14. Western Europe
- Hugo de Waal MD, FRCPsych, FHEA10,
- Constantine Lyketsos MD, MHS11,
- David Ames BA, MD, FRCPsych, FRANZCP12 and
- John O'Brien BA, BM BCh, MA, FRCPsych, MD13
Published Online: 7 JUL 2013
Copyright © 2013 John Wiley & Sons, Ltd
Designing and Delivering Dementia Services
How to Cite
Weyerer, S., Mateos, R., Sánchez-Pérez, M., Franco, M., Wahlund, L.-O., Curran, S. and Wattis, J. (2013) Western 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.ch14
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
Print ISBN: 9781119953494
Online ISBN: 9781118378663
- geriatric day care;
- nursing home care;
- segregated model;
- partially segregated model;
- long term care;
- National Strategy for the Care of Dementia
In Germany first contact is usually with a primary care physician, who rarely refer patients with dementia to psychiatrists or neurologists and only 15% of dementia patients receive anti-dementia medication. Geriatric day care is an important part of services but not many patients access them. Special dementia care in nursing homes is either a segregated or a partially segregated model. Results are presented comparing various types of services.
Spain has a complex political structure with 17 Autonomous Regions, but it also has a National Health Service (SNS). However, the political structure hampers generalised implementation of dementia care strategies, although the Autonomous Regions of Catalonia and Galicia are pioneers in this respect. Despite many examples of excellent services, the development of a National Strategy for the Care of Dementia is deemed of high importance.
Sweden has a national quality register: SveDem (Swedish Dementia Register) which is the world's largest dementia case register with more than 15,000 people registered. It links to national evidence-based guidance for diagnosis, treatment and care. However, service provision is at times disconnected, being provided by county councils and municipalities with increasing involvement of the private sector complicating matters. A common form of accommodation is group homes with 6–10 people per unit, but there are concerns about staffing levels.
In the United Kingdom memory services have gradually moved towards community based services and are often nurse-led, in part because of increasing numbers of referrals. The publication of the National Dementia Strategy has emphasised the importance of dementia and with the national accreditation programme of the Royal College of Psychiatrists is helping to develop and improve existing memory services.