13. Eastern Europe
- Hugo de Waal MD, FRCPsych, FHEA13,
- Constantine Lyketsos MD, MHS14,
- David Ames BA, MD, FRCPsych, FRANZCP15 and
- John O'Brien BA, BM BCh, MA, FRCPsych, MD16
Published Online: 7 JUL 2013
Copyright © 2013 John Wiley & Sons, Ltd
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
Lead Consultant, Norfolk Dementia Care Academy, Norwich, UK
Associate Postgraduate Dean, East of England Deanery, Cambridge, UK
Elizabeth Plank Althouse Professor, Director of the Johns Hopkins Memory and Alzheimer's Treatment Center, Johns Hopkins Medicine, Maryland, USA
Director, National Ageing Research Institute, University of Melbourne Professor of Ageing and Health, Victoria, Australia
- Published Online: 7 JUL 2013
- Published Print: 22 JUL 2013
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;
- 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.