The care and
management of younger and older Australians living with dementia and
behavioural and psychiatric symptoms of dementia (BPSD)
Terms of Reference
On 28 February 2013, the Senate
referred the following matter to the Senate Community Affairs References
Committee (committee) for inquiry and report:
- the scope and adequacy of the different models of
community, residential and acute care for Australians living with dementia and
BPSD, with particular reference to:
- Commonwealth-provided support and
- state- and territory-provided services,
- services provided by the non-government
- resourcing of those models of care; and
- the scope for improving the provision of care and
management of Australians living with dementia and BPSD, such as:
- access to appropriate respite care, and
- reduction in the use of both physical and
The reporting date for the inquiry
was set by the Senate for 26 June 2013. On 18 June 2013, the Senate
granted an extension of time to report until 12 August 2013. On 12
August 2013, the committee tabled an interim report expressing the committee's
intention to seek re-referral from the Senate to continue work on this inquiry
in the 44th Parliament.
The new Parliament re-referred the
inquiry to the committee with the same terms of reference, for reporting on 28
Conduct of the inquiry
The committee invited submissions
from Commonwealth, State and Territory governments and interested
organisations. The committee received public submissions from 62 organisations
and individuals (listed at Appendix 1).
Five public hearings were held over
the course of the inquiry:
- Hobart – 10 July 2013;
Canberra – 17 July 2013;
Melbourne – 16 December 2013;
Warracknabeal, Victoria – 17
December 2013; and
Canberra – 14 February 2014.
A list of witnesses who appeared
before the committee is set out in Appendix 2.
Submissions, additional information, the Hansard
transcript of evidence and responses to questions on notice can be accessed
through the committee's website.
References in this report are to
individual submissions as received by the committee, not to a bound volume.
The committee would like to especially
thank the staff and residents at the Yarriambiack Lodge in Warracknabeal in
Victoria. The committee had the opportunity to visit the lodge, meeting with
the residents, staff and families there. Seeing the options that are available
for persons living with dementia in residential aged care facilities shaped
much of the thinking in this report.
The committee also received the
hospitality of the Alzheimer's Australia Vic.'s Perc Walkley Dementia Learning Centre
in Melbourne and were provided with a glimpse of what it is like to live with
dementia through the centre's virtual reality facilities.
Due to the prorogation of the 43rd
Parliament, this inquiry was more protracted than most committee inquiries, and
the committee thanks those who participated in the inquiry for their patience.
On 24 June 2013, the House of
Representatives' Standing Committee on Health and Ageing presented a report, Inquiry
into Dementia: Early diagnosis and Intervention (House report). The House report focused on ways to improve early
diagnosis and to improve the quality of life for people with dementia by
remaining independent as long as possible. While there is some cross-over
between the House report and this report, the committee has endeavoured to
complement the House report rather than reproduce or counter it.
Structure of the committee's report
The committee's report is
comprised of six chapters:
- chapter 2 provides an overview of dementia in
- chapter 3 discusses community care;
- chapters 4 and 5 consider residential care;
- chapter 6 reviews the use of restraints in aged care;
- chapter 7 summarises issues particular to younger
onset dementia; and
- chapter 8 presents the committee's concluding
Navigation: Previous Page | Contents | Next Page