13. Eastern Europe

  1. Hugo de Waal MD, FRCPsych, FHEA13,
  2. Constantine Lyketsos MD, MHS14,
  3. David Ames BA, MD, FRCPsych, FRANZCP15 and
  4. John O'Brien BA, BM BCh, MA, FRCPsych, MD16
  1. Katerina Sheardova1,
  2. Iva Holmerova2,
  3. Jakub Hort3,
  4. Gábor Gazdag5,
  5. Brigitta Baran6,
  6. Zoltán Hidasi7,
  7. Jerzy Leszek8,
  8. Marta Sochocka9,
  9. Ahmet Turan Isik11 and
  10. Engin Eker12

Published Online: 7 JUL 2013

DOI: 10.1002/9781118378663.ch13

Designing and Delivering Dementia Services

Designing and Delivering Dementia Services

How to Cite

Sheardova, K., Holmerova, I., Hort, J., Gazdag, G., Baran, B., Hidasi, Z., Leszek, J., Sochocka, M., Isik, A. T. and Eker, E. (2013) Eastern Europe, in Designing and Delivering Dementia Services (eds H. de Waal, C. Lyketsos, D. Ames and J. O'Brien), John Wiley & Sons, Ltd, Oxford, UK. doi: 10.1002/9781118378663.ch13

Editor Information

  1. 13

    Lead Consultant, Norfolk Dementia Care Academy, Norwich, UK

  2. 14

    Associate Postgraduate Dean, East of England Deanery, Cambridge, UK

  3. 15

    Elizabeth Plank Althouse Professor, Director of the Johns Hopkins Memory and Alzheimer's Treatment Center, Johns Hopkins Medicine, Maryland, USA

  4. 16

    Director, National Ageing Research Institute, University of Melbourne Professor of Ageing and Health, Victoria, Australia

Author Information

  1. 1

    International Clinical Research Center, Department of Neurology, St. Anne's University Hospital Brno, Czech Republic

  2. 2

    Centre of Gerontology and CELLO-ILC-CZ, Faculty of Humanities, Charles University in Prague, Czech Republic

  3. 3

    Memory Disorders Clinic, Department of Neurology, 2nd Faculty of Medicine, Charles University in Prague and University Hospital Motol V Úvalu 84, Czech Republic

  4. 5

    Department of Psychiatry and Psychotherapy, Faculty of Medicine, Semmelweis University, Hungary

  5. 6

    Szent István and Szent László Hospitals, Hungary

  6. 7

    Department of Psychiatry and Psychotherapy, Faculty of Medicine, Semmelweis University, Hungary

  7. 8

    Department of Psychiatry, Wroclaw Medical University Poland

  8. 9

    Lower Silesian Association of Alzheimer's Patients' Families, Poland

  9. 11

    National Alzheimer Foundation, Turkey

  10. 12

    Faculty of Medicine, Department of Geriatric Medicine and National Alzheimer Foundation, Bezmialem Vakif University, Turkey

Publication History

  1. Published Online: 7 JUL 2013

ISBN Information

Print ISBN: 9781119953494

Online ISBN: 9781118378663



  • Czech Republic;
  • dementia management;
  • Alzheimer society;
  • dementia care services;
  • dementia research;
  • CALS: Czech Alzheimer Society;
  • ELTECA: Exchange of Experiences in Long-term Care;
  • Hungary;
  • alcohol dementia;
  • vascular dementia


In the Czech Republic there are over 10 sites specialising in Alzheimer's disease and the country is involved in many international research projects, some into service delivery and quality of services. A National Alzheimer or Dementia plan is being finalised.

Hungary reports high alcohol consumption as a possible causative factor for relatively high prevalence rates of dementia, as well as higher than usual prevalence of vascular dementia. There is a network of specialised services called ‘Dementia Centres’, but these have limited efficiency. There are many non-governmental and some patient organisations active in dementia care.

Poland is seeing a gradual move from an institutional model of mental health care towards a model based in the person's environment. There is a plethora of services for people with dementia, but structure is lacking and the vast majority of people with dementia are looked after by their families. However, there is a government endorsed ‘National Alzheimer's Program’.

In Turkey most assessments are still carried out in specialist centres (neurology, geriatric medicine and psychiatry). There are high levels of traditional family support and since 2003 the Turkish Alzheimer Foundation operates a care centre for people with dementia in Istanbul, this being the first specialist care centre for people with dementia in Turkey. It recently expanded and now provides extensive home-based care, actively supporting caregivers.