Integrated community-based dementia care: the Geriant model.

Ludo Glimmerveen,Henk Nies

doi:10.5334/ijic.2248

Abstract

This article gives an in-depth description of the service delivery model of Geriant, a Dutch organization providing community-based care services for people suffering from dementia. Core to its model is the provision of clinical case management, embedded in multidisciplinary dementia care teams. As Geriant's client group includes people from the first presumption of dementia until they can no longer live at home, its care model provides valuable lessons about how different mechanisms of integration are flexibly put to use if the complexity of clients" care needs increases. It showcases how the integration of services for a specific sub-population is combined with alignment of these services with generalist network partners. After a detailed description of the programme and its results, this article builds on the work of Walter Leutz for a conceptual discussion of Geriant's approach to care integration.

Highlights

Geriant is a Dutch organization providing community-based care services for people suffering from dementia
Core to its model is the provision of clinical case management, embedded in multidisciplinary dementia care teams
Since 2011 Geriant implements a case management programme in all nursing homes in the region. In this programme a case manager is based in a nursing home, providing services to its residents, while supporting and training the nursing home staff in working with people suffering from dementia

Summary

Introduction

Geriant is a Dutch organization providing community-based care services for people suffering from dementia. As Geriant’s client group includes people from the first presumption of dementia until they can no longer live at home, its care model provides valuable lessons about how ‘integrative structures’ can be available at different levels of organizing and are flexibly put to use if the complexity of clients’ care needs increases.

Results

Conclusion