(Publisher-supplied data) 1 Dementia - a brief overview What is dementia? Historical development of terms Scientific terminology and understandings Subtypes of dementia Alzheimer's disease Vascular Dementia Dementia with Lewy Bodies Frontotemporal dementia Clinical presentation of dementia 2 The current state of dementia care in the UK Dementia - an emerging priority The policy framework The National Dementia Strategy for England 3 Why a cultural perspective? Race, ethnicity and culture Black Caribbean and south Asian populations in the UK Structure of Black Caribbean and south Asian populations in the UK Epidemiology 4 Health benefits, culture and service use The role of health beliefs and illness behaviour Social and cultural influences on the pathway to care Cultural differences in health beliefs 5 Whose illness is it anyway? Society - policy in relation to ethnicity and culture Use of services The experience of the person with dementia The care giver experience 6 The perspective of the person with dementia A neglected perspective Self-identity in dementia Impact of dementia on the sense of self of the person with dementia Coping strategies and adaptation Attitudes towards care

7 The perspective of the family carers of people with dementia Patterns of care giving The impact of care giving The stress process Ethnicity and culture and the stress process Appropriateness of services Understanding of dementia across ethnic groups Cultural knowledge, attitudes and beliefs about formal support 8 Qualitative enquiry in the experience of people with dementia and their family carers New research Data collection Data analysis Results One research project, two theories Biographical disruption: a common theme An anthropological perspective 9 Implications for practice and policy People with dementia Increased public awareness of dementia Increased public awareness of services and support Supporting people with dementia and carers in access of services Discussing the diagnosis Discussing the future Promoting valued elements of life of the person with dementia Repositioning the care giver role 10 One size fails all - dementia, age discrimination and specialist older people's mental health services What does good look like? Age discrimination in service conditioning? Why consider older adults separately from adults of working age? Policy development for older people with mental disorders Liaison services in general hospitals In-patient care for older people with mental disorders