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Area of Science:

  • Gerontology
  • Public Health Policy
  • Dementia Care Research

Background:

  • Most older adults, including persons living with dementia (PLWD), prefer to age in place.
  • Many PLWD transition to residential long-term care (LTC) or hospitalization, often due to lack of community support.
  • LTC is suitable for advanced dementia but can be a costly, avoidable outcome for those needing community-based care.

Purpose of the Study:

  • To explore the current state of community-based care for PLWD.
  • To analyze dementia care policy in Ontario as a case study for system redirection.
  • To identify strategies for a community-based dementia care model.

Main Methods:

  • Literature review on the "state of the art" in community dementia care.
  • Historical analysis of dementia care policy in Ontario.
  • Application of a "balance of care" study in South West Ontario.
  • Review of national and international dementia care strategies.

Main Results:

  • Early and ongoing intervention is crucial for community-based dementia care.
  • Lack of community-based options leads to premature institutionalization of PLWD.
  • Ontario's policy landscape illustrates challenges in shifting from curative to preventative care models.

Conclusions:

  • Engage PLWD in care decisions.
  • Support informal caregivers.
  • Implement "ground-up" policy changes for early intervention and continuum of care.
  • Aim to maintain independence for PLWD and caregivers at home for as long as possible.