The Retreat: 01904 412551 The Tuke Centre: 01904 430370

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Complex Dementia Care

The service is designed for men and women with a diagnosis of dementia, who may have pre-existing mental health diagnoses and present with complex needs. We specialise in treating people with more than one diagnosis, for example people who have a diagnosis of Personality Disorder or Psychosis with an overriding Dementia, and whose behaviour presents as a challenge to services.

Our assessment of needs and implementation of treatment plans are delivered by a multidisciplinary team, including a Consultant Psychiatrist, qualified nurses with specialist therapeutic skills, skilled and experienced support workers, a Clinical Psychologist and Assistant Psychologist, an Occupational Therapist, Social Worker, Dietitian, GP and Physiotherapist. Advocacy and involvement services also contribute. We have access to more specialist services such as Tissue Viability Nurses and Macmillan nurses.

Our person centred approach enables us to fully utilise the skills of the team and include family and friends to help develop an understanding of the person’s needs. Through the process of formulation we try to understand the person in more depth using information based on:

  • Who the person is.
  • Their life experiences and personality.
  • An understanding of coexisting problems and how that may impact upon thoughts, emotions and behaviours.
  • An understanding of physical health history and any impact this may have upon their presentation.

We aim to offer patients care and treatment that will enable them to reach stability in their lives, so that they can reach their potential and optimise their quality of life. We aim for people to live in the least restrictive environment. Our service offers support to family and friends through our Friends, Family and Carers’ Forum.

Interventions that may be provided

  • Occupational Therapy
  • Psychological formulation
  • Cognitive Analytic Informed Therapy and a focus on relationships
  • Skilled nursing and psychological interventions
  • Social work interventions
  • Life story work
  • Creative therapies, including music, reminiscence, art therapy, pet therapy and horticulture
  • Social inclusion
  • Collaborative involvement work with the person, their family and friends
  • Concordance therapy
  • Dietetics
  • Physiotherapy
  • Physical health care


  • Personally identified goals that are most meaningful to each person and their family.
  • Improved quality of life.
  • Reduced reliance on medication.
  • Improvement/stability of emotional and behavioural symptoms.
  • Reduced level of risk.
  • Increased safety and reduced fear and confusion.
  • Ability to live within the least restrictive environment.
  • Increased ability to cope using cognitive, behavioural and motor skills and emotional stability.
  • Increased ability to be involved in the community.
  • Application of personal history to develop person centred interventions.
  • Supporting people to maintain family and social relationships.

Eligibility Criteria

  • Older adults.
  • Informal and Formal.
  • We can accept patients detained under the Mental Health Act including those under Part 3 (forensic).
  • A diagnosis of dementia with presenting complex behaviours.
  • Patients on this pathway may have complex needs and present with a level of risk that cannot be managed in alternative settings.




Useful Documents