Need information on Alzheimer’s? For people concerned about memory loss, as well as for researchers and family or professional caregivers, the U.S. National Institute on Aging’s Alzheimer’s Disease Education and Referral (ADEAR) Center may be able to help. Through its website, phone calls, internet chat and other communications, the Center handled approximately 70,000 requests for information in 2009.
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Summary: The New York University Caregiver Intervention lessens caregiver depression, reduces caregiver concern about behavioral symptoms and delays institutionalization. The program may be coming soon to a community center near you.

Mary Mittelman, Dr.P.H.
In my last post, I wrote about the evidence that a program of caregiver education and support lessens caregiver depression and lengthens the time a person with dementia can be cared for at home, rather than in an institution. One such program has been studied extensively by Mary Mittelman and her colleagues. Dr. Mittelman is Director of Psychosocial Research and Support, Center of Excellence on Brain Aging and Research Professor Department of Psychiatry at New York University. She is also co- author of Counseling the Alzheimer’s Caregiver: A Resource for Health Care Professionals.
In a clinical trial ranging over 23 years and involving more than 400 caregivers of spouses diagnosed with Alzheimer’s, Dr. Mittelman and her colleagues (including Bill Haley at the University of South Florida) compared caregivers receiving intensive education and support to those receiving “usual care.”
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Summary: A systematic review of clinical trials of nondrug treatments for Alzheimer’s disease found good evidence that a program of caregiver education and support lengthens the time a person with dementia can be cared for at home, rather than in an institution. The same review found evidence (although not from large, well-designed trials) that some nondrug treatments for people with dementia and their caregivers may improve patients’ memory, mood, behavior and functionality as well as improve caregivers’ mood, psychological well-being and quality of life. More research is needed to investigate the costs and benefits of nondrug treatments.
Research on drugs to treat memory loss dominates the headlines, but some researchers think nondrug treatments may be just as effective. Sometimes called “nonpharmacological therapies” or “psychosocial interventions,” these nondrug treatments include physical exercise, caregiver education, cognitive stimulation, counseling, music therapy, reminiscence therapy and training on completing “activities of daily living” (ADLs). Unlike drug-based treatments, these treatments are often for caregivers, as well as for people with memory loss.
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