title: [Experience of a care pathway for psychological and behavioral symptoms of dementia].
abstract: Behavioral and psychological symptoms of dementia (BPSD) are present in more than eighty percent of patients, resulting in a significant decrease of quality of life of patients and caregivers. To provide the most appropriate and early response to behavioral disorders, a specific care pathway, unique in France, has been created within the Memory Center at the Hospices Civils of Lyon. It includes a consultation "Behavior" aimed to intervention and guidance, a Cognitive-Behavioral Unit for pharmacological and non-pharmacological interventions in a comprehensive care of the patient during 3 to 4 weeks, and an Alzheimer's disease mobile team, which can assess the BPSD in the patient's living environment at home or in nursing homes, appraise drug treatments and environment, and give training for caregivers. This care pathway is aimed to provide individualized and early care for behavioral crises secondary prevention, taking into account the psychological, neuropsychological and somatic context of the behavioral disorders occurrence.
authors: Centre mémoire de ressources et de recherche, Hôpital des Charpennes, Hospices Civils de Lyon, France.
authors: Floriane
authors: F
authors: Delphin-Combe
authors: Centre mémoire de ressources et de recherche, Hôpital des Charpennes, Hospices Civils de Lyon, France.
authors: Géraldine
authors: G
authors: Martin-Gaujard
authors: Centre mémoire de ressources et de recherche, Hôpital des Charpennes, Hospices Civils de Lyon, France.
authors: Caroline
authors: C
authors: Roubaud
authors: Ecole de psychologie, Université Laval, Québec, Canada.
authors: Marie-Eve
authors: ME
authors: Fortin
authors: Centre mémoire de ressources et de recherche, Hôpital des Charpennes, Hospices Civils de Lyon, France.
authors: Françoise
authors: F
authors: Husson
authors: Centre mémoire de ressources et de recherche, Hôpital des Charpennes, Hospices Civils de Lyon, France, Service de neurologie, CHU de Saint Etienne, France.
authors: Isabelle
authors: I
authors: Rouch
authors: Centre mémoire de ressources et de recherche, Hôpital des Charpennes, Hospices Civils de Lyon, France, Inserm U1028, CNRS UMR5292, Centre des neurosciences de Lyon, Université Lyon 1, France.
authors: Pierre
authors: P
authors: Krolak-Salmon
mesh_terms: D000368:Aged; D000544:Alzheimer Disease / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D017028:Caregivers / Q000523:psychology; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D003299:Cooperative Behavior; D017281:Cost of Illness; D003419:Crisis Intervention / Q000458:organization & administration; D005602:France; D006738:Hospices / Q000458:organization & administration*; D006785:Hospitals, University; D006792:House Calls; D006801:Humans; D033183:Interdisciplinary Communication; D001523:Mental Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D010348:Patient Care Team / Q000458:organization & administration; D011619:Psychotropic Drugs / Q000627:therapeutic use; D011788:Quality of Life / Q000523:psychology
chemical_list: D011619:Psychotropic Drugs
keywords: Alzheimer French national plan; Alzheimer's disease; behavioral and psychological symptoms of dementia