Table 1.
Overview of characteristics of 3 effective methods to manage neuropsychiatric symptoms, as described in Bakker et al [16], Zwijsen et al 2014 [17], and Pieper et al 2018 [18].
| Characteristics | IRRa | Gripb | STA OP!c |
| Proactive method (start when admitted to nursing home) | ✓ |
|
|
| Reactive method (start when problems are signaled by nursing staff) |
|
✓ | ✓ |
| Cyclical process (detection, analysis, treatment, evaluation) | ✓ | ✓ | ✓ |
| Physical functioning | ✓ | ✓ | ✓ |
| Assessment and management of pain |
|
|
✓ |
| Cognitive functioning | ✓ | ✓ | ✓ |
| Psychosocial functioning | ✓ | ✓ | ✓ |
| Stepped-care model (stepping up interventions from the least to the most intensive and stepping down, linked to patients’ needs) |
|
|
✓ |
| Matched-care model (client and therapy are matched, based on intake information about specific problems and patient characteristics) | ✓ |
|
|
| Interdisciplinary collaboration | ✓ | ✓ | ✓ |
| Involvement of informal caregiver | ✓ | ✓ |
|
| Treatment of informal caregiver | ✓ |
|
|
| Standard involved disciplines | Nurse, elderly care physician, clinical psychologist, social worker | Nurse, psychologist, elderly care physician | Nurse, psychologist, social worker, elderly care physician, occupational therapist, physical therapist |
| Indicative involved disciplines | For each patient, at least two of the following therapists are involved: music therapist, psychomotor therapist, creative therapist, physical therapist, occupational therapist, speech therapist, dietician | Other disciplines are involved if needed. For example, occupational therapist | N/Ad |
aIRR: integrative reactivation and rehabilitation.
bGrip: Grip on Challenging Behavior.
cSTA OP!: Stepwise, Multidisciplinary Intervention for Pain and Challenging Behavior in Dementia
dN/A: not applicable.