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© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Background: Dementia is a priority for global public health. The management of behavioral and psychological symptoms of dementia (BPSD) is one of the highest ongoing challenges and needs new approaches. The special care unit for people with dementia and BPSD (SCU-B) is viewed in this context as a further medical intervention. Aim: this study aims to explore SCU-B units in order to describe their main characteristics in relation to different implementation contexts, identify the characteristics of their replicability, and examine the social innovation elements promoted by SCU-B units. Method: This qualitative study is based on focus groups (FGs) and interviews involving nine international centers. Five of the centers have a memory clinic unit and SCU-B, compared with six that only have a memory clinic unit. A total number of 18 FGs were held, which altogether involved 164 participants. All data were transcribed verbatim and analyzed by means of a content analysis and a SWOT (strengths, weaknesses, opportunities, and threats) analysis. Results: The qualitative analysis offers a vision of the SCU-B model as an innovative care unit for BPSD, promoting social innovation in the long-term care (LTC) sector. This system mainly targets people with dementia and BPSD and their informal caregivers but encourages collaboration between dementia care stakeholders at the micro and meso levels. Conclusions: Specific characteristics of the country’s LTC systems and the organization of specialized units are determinants for the success of the SCU-B experience. The replicability of the entire SCU-B model was considered low; however, the implementation of single elements composing the SCU-B model may foster innovation. This study provides relevant suggestions on how to implement the SCU-B unit and innovative solutions for dementia care.

Details

Title
The Special Care Unit for People with Behavioral and Psychological Symptoms of Dementia (SCU- B) in the Context of the Project “RECage-Respectful Caring for Agitated Elderly”: A Qualitative Study
Author
Guazzarini, Anna Giulia 1   VIAFID ORCID Logo  ; Casanova, Georgia 2   VIAFID ORCID Logo  ; Buchholz, Friederike 3   VIAFID ORCID Logo  ; Kozori, Mahi 4   VIAFID ORCID Logo  ; Lavolpe, Sara 5 ; Lichtwarck, Bjørn 6 ; Margioti, Eleni 7 ; Mendes, Aline 8   VIAFID ORCID Logo  ; Montandon, Marie-Louise 9 ; Murasecco, Ilenia 1 ; Myhre, Janne 6 ; Poptsi, Elena 10   VIAFID ORCID Logo  ; Reda, Valentina 11   VIAFID ORCID Logo  ; Ulshöfer, Dorothea Elisabeth 12 ; Fascendini, Sara 13 

 Department of Medicine and Surgery, Section of Gerontology and Geriatrics, University of Perugia, 06123 Perugia, Italy 
 National Institute of Health & Science on Aging, Centre for Socio-Economic Research on Aging INRCA (IRCCS), 60124 Ancona, Italy; Instituto de Investigación en Políticas de Bienestar Social (POLIBIENESTAR)—Research Institute on Social Welfare Policy, Universitat de València, 46022 Valencia, Spain 
 Department of Psychiatry, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt—Universität zu Berlin, 12203 Berlin, Germany; German Center for Neurodegenerative Diseases (DZNE), 12203 Berlin, Germany 
 Greek Association of Alzheimer’s Disease and Related Disorders (GAADRD), 54643 Thessaloniki, Greece 
 Department of Neurology, Humanitas Gavazzeni, 24125 Bergamo, Italy 
 The Research Centre for Age-Related Functional Decline and Disease, Innlandet Hospital Trust, 2313 Ottestad, Norway 
 National Observatory for Dementia and Alzheimer’s Disease, Health Ministry Aristotelous 17, 10433 Athina, Greece 
 Department of Rehabilitation and Geriatrics, University Hospital of Geneva and Geneva University, 1205 Geneva, Switzerland 
 Department of Rehabilitation and Geriatrics, University Hospital of Geneva and Geneva University, 1205 Geneva, Switzerland; Department of Psychiatry, Geneva University, 1205 Geneva, Switzerland 
10  Greek Association of Alzheimer’s Disease and Related Disorders (GAADRD), 54643 Thessaloniki, Greece; Laboratory of Psychology, Section of Cognitive and Experimental Psychology, Faculty of Philosophy, School of Psychology, Aristotle University of Thessaloniki (AUTh), 54124 Thessaloniki, Greece 
11  Primary Care Department, Dementia Programme, Azienda Unità Sanitaria Locale Di Modena, 41124 Modena, Italy 
12  Department of Geriatric Psychiatry, Zentralinstitut Fuer Seelische Gesundheit, 68159 Mannheim, Germany 
13  Fondazione Europea di Ricerca Biomedica (FERB Onlus), 24025 Gazzaniga, Italy 
First page
16913
Publication year
2022
Publication date
2022
Publisher
MDPI AG
ISSN
1661-7827
e-ISSN
1660-4601
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2756704192
Copyright
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.