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Centre for Policy on Ageing | |
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Delivering psychosocial interventions for people with dementia in primary care
— jobs or skills? | | Author(s) | Steve Iliffe, Jane Wilcock, Deborah Haworth |
| Journal title | Dementia: the international journal of social research and practice, vol 5, no 3, August 2006 |
| Pages | pp 327-338 |
| Source | http://www.dem.sagepub.com |
| Keywords | Dementia ; Psychiatric treatment ; General practice ; Personnel. |
| Annotation | Psychosocial interventions are emerging as potentially important therapies for primary care, partly to fill a therapy "vacuum" and partly because the evidence base for their effectiveness is growing. They can be labour-intensive, and their effectiveness depends on the skills of those working with people with dementia. However, the existing workforce in health and social care in the UK is already too small to implement all of the changes required by the National Service Framework for Older People and the National Service Framework for Mental Health (NSFs). The implication of the labour-intensive nature of dementia care is that if job categories cannot expand as fast as is needed, then the tasks of dementia care will have to be redistributed, suggesting that skills will have to be shared and transferred between different disciplines. This article uses a qualitative study in general practice settings and with specialist informants. A triangulation approach to data collection was used involving nominal groups, individual interviews and participant observation. The authors identified five skills that appear key in primary care: pattern recognition; deductive synthesis to reduce uncertainty; dialogue and disclosure; disability perspectives; and case management with shared care. It is suggested that the paucity of understanding of psychosocial interventions across disciplines offering dementia care in the community is a major problem for those attempting to deploy such interventions in primary care settings. The pervasive tendency to frame the tasks of dementia care in terms of a medical management model brings responses that can undermine the view that people with dementia may in fact have a tractable disability. The findings are used to suggest solutions to this problem. (RH). |
| Accession Number | CPA-060918209 A |
| Classmark | EA: LP: L5: QM |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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