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Beitrag zum Themenschwerpunkt

Demenzservicestellen der M.A.S Alzheimerhilfe Österreich

Eine neue Struktur zur nicht-pharmakologischen Behandlung von Personen mit Demenz und deren Angehörige

Published Online:March 24, 2008https://doi.org/10.1024/1011-6877.20.4.257

Abstract

Die Wirksamkeit nicht-pharmakologischer (psychosozialer) Behandlungsmethoden konnten in wissenschaftlichen Untersuchungen gezeigt werden. Methoden der Angehörigenunterstützung können frühzeitige Institutionalisierung verhindern. Förderprogramme für Personen mit Demenz können helfen, Fähigkeiten länger zu erhalten und die Leistungsfähigkeit zu optimieren sowie die Lebensqualität trotz chronischem Verlauf der Krankheit zu erhalten. Flächendeckende Behandlungsstrukturen, welche spezialisiert sind, komplexe nicht-pharmakologische Behandlungen sowohl für Angehörige als auch für Betroffene anzubieten, sind noch selten. Der Vorteil derart spezialisierter Einrichtungen ist es, dass sie Angebote zur Verfügung stellen, die niederschwellig angelegt sind und somit eine frühzeitige Erkennung der Krankheit ermöglichen. Gleichzeitig bieten sie ideale Umgebungen für wissenschaftliche Studien und für die Entwicklung dringend benötigter Praxiskonzepte. Die M.A.S Alzheimerhilfe hat eine Behandlungsstruktur entwickelt, welche psychosoziale Unterstützung sowohl für den Betroffenen als auch für den Angehörigen bietet. Ergebnisse einer ersten Strukturanalyse werden präsentiert.


Dementia Service Centers of the Morbus Alzheimer Society Austria: A New Structure for Training and Supporting Persons with Dementia and Their Carers – A 6-Year Analysis

The effect of non-pharmacological (psychosocial) treatments has been shown in research studies. Caregiver support programs can prevent premature institutionalization. Training programs for persons with dementia have shown optimization of functioning and maintenance of life quality despite the chronic decline of cognitive abilities within the disease. Specialized treatment centers providing training as well as caregiver support for persons living at home are still rare. The advantage of such centers providing easy accessible, comprehensive individualized services promote the early detection of the disease and provide the possibility for recruiting appropriate participants for research studies. This research is desperately needed since non pharmacological treatments still lack broad acceptance and evidence. The Morbus Alzheimer Society Austria has opened three specialized nonpharmacological treatment centers over the last 6 years. First experiences are presented.

Literatur

  • American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders – DSM-IV-TR (4th ed.). Washington, DC: Autor. First citation in articleGoogle Scholar

  • Anditsch, M. , Auer, S. , Croy, A. , Dunzinger, E. , Fasching, P. , Fischer, P. et al. (2007). Alzheimer Krankheit. Management aus multidisziplinärer Sicht. CliniCum, Sonderausgabe November 2007. First citation in articleGoogle Scholar

  • Auer, S.R. (2005). Non-pharmacological treatment of AD: current data. International Psychogeriatrics, 17(suppl. 2), 36. First citation in articleGoogle Scholar

  • Auer, S.R. , Span, E. , Reisberg, B. (2007). Nonpharmacological treatment for persons with Alzheimer’s disease. Neurodegenerative Disorders, 4(suppl 1), 337. First citation in articleGoogle Scholar

  • Auer, S. , Donabauer, Y. , Zehetner, F. , Span, E. (2007). Entlastung pflegender Angehöriger. Ein Programm der M.A.S Alzheimerhilfe. Zeitschrift für Gerontopsychologie & -psychiatrie, 20, 169–174. First citation in articleLink, Google Scholar

  • Brodaty, H. , Gresham, M. (1989). Effect of a training programme to reduce stress in carers of patients with dementia. British Medical Journal, 299, 1375–1379. First citation in articleCrossref, Google Scholar

  • Drentea, P. , Clay, O.J. , Roth, D.L. , Mittelman, M.S. (2006). Predictors of improvement in social support: Five-year effects of a structured intervention for caregivers of spouses with Alzheimer’s disease. Social Science and Medicine, 63, 957–967. First citation in articleCrossref, Google Scholar

  • Folstein, M.F. , Folstein, S. E. & McHugh, P.R. (1975). Mini-Mental State: A practical method for grading the state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198. First citation in articleCrossref, Google Scholar

  • Gallagher-Thompson, D. , Coon, D.W. (2007). Evidence-based psychological treatments for distress in family caregivers of older adults. Psychology and Aging, 22, 37–51. First citation in articleCrossref, Google Scholar

  • Graessel, E. (2001). Angehörigenberatung bei Demenz: Bedarf, Ausgestaltung, Auswirkung. Theorie und Praxis der sozialen Arbeit, 52, 215–220. First citation in articleGoogle Scholar

  • Jünemann, St. , Graessel, E. (2004). Was erwarten pflegende Angehörige von Angehörigenberatung, ambulanter Pflege, Tagespflege und Angehörigengruppen? Zeitschrift für Gerontopsychologie und -psychiatrie, 17, 225–237. First citation in articleLink, Google Scholar

  • McKhann, G. , Drachman, D. , Folstein, M. , Katzman, R. , Price, D. , Stadlan, E.M. (1984). Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology, 34, 939–944. First citation in articleCrossref, Google Scholar

  • Kitwood, T. (1997). Demenz. Der Personenzentrierte Ansatz im Umgang mit verwirrten Menschen. Bern: Huber. First citation in articleGoogle Scholar

  • Mittelman, M.S. , Ferris, S.H. , Shulman, E. , Steinberg, G. , Levin, B.A. (1996). Family intervention to delay nursing home placement of patients with Alzheimer’s disease: A randomized controlled trial. JAMA, 276, 1725–1731. First citation in articleCrossref, Google Scholar

  • Mittelman, M. , Roth, D.L. , Haley, W.E. , Zarit, S. (2004). Effects of a caregiver intervention on negative caregiver appraisals of behavior problems in patients with Alzheimer’s disease: Results of a randomized trial. Journal of Gerontology: Psychological Sciences, 59B, 27–34. First citation in articleCrossref, Google Scholar

  • Pinquart, M. , Sörensen, S. (2006). Helping caregivers of persons with dementia: Which interventions work and how large are their effects? International Psychogeriatrics, 18, 577–95. First citation in articleCrossref, Google Scholar

  • Reisberg, B. , Ferris, S.H. , de Leon, M.J. , Crook, T. (1982). The global deterioration scale for assessment of primary degenerative dementia. American Journal of Psychiatry, 139, 1136–1139. First citation in articleCrossref, Google Scholar

  • Reisberg, B. , Ferris, S. H. (1988a). The Brief Cognitive Rating Scale (BCRS). Psychopharmacology Bulletin, 24, 269–636. First citation in articleGoogle Scholar

  • Reisberg, B. (1988b). Functional assessment staging (FAST). Psychopharmacology Bulletin, 24, 653–659. First citation in articleGoogle Scholar

  • Reisberg, B. , Borenstein, S. P. & Salop, S. H. (1987). Behavioral symptoms in Alzheimer’s disease: Phenomenology and treatment. Journal of Clinical Psychiatry, 48(Suppl.), 9–15. First citation in articleGoogle Scholar

  • Reisberg, B. , Franssen, E.H. , Hasan, S. M. , Monteiro, I. , Boksay, I. , Souren, L. E.M. et al. (1999). Retrogenesis: Clinical, physiologic and pathologic mechanisms in brain aging. Alzheimer’s and other dementing processes. European Archives of Psychiatry and Clinical Neuroscience, 249(suppl. 3), 28–36. First citation in articleCrossref, Google Scholar

  • Reisberg, B. , Franssen, E.H. , Souren, L. E.M. , Auer, S.R. , Akram, I. , Kenowsky, S. (2002). Evidence and mechanisms of retrogenesis in Alzheimer’s and other dementias: Management and treatment import. American Journal of Alzheimer’s Disease and Other Dementias, 17, 2002–2012. First citation in articleCrossref, Google Scholar

  • Roth, D.L. , Mittelman, M.S. , Clay, O.J. , Madan, A. , Haley, W.E. (2005). Changes in social support as mediators of the impact of a psychosocial intervention for spouse caregivers of persons with Alzheimer’s disease. Psychology and Aging, 20, 634–644. First citation in articleCrossref, Google Scholar

  • Spector, A. , Thorgrimsen, L. , Woods, B. , Royan, L. , Davies, S. , Butterworth, M. , Orrell, M. (2003). Efficacy of an evidence-based cognitive stimulation therapy programme for people with dementia: randomised controlled trial. British Journal of Psychiatry, 183, 248–54. First citation in articleCrossref, Google Scholar

  • Teri, L. , Gibbons, L. E. , McCurry, S. M. , Logsdon, R. G. , Buchner, D. M. , Barlow, W. E. et al. (2003). Exercise plus behavioral management in patients with Alzheimer disease: A randomized controlled trial. JAMA, 290, 2015–2022. First citation in articleCrossref, Google Scholar

  • WHO . (1993). The ICD-10 classification on mental and behavioural disorders: Diagnostic criteria of research. Geneva: Autor. First citation in articleGoogle Scholar