Work

Understanding the essential components and effectiveness of pre-assessment counselling (PAC) in providing a timely diagnosis according to NHS clinicians

Year: 2025

Type: article

Abstract: This qualitative study explores the significance of Pre-Assessment Counselling (PAC) in supporting timely diagnoses for people with dementia from the perspectives of clinicians. Reflexive thematic analysis was employed to analyse in-depth interviews with a multidisciplinary team of clinicians specialising in dementia care. Three themes were identified: (1) The centrality of people with dementia in their diagnosis journey, (2) The importance of candid conversations in building therapeutic alliances, and (3) Recognising people with dementia are more than their diagnoses. These themes elucidate the multifaceted aspects of PAC and its implications for well-being and engagement in dementia care. The findings underscore the significance of timely diagnoses for the well-being of people with dementia while highlighting the nuanced nature of diagnosis delivery. Moreover, they emphasise the importance of empowering people with dementia in decision-making processes and fostering resilience through comprehensive support. The clinical and research implications of PAC implementation in dementia care are discussed.

Source: Dementia

DOI: 10.1177/14713012251345928

Authors: Marie Janes, Anna Buckell, Bethany A Jones, Miriam Sang-Ah Park, Stephen P Badham

Institutions: Nottingham Trent University, Nottinghamshire Healthcare NHS Foundation Trust, Lings Bar Hospital

Language: English

Topic: Dementia and Cognitive Impairment Research

Subfield: Psychiatry and Mental health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,650