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Quality outcomes in group home dementia care for adults with intellectual disabilities
- Author:
- JANICKI M.P.
- Journal article citation:
- Journal of Intellectual Disability Research, 55(8), August 2011, pp.763-776.
- Publisher:
- Wiley
As more individuals with intellectual disabilities are surviving to an older age, the number who present with cognitive decline and are diagnosed with dementia can be expected to grow. As new needs become apparent residential support agencies may need to adapt their current methods of care to meet different applicable standards. This is particularly true for small group homes. Relevant policy and practice organisational guidelines and the applied research literature addressing components of care and service provision were reviewed with the aim of identifying quality care factors. The intention being to propose components of quality outcomes for specialist dementia care that are universally applicable and could serve as a framework for adapting existing residential environments and make them ‘dementia-capable’. It is concluded that efforts to evaluate dementia-related care provision with respect to quality need to consider quality of care provision components such as: clinically relevant early and periodic assessment; functional modifications in the living setting; constructive staff education and functionality for stage-adapted care; and flexible long-term services provision that recognises and plans for progression of decline and loss of function.