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CLEAR Dementia Care©

CLEAR Dementia Care©

A Model to Assess and Address Unmet Needs

Dr Frances Duffy

Quick Overview

Behaviour that challenges is often a sign of distress experienced by a person with dementia as they try to cope with the daily stresses of living with their condition. This book shows how to understand challenging behaviour in the context of unmet needs, with effective assessment tools for personalised interventions and enhanced dementia care.
Details Price Qty
Paperback / softback
2019, 11.02in x 8.50in / 280mm x 216mm, 176pp
ISBN: 9781785922763
2019, ePUB
ISBN: 978-1-78450-576-9
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The CLEAR Dementia Care© model is an effective method of assessing behaviour that challenges, through an understanding that such behaviour may be a way of communicating unmet needs. This book explains the many factors that contribute to challenging behaviour and how a greater understanding of this can enhance quality of life and lead to better care for the person with dementia in both hospital and residential settings.

Discussing how people with dementia have the same needs as everyone else, the book helps to understand dementia from the perspective of the person experiencing it. It features case studies with examples of how to interpret signs of distress and develop an appropriate intervention plan. The model includes person-centred assessment of cognition, life story and personality, emotional and physical wellbeing, activity and environment, and relationships. Also included are easy-to-use photocopiable assessment tools, proven to facilitate a more accurate understanding of behaviour.



Frances Duffy has presented us with a very clearly written account of a relatively new biopsychosocial model for understanding and fulfilling the needs of people with dementia. The CLEAR framework has recently been cited as an example of good practice in the British Psychological Society's briefing paper on treatments for Behaviours that challenge.
CLEAR is an example of one of the new and exciting generations of nonpharmacological interventions, although its use of Behavioural charts provide it with an USP that makes it stand out from the others. In terms of the book itself, it provides a good account of the background to the needs of people with dementia, and the model is well illustrated with helpful examples of case studies.

- Ian A. James (PhD., MSc., BSc., C.Psychol) Trust Lead Challenging Behaviour Consultant Clinical Psychologist, UK


'A complicated topic made simple'

Frances cleverly combines theory with practical insights and examples about the behaviours that challenge people living with dementia. This book is an impartation from a woman who is a credible expert in this subject and it will challenge and encourage you to change the way you deliver care.

- Eleanor Ross, MBE, Assistant Director Nursing, HSC Public Health Agency, UK

'Combines a rounded and psychologically nuanced approach with practical strategies for supporting a person with dementia who is experiencing distressing behaviours. By encouraging the reader to put themselves in the shoes of the person, the book really gets to the heart of behaviours that challenge. Highly recommended for frontline staff supporting people with dementia.'
- Bernadine McCrory, Alzheimer’s Society (Country Director - Northern Ireland)

'A fantastic resource for professional and family carers of people with dementia! Part 1 is a most accessible overview of the dementias and the brain that would also interest people with an early diagnosis. Part 2 is a treasure trove of materials that will facilitate training, empower carers and improve quality of life.'
- Reinhard Guss, Dementia Workstream Lead, Faculty of the Psychology of Older People, British Psychological Society


By (author): Frances Duffy