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Does the community-based combined Meeting Center Support Programme (MCSP) make the pathway to day-care activities easier for people living with dementia? A comparison before and after implementation of MCSP in three European countries

Published online by Cambridge University Press:  13 February 2018

Dorota Szcześniak ,
Rose-Marie Dröes ,
Franka Meiland ,
Dawn Brooker ,
Elisabetta Farina ,
Rabih Chattat ,
Shirley B. Evans ,
Simon C. Evans ,
Francesca Lea Saibene  and
Katarzyna Urbańska Open the ORCID record for Katarzyna Urbańska[Opens in a new window]
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Dorota Szcześniak*
Affiliation:
Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland
Rose-Marie Dröes
Affiliation:
Department of Psychiatry, EMGO institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands
Franka Meiland
Affiliation:
VU University Medical Center, Amsterdam, the Netherlands
Dawn Brooker
Affiliation:
Association for Dementia Studies, University of Worcester, Worcester, UK
Elisabetta Farina
Affiliation:
IRCCS S. Maria Nascente Don Gnocchi Foundation, Milan, Italy
Rabih Chattat
Affiliation:
Department of Psychology, University of Bologna, Bologna, Italy
Shirley B. Evans
Affiliation:
Association for Dementia Studies, University of Worcester, Worcester, UK
Simon C. Evans
Affiliation:
Association for Dementia Studies, University of Worcester, Worcester, UK
Francesca Lea Saibene
Affiliation:
IRCCS S. Maria Nascente Don Gnocchi Foundation, Milan, Italy
Katarzyna Urbańska
Affiliation:
Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland
Joanna Rymaszewska
Affiliation:
Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland
*
Correspondence should be addressed to: Dorota Szcześniak, Department of Psychiatry, Division of Consultation Psychiatry and Neuroscience, Wroclaw Medical University, Pasteura 10, 50-367 Wroclaw, Poland. Phone: +48 71 784 16 28; Fax: +48 71 784 16 02. Email: dorota.szczesniak@umed.wroc.pl.
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Abstract

Background:

The “pathway to care” concept offers a helpful framework for preparing national dementia plans and strategies and provides a structure to explore the availability and accessibility of timely and effective care for people with dementia and support for their informal carers. Within the framework of the JPND-MEETINGDEM implementation project the pathways to regular day-care activities and the Meeting Centers Support Programme (MCSP), an innovative combined support form for people with dementia and carers, was explored.

Methods:

An exploratory, descriptive, qualitative, cross-country design was applied to investigate the pathways to day care in several regions in four European countries (Italy, Poland, United Kingdom, and the Netherlands).

Results:

Before implementation of MCSP, of the four countries the United Kingdom had the most structured pathway to post-diagnostic support for people with dementia. MCSP introduction had a positive impact on the pathways to day-care activities in all countries. MCSP filled an important gap in post-diagnostic care, increasing the accessibility to support for both people with dementia and carers. Key elements such as program of activities, target group, and collaboration between healthcare and social services were recognized as success factors.

Conclusions:

This study shows that MCSP fills (part of) the gap between diagnosis and residential care and can therefore be seen as a pillar of post-diagnostic care and support. Further dissemination of Meeting Centers in Europe may have a multiple impact on the structure of dementia services in European countries and the pathways to day care for people with dementia and their carer(s).

Keywords

dementiacarerscommunity careday programsheathcare systems
Type
Original Research Article
Information
International Psychogeriatrics , Volume 30 , Special Issue 11: Social Aspects of Dementia and Dementia Practice , November 2018 , pp. 1717 - 1734
Copyright
Copyright © International Psychogeriatric Association 2018 

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