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Role of Specialist Care in Dementia

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Mental Health and Older People

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Abstract

There are 835,000 people in the UK who have dementia at an annual cost to the UK economy of £26 billion. Most people with dementia live in the community with one in three living alone at home with much of the care being met by unpaid carers. Seventy percent of care home residents have dementia.

Dementia is an umbrella term that covers a multitude of diagnoses and problems from vascular dementia through to Alzheimer’s disease via the fronto-temporal dementia and Lewy body disease.

Specialist care has a critical role in supporting primary care’s role in management. Specialist care includes old age psychiatry, geriatric medicine and neurology. In addition non-medical specialties have a significant role. These include community psychiatric nurses, occupational therapists, psychologists and pharmacists. Physiotherapy and speech and language therapists can be a part of management and assessment. In this chapter, we will describe the role of specialist care in dementia. There is no one model that fits the care pathways in dementia, and some of the collaborative models will be described.

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Author information

Authors and Affiliations

  1. Department of Clinical Psychology, Norwich Medical School, Norwich, Norfolk, UK

    Chris Fox MB, BS, Mmedsci, MRCPsych MD

  2. Faculty of Health and Social Care, University of Hull, Hull, UK

    Andrea Hilton BPharm (Hons), MSc, PhD

  3. Department of Clinical Psychology, Faculty of Medicine and Health Sciences, Norwich Medical School, University of East Anglia, Norwich, UK

    Ken Laidlaw MA(Hons),MPhil.,PhD,C.Psychol.

  4. Site Rostock/Greifswald, German Center for Neurodegenerative Diseases (DZNE), Greifswald, Germany

    Jochen René Thyrian PhD, Dipl-Psych

  5. School of Life and Health Sciences, Aston University, Birmingham, UK

    Ian Maidment PhD

  6. Department of Clinical Gerontology, King’s College Hospital NHS Foundation Trust, Princess Royal University Hospital, Farnborough, Kent, UK

    David G. Smithard BSc, MBBS, MD, FRCP

Authors
  1. Chris Fox MB, BS, Mmedsci, MRCPsych MD
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  2. Andrea Hilton BPharm (Hons), MSc, PhD
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  3. Ken Laidlaw MA(Hons),MPhil.,PhD,C.Psychol.
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  4. Jochen René Thyrian PhD, Dipl-Psych
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  5. Ian Maidment PhD
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  6. David G. Smithard BSc, MBBS, MD, FRCP
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Correspondence to Chris Fox MB, BS, Mmedsci, MRCPsych MD .

Editor information

Editors and Affiliations

  1. Keele University, Newcastle Under Lyme, Staffordshire, United Kingdom

    Carolyn A. Chew-Graham

  2. Keele University, Keele, Staffordshire, United Kingdom

    Mo Ray

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Fox, C., Hilton, A., Laidlaw, K., Thyrian, J.R., Maidment, I., Smithard, D.G. (2016). Role of Specialist Care in Dementia. In: Chew-Graham, C., Ray, M. (eds) Mental Health and Older People. Springer, Cham. https://doi.org/10.1007/978-3-319-29492-6_23

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  • DOI: https://doi.org/10.1007/978-3-319-29492-6_23

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