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Transitions in Care

Lessons Learned From a Longitudinal Study of Dementia Care

Received April 2, 1997; revised August 25, 1997; accepted July 1, 1998. From the Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. Address correspondence to Dr. Cohen, Room F307A, Sunnybrook Health Science Centre, 2075 Bayview Avenue, Toronto, Ontario, Canada; e-mail: carole.cohen{at}sunnybrook.on.ca

In a longitudinal study, the authors document the moves of dementia patients between different care settings, following up 103 individuals who had participated in an earlier study of the transition from home to institutional care. It was possible to document numerous moves between home, respite care, acute care hospital, and long-term care settings for these patients. The authors discuss the clinical implications of the many changes of residence for those suffering from dementia.

Key Words: Dementias • Home Care • Long-Term Care