PMID- 34043267
OWN - NLM
STAT- MEDLINE
DCOM- 20210920
LR  - 20210920
IS  - 1741-6612 (Electronic)
IS  - 1440-6381 (Linking)
VI  - 40
IP  - 3
DP  - 2021 Sep
TI  - Specialist residential dementia care for people with severe and persistent 
      behaviours: A ten-year retrospective review.
PG  - 309-316
LID - 10.1111/ajag.12964 [doi]
AB  - Very severe behavioural and psychological symptoms of dementia (BPSD) have low 
      prevalence but disproportionately poor outcomes for persons with dementia, others 
      and systems of care, including inappropriate use of medication, tenuous 
      accommodation, poor quality of life and increased costs. The Australian 
      Government has established new Special Dementia Care Programmes (SDCPs) to 
      provide interim care for up to 12 months for those with severe and persistent 
      BPSD unsuitable for mainstream aged care. This 10-year retrospective review 
      describes environmental design, governance, clinical processes, characteristics 
      and outcomes for 80 residents of a similar-aged care mental health partnership 
      SDCP. A key finding was that average length of stay was slightly over 12 months. 
      All surviving residents except one were able to be transferred to mainstream aged 
      care services. Doses of regular and PRN antipsychotic and anxiolytic medications 
      were significantly reduced. SDCPs may have the potential to improve care and 
      outcomes for this group of vulnerable older people.
CI  - (c) 2021 AJA Inc.
FAU - Gresham, Meredith
AU  - Gresham M
AUID- ORCID: 0000-0002-8717-4964
AD  - The Dementia Centre, HammondCare, Sydney, NSW, Australia.
AD  - Centre for Healthy Brain Ageing, UNSW Sydney, Sydney, NSW, Australia.
FAU - Morris, Thomas
AU  - Morris T
AUID- ORCID: 0000-0003-3627-6095
AD  - The Dementia Centre, HammondCare, Sydney, NSW, Australia.
FAU - Min Chao, Sabrina
AU  - Min Chao S
AD  - The Dementia Centre, HammondCare, Sydney, NSW, Australia.
FAU - Lorang, Catriona
AU  - Lorang C
AD  - The Dementia Centre, HammondCare, Sydney, NSW, Australia.
FAU - Cunningham, Colm
AU  - Cunningham C
AD  - The Dementia Centre, HammondCare, Sydney, NSW, Australia.
LA  - eng
PT  - Journal Article
DEP - 20210527
PL  - Australia
TA  - Australas J Ageing
JT  - Australasian journal on ageing
JID - 9808874
RN  - 0 (Antipsychotic Agents)
SB  - IM
MH  - Aged
MH  - *Antipsychotic Agents
MH  - Australia/epidemiology
MH  - *Dementia/drug therapy/therapy
MH  - Humans
MH  - Quality of Life
MH  - Retrospective Studies
OTO - NOTNLM
OT  - aged
OT  - behavioral symptoms
OT  - dementia
OT  - nursing homes
OT  - retrospective studies
EDAT- 2021/05/28 06:00
MHDA- 2021/09/21 06:00
CRDT- 2021/05/27 12:44
PHST- 2021/02/25 00:00 [revised]
PHST- 2020/10/13 00:00 [received]
PHST- 2021/04/07 00:00 [accepted]
PHST- 2021/05/28 06:00 [pubmed]
PHST- 2021/09/21 06:00 [medline]
PHST- 2021/05/27 12:44 [entrez]
AID - 10.1111/ajag.12964 [doi]
PST - ppublish
SO  - Australas J Ageing. 2021 Sep;40(3):309-316. doi: 10.1111/ajag.12964. Epub 2021 
      May 27.