Dementia Social Model

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sample chapter from: Dementia The NICE-SCIE guideline on supporting people with dementia and their carers in health and social care ISBN: 978 1 854334 51 0 June 2007 By the National Collaborating Centre for Mental Health (NCCMH) Co-published by the Royal College of Psychiatrists and the British Psychological Society Distributed by RCPsych Publications (via Turpin Distribution for the trade) (one of a series of complete NICE Mental Health Guidelines) Dementia 4. DEMENTIA 4.1 INTRODUCTION This guideline is concerned with the identification and treatment of, and care for, dementia as defined in the 10th edition of the International Classification of Diseases (ICD-10) (World Health Organization, 1992). Care for people…show more content…
Building on this work, others (notably Marshall, 2004) have advocated that dementia should be regarded as a disability and framed within a social model. The social model, as developed in relation to disability, understands disability not as an intrinsic characteristic of the individual, but as an outcome produced by social processes of exclusion. Thus, disability is not something that exists purely at the level of individual psychology, but is a condition created by a combination of social and material factors including income and financial support, employment, housing, transport and the built environment (Barnes et al., 1999). From the perspective of the social model, people with dementia may have an impairment (perhaps of cognitive function) but their disability results from the way they are treated by, or excluded from, society. For people with dementia, this model carries important implications, for example: ● the condition is not the ‘fault’ of the individual ● the focus is on the skills and capacities the person retains rather than

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