Henry Brodaty

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• Henry Brodaty
• Chairman, ADI
• Future strategies

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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

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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

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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

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Countries can be grouped according to levels of
resources

• Low
• Medium
• High

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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

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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

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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)

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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

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Give care in the community

• Avoid placing people with dementia in
  inappropriate institutional settings

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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

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Educate the public

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

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(No Transcript)
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Involve people with dementia, families and
communities

• Support development of self help groups
• Publicise availability of Alzheimer Associations
• Support and fund NGOs

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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

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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

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Link with other sectors

• Initiate community, school and workplace dementia
  awareness programs
• Encourage activities of NGOs

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Monitor community health

• Include dementia in basic health information
• Survey high risk population groups

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Support more research

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

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