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BMJ 2008;336:1260-1261 (7 June), doi:10.1136/bmj.39567.647072.80 (published 27 May 2008)
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| The first 150 words of the full text of this article appear below. |
Carers of people with dementia have a hard time; not only do they have to contend with the illness but they also receive limited support and poor services. A recent UK parliamentary committee report criticised the whole range of dementia care.1 It highlighted poor diagnosis (only a third of people with dementia receive a formal diagnosis), fragmented home support, untrained staff in care homes, and a failure to recognise or manage dementia in general hospitals. This leaves difficult decisions for those redesigning services. Who will offer long term support? What will be the role of the voluntary sector? In the accompanying paper, Charlesworth and colleagues tackle these questions in a randomised controlled trial of a scheme for befriending carers of people with dementia.2
Carers have high rates of anxiety, stress, and burnout. Their life expectancy is reduced, and up to a third of carers of people with dementia are depressed.3 4
Rob Butler, consultant psychiatrist
1 Older Peoples Mental Health Service, Redwald Unit, St Clements Hospital, Ipswich, Suffolk IP3 8LS
Robbutler100@hotmail.com
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