Delivering integrated dementia care: The 8 pillars model of community support

The disease

Where are we now? People with dementia often don’t receive the support they need Health & social care interventions often not co- ordinated Failure to recognise community support as resource to facilitate resilience, independence Failure to recognise human rights Missed opportunity to mesh paid & natural supports Missed opportunity to take preventative and therapeutic approach

8 Pillars Model

Skilled practitioner Lead and co-ordinate care, treatment, support across health and social care Ensure access to all pillars Integrating supports to tackle symptoms, delay deterioration and prevent crisis Dementia Practice Coordinator

Address cognitive impairments, functional limitations, behavioural issues Delay deterioration Enhance coping & maximise independence Improve quality of life. Dementia Practice Coordinator with specialists Therapeutic interventions

Regular and thorough medical review Detect and treat illness, discomfort, pain GP General health care & treatment

Regular review Detect and treat problems Promote mental wellbeing GP/psychiatrist Mental health care and treatment

Housing Aids, adaptations, assistive technology Dementia Practice Coordinator & OTs, housing etc Environment

Address isolation Improve quality of life Maximise natural support Peer support Independence, wellbeing, resilience, inclusion Dementia Practice Coordinator Community connections

Skilled support Independence, citizenship, participation Person-centred planning Outcomes focussed Self-directed support Dementia Practice Coordinator Personalised support

Education Skills training Support with coping strategies Peer support Support for their own physical and mental wellbeing Respite Dementia Practice Coordinator Support for carers