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‘Challenging Behaviour’ – Challenging our Practice
Lessons from Dementia Support Australia
Dr Julie Christie
HammondCareo Established by Robert Hammond
in the 1930s
o Helping families in need during the
Great Depression
o In the 1950s established one of the
first integrated aged care services
in Australia
Today:
o 13,932 people care for
o 3,006 dedicated staff
o 46 services locations
Who are?
An Industry
Partnership
Population
Australia: 24 million+
UK: 64.1 million+
Dementia estimates
Australia: 413,1061
UK: 850,0002
Diverse geographical
locations and client
demographics
1https://www.fightdementia.org.au/statistics2https://www.alzheimers.org.uk/info/20027/n
ews_and_media/541/facts_for_the_media
MOBILE WORKFORCE
BORDERLESS SERVICE
RESPONSIVE
TIMELY
Funded by the Australia Government
NOTHING LIKE THIS IN
THE WORLD
PIONEERING TAILORED
RESPONSE
PERSON AT THE
CENTRE
Categorising Behaviour in Relation to Care:
The Brodaty Triangle
Categorising Behaviour in Relation to Care: The Brodaty Triangle
Accreditation Cycle
Challenging Behaviour: A Referral
Memory loss Executive
dysfunctionDysphasia
Agitation
Dysphagia
Behavioural problems
Aggression
Throwing
furniture
Yelling out
Kicking
Mood
dysregulation
Irritability
Psychosis
Poor planning &
executive skills
Perseveration
Environment
Interventions
Understand the Person, Understand the Behaviour
Referral
Memory loss, executive
dysfunction, dysphasia,
dysphagia
Behavioural problems –
agitation, aggression,
yelling out, throwing
furniture, kicking,
perseveration
Mood dysregulation,
irritability
Psychosis
Poor planning and
executive skills
Clinical assessment
Pain relief
Health review
Education- unmet needs,
boredom, engagement
Find out about the person
Enquiries into the behaviour
Psychosocial interventions
Knowing the person
PhysiotherapyEngagement in activities
We define our success in terms of the impact we
have achieved in the lives of people with dementia
o Understanding
changed behaviour
and responding to
the clinical needs of
people with
behavioural and
psychological
symptoms of
dementia
o Varied length of
input
o Person focused
solutions to achieve
person centred care
o Creative responses
and a willingness to
try new things
o Problem-solving
approach
o Multi-skilled teams:
the right person at
the right time
o Mobilise national
resources around
the person
o Mobilise assets and
promote resilience
o Build capacity to
care through
knowledge transfer
Finding Solutions
Dementia is Global Current Scotland/Australia partnerships:
o Dementia Dog Project/Dogs4Dementia
o Virtual Reality applications
o Academic partnership with the University of Edinburgh
o Develop a Design School for People with Dementia
o Dining for Engagement
o Fund an assistant for dementia expert Agnes Houston
o Scottish University Insight Institute Scotland-Australia-Japan knowledge exchange on alternative housing-with-care models for people with dementia
[email protected] www.dementiacentre.com