Kate Irving, Lisa McGarrigle,
Grainne McGettrick and Maurice
O’Connell
Integrate Care Pathway
FRAGMENTED
COMPLEX
CO-OPERATION
 Good
evidence of increased efficiency
with ICP’s for dementia (Lowe 1998, Atwal and Caldwell
2002, Gunstone and Robinson 2006, Tucker 2010, Ham, Dixon and Chantler 2011,
Hean, Nojeed and Warr 2011)
 Organisational, professional
and
individual
 Bridge Gaps
 Decreasing variation in practice
 Increasing inter-professional
commitment to tailored support
regional dementia pathway
Long Term Conditions
Dementia Pathway Coordinator
1 - Prevention
2 - Early Intervention
1.Diagnosis
1- Prevention
2-Tackling ageism & stigma
3-Awareness raising
starting in schools
4-Emphasis on Wellbeing
and preserving Mental
Capital
5- Community Development
GP Assessment & Referral
Primary Care
Liaison Worker
Memory Assessment
Service
Public Health,
Royal Colleges,
Department for
Education
Multidisciplinary specialist
clinicians.
Diagnosis: old age psychiatrist;
geriatrician; Neurologist; GPwSI
3. Ongoing Person & Carer
Centred Care
2. “Looking to
the future”
prevention, education,
end of life care,
benefits, lasting power
of attorney, living wills,
advanced care
planning, advocacy,
driving, genetic
counselling.
•Integrated CMHT
•Advocacy
•Respite Care
•Intermediate Care
•Crisis Intervention
•Younger Onset Dementia team
•Outpatient/Community Clinics
•Hospital Liaison team
•Planned Inpatient Admission (assessment
& Continuing Care)
•Social Services
•Palliative Care
•Bereavement
•End-of-Life care
•Residential/Nursing care
•Psychological Services
Specialist Dementia Service
Person with dementia
Expert carer
 Lots
of good practice to learn from
 Need for case management
 One size fits all won’t fit into the Irish
landscape
 Need to develop service user voice
 Need to embed the approach within local
services
 Measurement of baseline data and
quality indicators