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A national survey of memory clinics in Australia

Published online by Cambridge University Press:  01 August 2009

Michael Clifford Woodward  and
Erin Woodward
Michael Clifford Woodward*
Affiliation:
Aged and Residential Care Services, Heidelberg Repatriation Hospital, Victoria, Australia
Erin Woodward
Affiliation:
University of Tasmania, Tasmania, Australia
*
Correspondence should be addressed to: Associate Professor Michael Woodward, Director, Aged and Residential Care Services, Heidelberg Repatriation Hospital, Austin Health, Banksia Street, P. O. Box 5444, Heidelberg West, Victoria 3081, Australia. Phone: +61 03 9496-2185; Fax: +61 03 9496-2613. Email: Michael.woodward@austin.org.au.
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Abstract

Background: There is limited information describing memory clinics at a national level in Australia. The aim of this study was to gather information about the resourcing, practices and clinical diagnoses of Australian memory clinics.

Methods: A postal survey was sent to all Australian memory clinics identified by key specialists working in dementia assessment services.

Results: Of 23 surveys sent out, 14 were returned. Most clinics are located in Victoria where they receive Victorian state funding. The average clinic has 1.67 effective full time clinical staff including 0.42 medical staff, 0.24 allied health staff, 0.53 clinical nursing staff and 0.48 psychologists. Clinics are open on average twice a week and each half-day clinic has two new and three review patients, seeing new patients twice initially then once more over 12 months. Patients wait 10 weeks for initial assessment with 59% referred by general practitioners. The Mini-mental State Examination and clock drawing are utilized universally. The most common diagnoses are Alzheimer's disease (37.8%) and mild cognitive impairment (19.8%) but 6.9% of patients have no cognitive impairment.

Conclusions: This survey has provided useful benchmarking data on Australian memory clinics which can also be used by other countries for comparative analyses.

Keywords

Alzheimer's diseasebenchmarkingdementia service provisiondescriptive study
Type
Research Article
Information
International Psychogeriatrics , Volume 21 , Issue 4 , August 2009 , pp. 696 - 702
Copyright
Copyright © International Psychogeriatric Association 2009

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References

Access Economics (2005). Dementia Estimates and Projections: Australian States and Territories. Available at www.alzheimers.org.au (last accessed 17 December 2008).Google Scholar
Access Economics (2006). Dementia in the Asia Pacific Region: The Epidemic is Here. Available at www.alzheimers. Need to provide title of the report available from this website.org.au (last accessed 17 December 2008).Google Scholar
Ames, D., Flicker, L. and Helme, R. D. (1992). A memory clinic at a general hospital: rationale, routine and results from the first 100 patients. Medical Journal of Australia, 156, 618–622.Google Scholar
Bayer, A. J., Pathy, J. and Twining, C. (1987). The memory clinic: a new approach to the detection of dementia. Drugs, 33 (Suppl. 2), 84–89.Google Scholar
Bleeker, J. A. and Diesfeldt, H. F. A. (2000). Services for dementia in continental Europe: a Dutch view. In O'Brien, J., Ames, D. and Burns, A. (eds.), Dementia, 2nd edn, (pp 300–302). London: Arnold Publishing.Google Scholar
Chiu, H. and Zhang, M. (2000). Services for dementia: a Chinese view. In O'Brien, J., Ames, D. and Burns, A. (eds.), Dementia (2nd edn). London: Arnold Publishing.Google Scholar
Department of Human Services (2005). Review of the Cognitive, Dementia and Memory Service Clinics. Final Report. January 2003. Available at www.health.vic.gov.au/agedcare/publications/cdams.htm (last accessed 3 March 2009).Google Scholar
Drašković, I., Vernooij-Dassen, M., Verhey, F. and Scheltens, P. (2008). Development of quality indicators for memory clinics. International Journal of Geriatric Psychiatry, 23, 119–123.Google Scholar
Jagust, W. (2006). Positron emission tomography and magnetic resonance imaging in the diagnosis and prediction of dementia. Alzheimers and Dementia, 2, 36–42.Google Scholar
Lindesay, J., Maradkar, M., van Diepen, E. and Wilcock, G. (2002). The second Leicester survey of memory clinics in the British Isles. International Journal of Geriatric Psychiatry, 17, 41–47.Google Scholar
Mahieux, F. (2000). Memory clinics: value and limitations. Press Medicale, 29, 863–869 (in French).Google Scholar
Monsch, A. et al. . (1998). Memory clinics in Switzerland: Collaborative Group of Swiss Memory Clinics. Annales de Medicine Interne, 198, 221–227.Google Scholar
Philpot, M. P. and Levy, R. (1987). A memory clinic for the early diagnosis of dementia. International Journal of Geriatric Psychiatry, 2, 195–200.Google Scholar
Resnikoff, D. (2000). Services for dementia in the developing world: a Mexican view. In O'Brien, J., Ames, D. and Burns, A. (eds.), Dementia (2nd edn). London: Arnold Publishing.Google Scholar
Rowe, C. C. et al. (2007). Imaging β-amyloid burden in aging and dementia. Neurology, 68, 1718–1725.CrossRefGoogle ScholarPubMed
Stratford, J. A., Lo Giudice, D., Flicker, L., Cook, R., Waltrowicz, W. and Ames, D. (2003). A memory clinic at a geriatric hospital: a report on 577 patients assessed with the CAMDEX over 9 years. Australian and New Zealand Journal of Psychiatry, 37, 319–326.Google Scholar
van der Cammen, J. M., Simpson, J. M., Fraser, R. M., Pretzer, A. S. and Exton-Smith, A. N. (1987). The memory clinic: a new approach to the detection of dementia. British Journal of Psychiatry, 150, 359–364.Google Scholar
Verhey, F. R. J. et al. (1993). Diagnosing dementia: a comparison between a monodisciplinary and a multidisciplinary approach. Journal of Neuropsychiatry and Clinical Neuroscience, 5, 78–85.Google Scholar
Wright, N. and Lindesay, J. (1995). A survey of memory clinics in the British Isles. International Journal of Geriatric Psychiatry, 10, 379–385.Google Scholar