4. Services for People with Incipient Dementia

  1. Hugo de Waal MD, FRCPsych, FHEA4,
  2. Constantine Lyketsos MD, MHS5,
  3. David Ames BA, MD, FRCPsych, FRANZCP6 and
  4. John O'Brien BA, BM BCh, MA, FRCPsych, MD7
  1. Nicola T. Lautenschlager1 and
  2. Alexander F. Kurz2

Published Online: 7 JUL 2013

DOI: 10.1002/9781118378663.ch4

Designing and Delivering Dementia Services

Designing and Delivering Dementia Services

How to Cite

Lautenschlager, N. T. and Kurz, A. F. (2013) Services for People with Incipient Dementia, 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.ch4

Editor Information

  1. 4

    Lead Consultant, Norfolk Dementia Care Academy, Norwich, UK

  2. 5

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

  3. 6

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

  4. 7

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

Author Information

  1. 1

    Academic Unit for Psychiatry of Old Age, Department of Psychiatry, The University of Melbourne, St. George's Campus, St. Vincent's Hospital, Australia

  2. 2

    School of Psychiatry and Clinical Neurosciences and WA Centre for Health & Ageing, The University of Western Australia, Australia

Publication History

  1. Published Online: 7 JUL 2013

ISBN Information

Print ISBN: 9781119953494

Online ISBN: 9781118378663



  • early stage dementia;
  • prodromal stage of dementia;
  • early diagnosis of dementia;
  • mild cognitive impairment;
  • amnestic MCI;
  • genetic predisposition;
  • genetic counselling;
  • neuro-imaging;
  • biomarkers for dementia;
  • reversible cognitive impairment


The chapter provides an overview of services and approaches, identifiably focussed on people in the very early, often largely asymptomatic stages of the illness. We analyse current debates on the feasibility and desirability of early diagnosis, what impacts various approaches may have (including potential unintended consequences), the role of various sectors specifically for this pathologically silent stratum (eg the voluntary and charitable sectors), particular therapeutic approaches (eg cognitive stimulation therapy, general health and lifestyle advice, etc) and how this group does or does not fit in care pathways.