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Holding the individual in mind
 — containing challenging behaviour in dementia care
Author(s)Rachel Butterfield
Journal titleFaculty for the Psychology of Older People (FPOP) Newsletter, no 125, January 2014
PublisherBritish Psychological Society, January 2014
Pagespp 7-13
Sourcewww.bps.org.uk
KeywordsBehaviour disorders ; Dementia ; Psychiatric treatment ; Needs [elderly] ; Case studies ; London.
AnnotationPsychological approaches to challenging behaviour such as the Newcastle Model have conceptualised this behaviour as a communication of unmet need. The authors have implemented this approach in individual homes in London, and they have noticed that the success of their interventions appears to hinge around the ability of care staff to recognise and respond to the emotional needs of the person with dementia. This can be understood in terms of containment, specifically the way in which care staff can manage their clients' distressing and disturbing states of mind (and associated behaviour) through their understanding. This capacity is, in turn, related to the support available for staff within the organisation. The author describes adaptation of the model at St Ann's Hospital, Haringey, to highlight the emotional experience of the person with dementia. This is illustrated with a case example of a gentleman whose aggressive behaviour caused such anxiety it was initially almost impossible for staff to think about his needs. The intervention included a framework for staff to understand his fluctuating internal states and needs-based care plan through which to engage with him. (RH).
Accession NumberCPA-150529203 A
ClassmarkEP: EA: LP: IK: 69P: 82L

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