Interventions for caregivers may include skills training, education, activity planning, environmental redesign, and social and emotional support, tested either singly or in combination.
However, nonpharmacologic approaches are not widely implemented, largely because of lack of provider knowledge concerning their efﬁcacy and limitations imposed by reimbursement mechanisms."
...."Two key conclusions can be drawn from this study. First, the meta-analysis provides the strongest evidence to date that caregiver interventions have a twofold advantage: they reduce distress in caregivers, and they reduce behavioral symptoms in individuals with dementia.
This quantitative synthesis of high-quality studies provides conﬁrmation that helping families is an important vehicle for helping patients. As such, these interventions should be central to the clinical management of behavioral symptoms.
The primary challenge remains how to widely implement and ﬁnancially sustain delivery of these interventions to address the urgent need of families."
Brodaty H et Arasaratnam C. Meta-analysis of nonpharmacological interventions for neuropsychiatric symptoms of dementia. Am J Psychiatry 2012; 169(9): 946-953. 1er Septembre 2012.www.ncbi.nlm.nih.gov/pubmed/