A National Approach to Dementia Care
The Netherlands has a history of innovative dementia care. The current National Dementia Strategy 2021-2030 continues this commitment, following the Dementia DeltaPlan (2013-2020). The strategy aims to help people with dementia and their families live as valuable community members with appropriate support and care, supported by research. It moves beyond clinical management towards a holistic societal response.
The Three Core Pillars of the Strategy
The 2021-2030 strategy is based on three main, interconnected themes:
- A world without dementia: Focuses on intensifying research to prevent, treat, and cure dementia. The government has increased the research budget to support groundbreaking work by leading institutions.
- Persons with dementia matter: Aims to reduce stigma and increase public understanding. This pillar promotes social inclusion, ensuring people with dementia are involved in meaningful activities and training professionals to be dementia-friendly.
- Tailor-made support when living with dementia: Builds on previous programs to improve support and care. It emphasizes person-centered, efficient, and proactive care, often organized regionally to be customized to individual needs and promote independent living.
Overarching Themes for Success
Four cross-cutting themes support the strategy's implementation:
- Innovation: Encouraging technological and non-technological innovations in research and social participation.
- Young persons with dementia: Addressing the unique needs of younger individuals with dementia.
- International collaboration: Sharing knowledge with other countries.
- Communication: Informing the public and professionals about dementia and risk reduction.
A Comparison of Dementia Strategies
The 2021-2030 strategy evolves from the earlier DeltaPlan (2013-2020).
| Feature | Dementia DeltaPlan (2013-2020) | National Dementia Strategy (2021-2030) |
|---|---|---|
| Core Themes | Research, Care Enhancement, Dementia-Friendly Society | World Without Dementia (Research), Persons Matter (Social Inclusion), Tailor-Made Support (Care) |
| Research Focus | Investment in scientific research, e-health, national registry | Intensified funding, focus on prevention, treatment, and cure, through collaborative consortia |
| Care Model | General care enhancement programs | Emphasizes person-centered care, regional networks, and innovation |
| Social Aspect | Creating a dementia-friendly society | Promoting meaningful activities and volunteer work, reducing stigma |
| Implementation | Public/private partnership | Stronger collaboration across government levels and with private sector |
The Role of Innovative Care Models
The Dutch approach is known for innovative, person-centered care, such as the Hogeweyk dementia village. Hogeweyk is a care facility designed like a normal village where residents live in small households and can engage in daily life activities under discreet supervision. This model focuses on normalcy and social engagement, improving residents' well-being and health. The Dutch strategy supports such innovations, incorporating new developments to create care environments adapted to the needs of people with dementia.
Challenges and the Future Outlook
The strategy faces challenges like the projected rise in cases and healthcare costs. Its success depends on collaboration, investment, and adaptation. Innovation and research are key to addressing long-term issues. The goal is for people with dementia to live with dignity and participate in society, receiving the best possible support. The Dutch approach offers a model for other countries facing similar demographic changes.
For more information on national dementia strategies, visit the Alzheimer Europe website.
Conclusion
The Dutch dementia strategy is a holistic national plan centered on three themes: advancing research, fostering social inclusion, and providing personalized care. The 2021-2030 strategy builds on past efforts, emphasizing innovation, addressing young-onset dementia, and promoting international cooperation. Its strength is its collaborative approach that recognizes the individual, supported by innovative care like the Hogeweyk village. The Dutch model provides valuable lessons on humanizing dementia care.