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American Journal of Alzheimer's Disease and Other Dementias®
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Problems encountered in the implementation of dementia care programs

Stephanie B. Hoffman, PhD

Interprofessional Team Training and Development, James A. Haley Veterans' Hospital, Tampa, Florida

Mary Kaplan, MSW

Department of Gerontology, University of South Florida, Tampa, Florida

A survey was conducted in order to identify the problems encountered in the implementation of dementia care programs, as well as some of the solutions that have proven to be successful. A total of 77persons involved in the operation of dementia care programs in the United States and Canada responded to the survey. The 10 most frequently reported problems in order of prevalence were: inadequate staffing, lack of staff training, inadequate programming for residents, poor physical environment/design, lack of support from facility staff inadequate funding, lack of supportfrom administration, excessive staff turnover, conflict with families, and inadequate admission criteria. This article also examines the correlation between these problems and respondents' perception of the quality of their programs. Creative strategies utilized by the programs to address these problems are also discussed.

American Journal of Alzheimer's Disease and Other Dementias®, Vol. 13, No. 4, 197-202 (1998)
DOI: 10.1177/153331759801300406


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