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Alternatives to antipsychotic medication: Psychological approaches in managing psychological and behavioural distress in people with dementia

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Quick Overview

The Department of Health has said that the use of antipsychotic medication for people with dementia needs to be reduced to limit the risk of harm in this frail and vulnerable group of people. The question is whether there are any alternatives, and whether these can be effective.

As a partner organisations within the Dementia Action Alliance, the British Psychological Society committed to reviewing the evidence for evidence-based non-pharmacological alternatives to antipsychotic medication. This report is the product of this work.

It presents a model to assist commissioners and providers of care when considering how to care for people with dementia.

This document is intended for use across the UK as a whole, although there are areas in which different policy and guidance are relevant for different nations.

 

Contents

Executive summary

Introduction

The policy context

What is needed now?

Equal access to services for people with dementia

A stepped care model of assessment and intervention

  • Step 1: Recognition
  • Step 2: Assessment and treatment of contextual issues
  • Step 3: High intensity interventions
  • Step 4: Specialist interventions

Summary

Glossary

References

Appendix 1: Behaviour monitoring chart  

Appendix 2: Challenging Behaviour Scale (Moniz-Cook, 2001)

 

SKU: PUB-CAT-1174

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