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Developing capacity

Strategies for managing Behavioural and Psychological Symptoms in Dementia (BPSD) for community dwelling older people: evidence into practice


Many people with dementia experience distressing symptoms, including physical aggression, screaming, agitation, wandering, culturally inappropriate behaviours, sexual disinhibition, hoarding and being verbally abusive. Psychological symptoms include anxiety, depressive mood, hallucinations and delusions. Practitioners need to know more about how to support both people with dementia and their carers at this time. This study is investigating how people manage the mixed psychological reactions, distressing symptoms and behaviours that can be experienced by people with dementia, and will share information about what is effective.


2012 – 2015

Research team

Jill Manthorpe (SCWRU), Daksha Trevedi (Principal Investigator) and Claire Goodman (University of Hertfordshire), Heather Gage (University of Surrey), Steve Iliffe (University College London)


NIHR Research for Patient Benefit (RfPB) Programme


Prior to a systematic literature review, a Stakeholder Event provided a variety of perspectives on how to manage some of the distressing symptoms that may accompany dementia when people are being cared for at home. Following the review, findings have been presented to a similar stakeholder group to consider their validity.


The final report will be submitted in 2015.


Little is known of how people with dementia and their carers manage distressing symptoms at home. This review will add to practitioners’ knowledge base so they may provide timely help.

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