Author Identifier

Mustafa Atee: https://orcid.org/0000-0002-0837-3245

Document Type

Journal Article

Publication Title

Australasian Journal on Ageing

Volume

44

Issue

2

PubMed ID

40405420

Publisher

Wiley

School

Centre for Research in Aged Care / School of Nursing and Midwifery

Comments

Atee, M., Vilapakkam Nagarajan, S., Lloyd, R., Macfarlane, S., Raguz, A., & Morris, T. (2025). The Specialist Dementia Care Program in Australia: Evidence to date on a home‐like model of care for people with very severe behaviours and psychological symptoms of dementia. Australasian Journal on Ageing, 44(2), e70046. https://doi.org/10.1111/ajag.70046

Abstract

Objectives: Behaviours and psychological symptoms of dementia (BPSD) have a serious impact on care and health outcomes, such as inappropriate pharmacotherapy and impaired quality of life. These symptoms are common across care settings but are more prevalent in residential aged care homes (RACHs). BPSD such as aggression and psychosis may pose a high risk of harm to residents, co-residents, caregivers and families, and the severe forms of these BPSD are linked to RACH premature admission. When people with very severe BPSD in Australia cannot be cared for in mainstream RACHs, the Specialist Dementia Care Program (SDCP) is offered. This article describes the SDCP model of care and examines the available evidence on SDCP outcomes. Methods: The SDCP model of care delivers person-centred care via multidisciplinary staff in small, ‘cottage-like’, domestic units with a familiar, dementia-friendly care environment for an anticipated duration of 12 months. SDCP units are designed to stabilise or reduce BPSD, facilitate transition to mainstream RACHs, prevent unnecessary hospitalisations and minimise health-care costs. Results: Preliminary evidence suggests that SDCP units may enhance resident outcomes, decrease the severity of BPSD and improve quality of life. Conclusion: This article highlights the importance of prioritising the type of care this program provides to people with very severe BPSD.

DOI

10.1111/ajag.70046

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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Link to publisher version (DOI)

10.1111/ajag.70046