Dr Hugo de Waal is a Consultant in Old Age Psychiatry in Norfolk, UK. Since 2011 he leads the Norfolk Dementia Care Academy, which produced a comprehensive package of education, training and research in dementia care and more recently was appointed as the Clinical Director of the South London Academic Health Sciences Network for Dementia. He has published widely on education and dementia in peer-reviewed journals and international textbooks, including e-learning modules on 'learner-centred teaching'.Constantine G. Lyketsos, MD, MHS, is the Elizabeth Plank Althouse Professor and Chair of Psychiatry at Johns Hopkins Bayview. A world expert in the care and treatment of patients with Alzheimer's and related dementias (AD), Dr. Lyketsos has carried out pioneering work on the epidemiology and treatment of neuropsychiatric features of AD. He leads efforts to ensure the provision of state-of-the-art dementia care for people with dementia living at home in the community. Dr. Lyketsos was the 2012 American Association for Geriatric Psychiatry's Distinguished Scientist Award recipient and the 2006 William S. Proxmire Award recipient for extraordinary leadership in the fight against Alzheimer's. A Distinguished Fellow of the American Psychiatric Association and the American College of Neuropsychopharmacology, he has been elected to the American College of Psychiatrists. Dr. Lyketsos has written more than 350 peer-reviewed journal articles, chapters, and commentaries, as well as five books. He has been cited as one of America's Top Doctors for the past decade.David Ames is an old age psychiatrist who trained in Melbourne and London. He directs Australia's National Ageing Research Institute. He co-founded Melbourne's first memory clinic and has been involved in clinical work, research and teaching related to dementia since the mid-1980s. As of mid 2013 he has published over 210 papers in peer reviewed journals and co-edited or co-written 19 books on aspects of dementia or old age psychiatry. David Ames edited the peer reviewed journal International Psychogeriatrics from 2003-2011.

• Foreword vii Preface ixContributors xiSection 1 The need for dementia services of excellence: Setting the scene 11 The need for dementia care services 32 The historical development and state of the art approach to design and delivery of dementia care services 17Section 2 Service models 313 Services for people with young onset dementia 334 Services for people with incipient dementia 465 Services for people with mild dementia 606 Services for people with moderate dementia 737 Services for people with severe dementia 90Section 3 External drivers of service development 1038 How to get results in public policy for Alzheimer’s and dementia services 105Alzheimer’s disease international 105Politics, dementia and ageing in Australia 107Making dementia a European priority 111Dementia and politics in England 1159 Developing policy that works for dementia: National and global lessons in what makes a difference 11910 Health economics, healthcare funding and service evaluation: International and Australian perspectives 126Section 4 Services and developments around the world 13911 The Americas 141Argentina 142Brazil 146Chile 149The United States of America 15112 Australasia 155Australia 156China 159India 163Japan 166South Korea 17013 Eastern Europe 173The Czech Republic 174Hungary 176Poland 179Turkey 18214 Western Europe 184Germany 185Spain 189Sweden 192The United Kingdom 195Section 5 Designing and developing services 19915 Developing a business case, negotiating, securing funding 20116 Workforce planning and development 21517 The role of assistive technology in the care of people with dementia 229Index 241

Dr Hugo de Waal is a Consultant in Old Age Psychiatry in Norfolk, UK. Since 2011 he leads the Norfolk Dementia Care Academy, which produced a comprehensive package of education, training and research in dementia care and more recently was appointed as the Clinical Director of the South London Academic Health Sciences Network for Dementia. He has published widely on education and dementia in peer-reviewed journals and international textbooks, including e-learning modules on 'learner-centred teaching'.Constantine G. Lyketsos, MD, MHS, is the Elizabeth Plank Althouse Professor and Chair of Psychiatry at Johns Hopkins Bayview. A world expert in the care and treatment of patients with Alzheimer's and related dementias (AD), Dr. Lyketsos has carried out pioneering work on the epidemiology and treatment of neuropsychiatric features of AD. He leads efforts to ensure the provision of state-of-the-art dementia care for people with dementia living at home in the community. Dr. Lyketsos was the 2012 American Association for Geriatric Psychiatry's Distinguished Scientist Award recipient and the 2006 William S. Proxmire Award recipient for extraordinary leadership in the fight against Alzheimer's. A Distinguished Fellow of the American Psychiatric Association and the American College of Neuropsychopharmacology, he has been elected to the American College of Psychiatrists. Dr. Lyketsos has written more than 350 peer-reviewed journal articles, chapters, and commentaries, as well as five books. He has been cited as one of America's Top Doctors for the past decade.David Ames is an old age psychiatrist who trained in Melbourne and London. He directs Australia's National Ageing Research Institute. He co-founded Melbourne's first memory clinic and has been involved in clinical work, research and teaching related to dementia since the mid-1980s. As of mid 2013 he has published over 210 papers in peer reviewed journals and co-edited or co-written 19 books on aspects of dementia or old age psychiatry. David Ames edited the peer reviewed journal International Psychogeriatrics from 2003-2011.

• Foreword vii Preface ixContributors xiSection 1 The need for dementia services of excellence: Setting the scene 11 The need for dementia care services 32 The historical development and state of the art approach to design and delivery of dementia care services 17Section 2 Service models 313 Services for people with young onset dementia 334 Services for people with incipient dementia 465 Services for people with mild dementia 606 Services for people with moderate dementia 737 Services for people with severe dementia 90Section 3 External drivers of service development 1038 How to get results in public policy for Alzheimer’s and dementia services 105Alzheimer’s disease international 105Politics, dementia and ageing in Australia 107Making dementia a European priority 111Dementia and politics in England 1159 Developing policy that works for dementia: National and global lessons in what makes a difference 11910 Health economics, healthcare funding and service evaluation: International and Australian perspectives 126Section 4 Services and developments around the world 13911 The Americas 141Argentina 142Brazil 146Chile 149The United States of America 15112 Australasia 155Australia 156China 159India 163Japan 166South Korea 17013 Eastern Europe 173The Czech Republic 174Hungary 176Poland 179Turkey 18214 Western Europe 184Germany 185Spain 189Sweden 192The United Kingdom 195Section 5 Designing and developing services 19915 Developing a business case, negotiating, securing funding 20116 Workforce planning and development 21517 The role of assistive technology in the care of people with dementia 229Index 241

Dr Hugo de Waal is a Consultant in Old Age Psychiatry in Norfolk, UK. Since 2011 he leads the Norfolk Dementia Care Academy, which produced a comprehensive package of education, training and research in dementia care and more recently was appointed as the Clinical Director of the South London Academic Health Sciences Network for Dementia. He has published widely on education and dementia in peer-reviewed journals and international textbooks, including e-learning modules on 'learner-centred teaching'.Constantine G. Lyketsos, MD, MHS, is the Elizabeth Plank Althouse Professor and Chair of Psychiatry at Johns Hopkins Bayview. A world expert in the care and treatment of patients with Alzheimer's and related dementias (AD), Dr. Lyketsos has carried out pioneering work on the epidemiology and treatment of neuropsychiatric features of AD. He leads efforts to ensure the provision of state-of-the-art dementia care for people with dementia living at home in the community. Dr. Lyketsos was the 2012 American Association for Geriatric Psychiatry's Distinguished Scientist Award recipient and the 2006 William S. Proxmire Award recipient for extraordinary leadership in the fight against Alzheimer's. A Distinguished Fellow of the American Psychiatric Association and the American College of Neuropsychopharmacology, he has been elected to the American College of Psychiatrists. Dr. Lyketsos has written more than 350 peer-reviewed journal articles, chapters, and commentaries, as well as five books. He has been cited as one of America's Top Doctors for the past decade.David Ames is an old age psychiatrist who trained in Melbourne and London. He directs Australia's National Ageing Research Institute. He co-founded Melbourne's first memory clinic and has been involved in clinical work, research and teaching related to dementia since the mid-1980s. As of mid 2013 he has published over 210 papers in peer reviewed journals and co-edited or co-written 19 books on aspects of dementia or old age psychiatry. David Ames edited the peer reviewed journal International Psychogeriatrics from 2003-2011.

• Foreword vii Preface ixContributors xiSection 1 The need for dementia services of excellence: Setting the scene 11 The need for dementia care services 32 The historical development and state of the art approach to design and delivery of dementia care services 17Section 2 Service models 313 Services for people with young onset dementia 334 Services for people with incipient dementia 465 Services for people with mild dementia 606 Services for people with moderate dementia 737 Services for people with severe dementia 90Section 3 External drivers of service development 1038 How to get results in public policy for Alzheimer’s and dementia services 105Alzheimer’s disease international 105Politics, dementia and ageing in Australia 107Making dementia a European priority 111Dementia and politics in England 1159 Developing policy that works for dementia: National and global lessons in what makes a difference 11910 Health economics, healthcare funding and service evaluation: International and Australian perspectives 126Section 4 Services and developments around the world 13911 The Americas 141Argentina 142Brazil 146Chile 149The United States of America 15112 Australasia 155Australia 156China 159India 163Japan 166South Korea 17013 Eastern Europe 173The Czech Republic 174Hungary 176Poland 179Turkey 18214 Western Europe 184Germany 185Spain 189Sweden 192The United Kingdom 195Section 5 Designing and developing services 19915 Developing a business case, negotiating, securing funding 20116 Workforce planning and development 21517 The role of assistive technology in the care of people with dementia 229Index 241