PMID- 12603188 OWN - NLM STAT- MEDLINE DCOM- 20030610 LR - 20220311 IS - 0025-729X (Print) IS - 0025-729X (Linking) VI - 178 IP - 5 DP - 2003 Mar 3 TI - Behavioural and psychological symptoms of dementia: a seven-tiered model of service delivery. PG - 231-4 AB - People with dementia usually experience behavioural and psychological symptoms of dementia (BPSD) during the course of their illness. Currently, in Australia, there is a lack of comprehensive planning for managing and preventing BPSD, and the resources required for optimal care are inadequate and unevenly distributed. We propose a seven-tiered model of service delivery based on severity and prevalence of BPSD, ranging from no dementia through tiers of increasingly severe behavioural disturbance to the propensity for extreme violence in a small number of individuals. Each tier is associated with a different model of intervention. People with dementia may move up or down between tiers depending on their condition, their care and the intervention provided. Lower-level interventions may prevent the need for the more intensive interventions needed when disturbance becomes more severe. FAU - Brodaty, Henry AU - Brodaty H AD - Academic Department for Old Age Psychiatry, Prince of Wales Hospital, Avoca Street, Randwick, NSW 2031, Australia. h.brodaty@unsw.edu.au FAU - Draper, Brian M AU - Draper BM FAU - Low, Lee-Fay AU - Low LF LA - eng PT - Journal Article PL - Australia TA - Med J Aust JT - The Medical journal of Australia JID - 0400714 SB - IM MH - Aged MH - Australia MH - *Delivery of Health Care MH - Dementia/classification/*psychology/*therapy MH - *Disease Management MH - Humans MH - Middle Aged MH - *Patient Care Planning MH - Psychiatric Status Rating Scales MH - Severity of Illness Index EDAT- 2003/02/27 04:00 MHDA- 2003/06/11 05:00 CRDT- 2003/02/27 04:00 PHST- 2002/08/22 00:00 [received] PHST- 2002/11/18 00:00 [accepted] PHST- 2003/02/27 04:00 [pubmed] PHST- 2003/06/11 05:00 [medline] PHST- 2003/02/27 04:00 [entrez] AID - bro10530_fm [pii] AID - 10.5694/j.1326-5377.2003.tb05169.x [doi] PST - ppublish SO - Med J Aust. 2003 Mar 3;178(5):231-4. doi: 10.5694/j.1326-5377.2003.tb05169.x.