionalization, offer long term services and supports, and coordinate medical care (Neurology 67:1592–1599, 2006; Care coordination for people with Alzheimer’s disease and related dementias: Literature review. http://aspe.hhs.gov/daltcp/reports/2013/alzcc.shtml, 2013). This chapter will review memory clinics from a historical perspective and describe its attributes, population serviced, staffing, and outcomes, as well as a review of care management models.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Rubinstein L. A view from the USA on the Alzheimer’s disease international position paper. J Nutr Health Aging. 2010;14:104.

    Article  Google Scholar 

  2. World Alzheimer’s Report. Early diagnosis and interventions. http://www.alz.co.uk/research/world-report (2011). Accessed 8 Aug 2014.

  3. Goldberg SE, Bradshaw LE, Kearney FC, Russell C, Whittamore KH, Foster PE, Mamza J, Gladman JR, Jones RG, Lewis SA, Porock D, Harwood RH. Care in specialist medical and mental health unit compared with standard care for older people with cognitive impairment admitted to general hospital: randomized controlled trial. BMJ. 2013;347:4132.

    Article  Google Scholar 

  4. Banerjee S. Memory assessment services. In: Dening T, Thomas A, editors. Oxford textbook of old age psychiatry. Oxford: Oxford University Press; 2013. p. 319–25.

    Chapter  Google Scholar 

  5. Wright N, Lindesay I. A survey of memory clinics in the British Isles. Int J Geriatr Psychiatry. 1995;10:379–85.

    Article  Google Scholar 

  6. Jolley D, Benbow SM, Grizzell M. Memory clinics. Postgrad Med J. 2006;82:199–206.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Simpson S, Beavis B, Dyer J, Ball S. Should old age psychiatry develop memory clinics? A comparison with domiciliary work. Psychiatr Bull. 2004;28:78–82. doi:10.1192/pb.28.3.78.

    Article  Google Scholar 

  8. Meeuwsen EJ, Melis RJ, Van Der Aa G, Goluke-Willemse GA, De Leest BJ, et al. Effectiveness of dementia follow-up care by memory clinics or general practitioners: randomized controlled trial. BMJ. 2012;34:1–9.

    Google Scholar 

  9. Lindesay J, Marudkar M, Van Diepen E, Wilcock G. The second Leicester survey of memory clinics in the British Isles. Int J Geriatr Psychiatry. 2002;17:41–7.

    Article  PubMed  Google Scholar 

  10. US Department of Health and Human Services. http://www.nia.nih.gov/alzheimers/alzheimers-disease-research-centers. Accessed 12 Aug 2014.

  11. US Department of Health and Human Services. Office of the Assistant Secretary for Planning and Education. http://aspe.hhs.gov/daltcp/napa/NatlPlan2014.shtml (2014). Accessed 12 Aug 2014.

  12. Tan ZS, Jennings L, Reuben D. Coordinated care management for dementia in a large academic health system. Health Aff. 2014;33:619–25.

    Article  Google Scholar 

  13. Cahill S, Pierce M, Moore V. A national survey of memory clinics in the republic of Ireland. Int Psychogeriatr. 2014;26:605–13.

    Article  PubMed  Google Scholar 

  14. New York State Department of Health. Alzheimer’s Disease Assistance Centers. https://www.health.ny.gov/diseases/conditions/dementia/alzheimer/about_adac.htm (2011). Accessed 12 Aug 2014.

  15. California Department of Public Health. California Alzheimer’s Disease Program. http://www.cdph.ca.gov/programs/alzheimers/Pages/default.aspx (2014). Accessed 12 Aug 2014.

  16. Department of Elder Affairs, State of Florida. http://elderaffairs.state.fl.us/doea/alz.php (2011). Accessed 12 Aug 2014.

  17. Mukadam N, Livingston G, Rantell K, Rickman S. Diagnostic rates and treatment of dementia before and after launch of a national dementia policy: an observation study using English national databases. BMJ. 2014;4:1–7.

    Google Scholar 

  18. Jolley D, Muniz EC. Memory clinics in context. Indian J Psychiatry. 2009;51:S70–6.

    PubMed  PubMed Central  Google Scholar 

  19. Phipps A, O’Brien J. Memory clinics and clinical governance- a UK perspective. Int J Geriatr Psychiatry. 2002;17:1128–32.

    Article  PubMed  Google Scholar 

  20. Lee L, Miller L, Harvey D. Integrating community services into primary care: improving the quality of dementia care. Neurodegener Dis Manag. 2014;4:1–11.

    Article  CAS  Google Scholar 

  21. Samsi K, Abley C, Campbell S, Keady J, Manthorpe J, et al. Negotiating a Labyrinth: experiences of assessment and diagnostic journey in cognitive impairment and dementia. Int J Geriatr Psychiatry. 2013;29:58–67.

    Article  PubMed  Google Scholar 

  22. Brodaty H, Woodward M, Boundy K, Ames D, Balshaw R. Patients in Australian memory clinics: baseline characteristics and predictors of decline at six months. Int Psychogeriatr. 2011;23:1086–96.

    Article  PubMed  Google Scholar 

  23. Banerjee S, Willis R, Matthews D, Contell F, Chan J, Murray J. Improving the quality of care for mild to moderate dementia: an evaluation of the Croydon memory service model. Int J Geriatr Psychiatry. 2007;22:782–8.

    Article  PubMed  Google Scholar 

  24. Galvin JE, Valois L, Zweig Y. Collaborative transdisciplinary teams approaches for dementia care. Neunodegener Dis Manag. 2014;4:455–69.

    Google Scholar 

  25. Boustani MA, Sachs GA, Alder CA, Munger S, Schubert CC, et al. Implementing innovative models of dementia care: the health aging brain center. Aging Ment Health. 2011;15:13–22.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Morgan DG, Crossley M, Kirk A, Arcy CD, Stewart N, et al. Improving access to dementia care: development and evaluation of a rural and remote memory clinic. Aging Ment Health. 2014;13:17–30.

    Article  Google Scholar 

  27. Azad N, Amos S, Milne K, Power B. Telemedicine in a rural memory disorder clinic-remote management of patients with dementia. Can Geriatr J. 2012;15:96–100.

    PubMed  PubMed Central  Google Scholar 

  28. American Telemedicine Association. http://www.americantelemed.org/about-telemedicine/what-is-telemedicine#.U8r6LLGye-c (2012). Accessed 13 Aug 2014.

  29. Barton C, Morris R, Rothlind J, Yaffe K. Video-telemedicine in a memory disorders clinic: evaluation and management of rural elders with cognitive impairment. Telemed J E Health. 2011;17:789–93.

    Article  PubMed  Google Scholar 

  30. Comans TA, Martin-Khan MM, Gray LC, Schuffham PA. A break-even analysis of delivering a memory clinic by videoconferencing. J Telemed Telecare. 2013;19:393–6.

    Article  PubMed  Google Scholar 

  31. Dyer J. Multidisciplinary, interdisciplinary, and transdisciplinary educational models and nursing education. Nurs Educ Perspect. 2003;24:186–8.

    PubMed  Google Scholar 

  32. Archer J, Bower P, Gillbody S, Lovell K, Richards D, et al. Collaborative care for depression and anxiety problems. Cochrane Database Syst Rev. 2012;10.

    Google Scholar 

  33. Ganz D, Koretz BK, Bail JK, McCreath HE, Wenger NS, et al. Nurse practitioner co-management for patients in an academic geriatric practice. Am J Manag Care. 2013;16:343–55.

    Google Scholar 

  34. Callahan CM, Boustani MA, Unverzagt FW, Austrom MG, Damush TM, et al. Effectiveness of collaborative care for older adults with Alzheimer disease in primary care: a randomized controlled trial. JAMA. 2006;295:2148–57.

    Article  CAS  PubMed  Google Scholar 

  35. Mittelman MS, Haley WE, Clay OJ, Roth DL. Improving caregiver well-being delays nursing home placement of patients with Alzheimer’s disease. Neurology. 2006;67:1592–9.

    Article  PubMed  Google Scholar 

  36. Vickrey BG, Mittman BS, Connor KI, Pearson ML, Della Penna RD, et al. The effect of a disease management intervention on quality and outcomes of dementia care: a randomized, controlled trial. Ann Intern Med. 2006;145:713–26.

    Article  PubMed  Google Scholar 

  37. Lee L, Hillier LM, Stolee P, Heckman G, Gagnon M, McAiney CA, Harvey D. Enhancing dementia care: a primary care-based memory clinic. J Am Geriatr Soc. 2010;8:2197–204.

    Article  Google Scholar 

  38. Boada M, Tarraga L, Hernandez I, Valero S, Alegret M, et al. Design of a comprehensive Alzheimer’s disease center in Spain to meet critical patient and family needs. Alzheimers Dement. 2014;10:409–15.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Rojas-Fernandez CH, Patel T, Lee L. An interdisciplinary memory clinic: a novel practice setting for pharmacists in primary care. Ann Pharmacother. 2014;48:785–95.

    Article  PubMed  Google Scholar 

  40. American College of Physicians. Hiring a physician assistant or nurse practitioner. http://www.acponline.org/running_practice/practice_management/human_resources/panp2.pdf (2010). Accessed 16 Jun 2014.

  41. American Nurses Association. http://www.nursingworld.org/EspeciallyForYou/What-is-Nursing/Tools-You-Need/RegisteredNurseLicensing.html (2014). Accessed 16 Jun 2014

  42. American Association of Medical Assistants. http://www.aama-ntl.org/ (2014). Accessed 13 Jun 2014.

  43. American Neuropsychiatric Association. http://www.anpaonline.org/what-is-neuropsychology. Accessed 17 Jun 2014.

  44. National Association of Social Workers. http://www.socialworkers.org/practice/standards/naswclinicalswstandards.pdf (2005). Accessed 17 Jun 2014.

  45. American Physical Therapy Association. http://www.apta.org/ (2014). Accessed 14 Aug 2014.

  46. The American Occupational Therapy Association. http://www.aota.org/ (2014). Accessed 14 Aug 2014.

  47. Karnieli-Miller O, Werner P, Aharon-Peretz J, Sinaff G, Eidelman S. Expectations, experiences, and tensions in the memory clinic: the process of diagnostic disclosure of dementia within a triad. Int Psychogeriatr. 2012;24:1756–70.

    Article  PubMed  Google Scholar 

  48. Lecouturier J, Bamford C, Hughes JC, Francis JJ, Foy R, Johnston M, Eccles MP. Appropriate disclosure of a diagnosis of dementia: identifying the key behaviours of ‘best practice’. BMC Health Serv Res. 2008;8:95.

    Article  PubMed  PubMed Central  Google Scholar 

  49. van Hout HPJ, Vernooij-Dassen MJFJ, Hoefnagels WHL, Grol RPTM. Measuring the opinions of memory clinic users: patients, relatives, and general practitioners. Int J Geriatr Psychiatry. 2001;16:846–51.

    Article  PubMed  Google Scholar 

  50. Gardner IL, Foreman P, Davis S. Cognitive dementia and memory service clinics: opinions of general practitioners. Am J Alzheimers Dis Other Demen. 2004;19:105–10.

    Article  PubMed  Google Scholar 

  51. Meeuwsen EJ, Melis RJ, Meulenbroek O, Olde Rikkert MGM. Comparing content of dementia care after diagnosis: memory clinics versus general practitioners. Int J Geriatr Psychiatry. 2014;29:437–8.

    Article  PubMed  Google Scholar 

  52. Wolfs CA, Dirksen CD, Kessels A, Severens JL, Verhey FRJ. Economic evaluation of an integrated diagnostic approach for psychogeriatric patients. Arch Gen Psychiatry. 2009;66:313–23.

    Article  PubMed  Google Scholar 

  53. Meeuwsen E, Melis R, van der Aa G, Goluke-Willemse G, de Leest B, et al. Cost-effectiveness of one year dementia follow-up care by memory clinics or general practitioners: economic evaluation of a randomized controlled trial. PLoS One. 2013;8:1–7.

    Article  Google Scholar 

  54. Khanassov V, Vedel I, Pluye P. Case management for dementia in primary health care: a systematic mixed studies review based on the diffusion of innovation model. Clin Interv Aging. 2014;9:915–28.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Case Management Society of America. www.cmsa.org (2014). Accessed 18 Aug 2014.

  56. Pimouguet C, Lavaud T, Dartigues JF, Helmer C. Dementia case management effectiveness on health care costs and resource utilization: a systematic review of randomized controlled trials. J Nutr Health Aging. 2010;14:669–76.

    Article  CAS  PubMed  Google Scholar 

  57. World Alzheimer’s Report. Journey of caring, an analysis of long term care for dementia. http://www.alz.co.uk/research/world-report-2013 (2013). Accessed 8 Aug 2014.

  58. National Association of Professional Geriatric Care Managers. http://www.caremanager.org/why-care-management/what-you-should-know/ (2014). Accessed 17 Jun 2014.

  59. Somme D, Trouve H, Drame M, Gagnon D, Couturier Y, Saint-Jean O. Analysis of case management programs for patients with dementia: a systematic review. Alzheimers Dement. 2012;8:426–36.

    Article  PubMed  Google Scholar 

  60. Koch T, Iliffe S, Manthorpe J, Stephens B, Fox C, et al. The potential of case management for people with dementia: a commentary. Int J Geriatr Psychiatry. 2012;27:1305–14.

    Article  CAS  PubMed  Google Scholar 

  61. US Department of Health and Human Services. Care coordination for people with Alzheimer’s disease and related dementias: literature review. http://aspe.hhs.gov/daltcp/reports/2013/alzcc.shtml (2013).

Download references

Author information

Authors and Affiliations

  1. Department of Geriatrics, New York University Langone Medical Center, 550 First Avenue, New York, NY, 10016, USA

    Yael R. Zweig MSN, ANP-BC, GNP-BC

Authors
  1. Yael R. Zweig MSN, ANP-BC, GNP-BC
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yael R. Zweig MSN, ANP-BC, GNP-BC .

Editor information

Editors and Affiliations

  1. William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts, USA

    Marie Boltz

  2. Charles E. Schmidt College of Medicine, Florida Atlantic University, NEW YORK, Florida, USA

    James E. Galvin

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Zweig, Y.R. (2016). Memory Clinics and Care Management Programs. In: Boltz, M., Galvin, J. (eds) Dementia Care. Springer, Cham. https://doi.org/10.1007/978-3-319-18377-0_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-18377-0_4

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18376-3

  • Online ISBN: 978-3-319-18377-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation