Contextual Thematic Group Treatment for Individuals With Dementia

Purpose: Group treatment for individuals with dementia is an option to target activity and participation for residents in long-term care facilities to engage them in meaningful conversation and potentially improve their quality of life. The purpose of this article is to describe a theme-based group treatment approach that capitalizes on the use of the environment through context.

Method: Rationale for this group treatment approach is presented, including a brief description and evidence supporting clinical techniques utilized. These include reminiscence therapy, multisensory stimulation, and use of environmental aids. In addition, background is provided regarding capitalizing on memory and linguistic strengths and compensating for weaknesses. Modifications of clinician behaviors are presented to best facilitate successful group interactions.

Results and Conclusions: The article culminates in a detailed description of contextual thematic group treatment. This description includes an example lesson plan with corresponding rationale for activities. Data supporting the individual clinical techniques utilized in this group treatment approach are adequate; however, the evidence supporting the combination of these techniques in this format is meager and requires further investigation.

from Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders

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