Behavioural Interventions

In 1998 Moniz-Cook suggested that behavioural analysis is often the starting point of most other forms of therapeutic intervention in dementia. And modern behavioural approaches can be wholly consistent with person-centred care.

Emerson suggests focusing on three key features when designing an intervention:

1. Taking account of the individual’s preferences
2. Changing the context in which the behaviour takes place
3. Using reinforcement strategies and schedules that reduce the behaviour

The efficacy of behavioural therapy has been demonstrated in the context of dementia in a small number of studies (Burgio & Fisher, 2000). For example, there is evidence of successful reductions in wandering, incontinence and other forms of stereotypical behaviours (Woods, 1999).