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Diagnosis of prodromal Alzheimer's disease and AD dementia in people with Down's Syndrome is a major challenge. The comprehensive Cambridge Examination for Mental Disorders of Older People with DS and Others with Intellectual Disabilities (CAMDEX-DS) has been validated for diagnosing prodromal AD and AD dementia.
The CAMDEX-DS-II is a standardised structured schedule comprising the assessments necessary for facilitating the diagnosis of dementia in people with Down's syndrome (a group known to be at particular risk of dementia), as well as others with intellectual disabilities. In order to differentiate decline due to dementia or other mental disorders from pre-existing impairment, particular emphasis has been placed on establishing change from the individual's best level of functioning. Updated from the original CAMDEX-DS-II, the assessments comprise a structured informant interview to facilitate the systematic collection of information about presenting symptoms and clinical history in order to arrive at a differential diagnosis, and a direct assessment of the patient/participant covering cognitive assessment (CAMCOG-DS-II, providing a reliable way to identify dementia (and to differentiate it from other common disorders). The pack comprises a guidance manual, pictorial booklet, informant interview and CAMCOG-DS neuropsychological test battery. It may be used in community settings by mental health professionals as part of the diagnostic process, or to formalise diagnosis.
This book reviews important neuropsychological measures currently used in the assessment of dementia by the principal clinicians and researchers associated with the test, offering practical guidance on each test along with an analysis of its limitations.
To a certain extent the dementias have been forgotten diseases until just recen tly when they were brought to the attention of the general public and health authorities as a result of the increasing number of cases in the aging popula tion, especially among famous people, and because of the efforts of private foundations. The goals of the present volume are to present the dementias to health prac titioners, to provide some basic information on their epidemiology and biolo gical basis and to discuss the diagnostic and clinical problems that physicians and institutions face when caring for demented patients. This book explores the various types of dementias and is not limited to Alzheimer's disease although, as expected, more information is available and presented on this pathology. On the other hand, a few fundamental questions on dementia can only be answe red through a comparison of the various forms. Examples of such questions are the following: Is the loss of cerebral tissue sufficient to cause dementia? Are there thresholds or is there a continuous progression toward the irreversible development of dementia? Are there common pathways in the dementing pro cess? Are there common risk factors? Comparative analysis allows the common and distinctive patterns of the various dementias to be defined, ultimately lea ding to more focused therapeutic interventions.
Published in association with the Estia Centre, this guide provides a comprehensive introduction to working with people who have autism spectrum conditions (ASC). The book addresses the needs of people with ASC across the lifespan and range of intellectual functioning. Though the content is grounded in evidence-based practice and recent research, the text is intended to be as practical as possible, offering insight into the everyday lives of people with ASC and how staff can best support them.
Entirely revised and updated, this edition of a very well-received and successful book provides the essentials for all those involved in the fields of intellectual, developmental and learning disabilities and mental retardation, drawing both on clinical experience and the latest research findings. An international, multidisciplinary team of experts cover the available literature in full and bring together the most relevant and useful information on mental health and behavioural problems of people with intellectual, developmental and learning disabilities and mental retardation. In addition, this book highlights the principles behind clinical practice for assessment, management and services. It offers hands-on, practical advice for psychiatrists, psychologists, nurses, therapists, social workers, managers and service providers.
This revised and updated second edition provides a practical and structured overview of some of the most commonly used and easily available cognitive screening instruments applicable in the outpatient clinic and bedside setting. It now includes additional chapters on AD8 and also methodological aspects of systematic cognitive screening instrument assessment from the Cochrane Dementia and Cognitive Improvement Group. Expert authors from around the world equip the reader with clear instructions on the usage of each screening instrument, its strengths and weaknesses, and the time required for administration. Rules on scoring are also provided, such as how to correct for variations in the patient’s age or education, and suggested cut-off scores. Cognitive Screening Instruments: A Practical Approach, Second Edition is aimed at both clinicians and professionals in disciplines allied to medicine who are called upon to assess patients with possible cognitive disorders, including neurologists, old age psychiatrists, neuropsychologists, primary care physicians, dementia support workers, and members of memory assessment teams.
Alzheimer disease (AD) has become the most common form of dementia in industrialized countries and represents an increasing burden at the economic, social and medical level. In discussing both the biological aspects of AD as well as the cognitive functions involved, Alzheimer Disease - Neuropsychology and Pharmacology presents a comprehensive picture of the pathology and approaches to diagnosis and treatment. Basic research including animal models, molecular and genetic aspects is also taken into consideration. In part I, the biological correlates of AD are discussed. In part II the neuropsychological aspects such as cognitive impairment, loss of functional autonomy and emergence of neuropsychiatric disturbances of AD are outlined. In part III, strategies for effective treatment and prevention of AD are discussed. This book will be a useful source of information for clinicians as well as researchers in the area of neuropharmacology.
The history of 'personality disorder' services is problematic to say the least. The very concept is under heavy fire, services are often expensive and ineffective, and many service users report feeling that they have been deceived, stigmatised or excluded. Yet while there are inevitably challenges involved in working with a population that can be complex, demanding and destructive, creative networks of learning do exist - professionals who are striving to provide progressive, compassionate services for and with this client group. Working Effectively with 'Personality Disorder' shares this knowledge, articulating an alternative way of working that acknowledges the contemporary debate around diagnosis, reveals flawed assumptions underlying current approaches, and argues for services that work more positively, more holistically and with a wider and more socially focused agenda. Contributors include Mary McMurran, David Pilgrim, Nick Benefield, Jina Barrett and Neil Gordon.
Against the background of population aging the central question of this thesis is the future development of people with dementia in Germany. Prevalences, incidence rates, co-morbidity and risk factors of dementia are calculated as basis for projection scenarios. Several assumptions of the life expectancy and dementia incidence were combined in multi-state projections. Results of the future number of people with dementia in 2050 range from 2.0 to 3.3 million. Also the costs of dementia, one of the most expensive diseases, were projected.