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The Implications of the Early Recognition of Dementia for Multiprofessional Teamworking

Conflicts and Contradictions in Practitioner Perspectives

Department of Social Work and Community Health, University of Hull

Steve Iliffe

Department of Primary Care & Population Sciences, RFUCLMS

Alison Eden

Fast4wd Clinical Communications, Oxford

In health and social care in the UK there is increasing emphasis on the need to recognize mental health problems as early as possible, particularly among older people. Both research and policy have identified the difficulties caused by delayed or late awareness of dementia and depression, and the potential benefits of their recognition at earlier stages. This article draws on the output from a series of multidisciplinary dementia workshops to explore the implications of such a shift in practice for interprofessional working. At a time when core specialist mental health teams have been identified as a way forward for dementia care in the UK, this discussion sets out four key bipolar categories derived from the workshops which may be useful in planning, implementing and reviewing the development of services and the drawing of professional responsibilities. These categories are opportunistic recognition versus population screening; referral and responsibility; key working and team working; generalist versus specialist roles. From this discussion we note a further four determinants which in our view need to be addressed in order to promote positive developments in dementia services: learning processes, resource implications, professional capacity and confidence and the impact of new teams on broader systems.

Key Words: dementia • early diagnosis • multiprofessional • primary care • teams

Dementia, Vol. 2, No. 2, 163-179 (2003)
DOI: 10.1177/1471301203002002003


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