Enabling people with dementia through GREAT goal-oriented cognitive rehabilitation

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What is GREAT goal-oriented cognitive rehabilitation?

GREAT goal-oriented cognitive rehabilitation (GREAT CR) is a personalised intervention that supports functional ability for people with mild-to-moderate dementia. It helps people maintain independence by more effectively managing the impact of dementia on their ability to engage in everyday activities. GREAT CR is conducted in people’s own homes over several sessions with a practitioner, who works with the person and the care partner to identify realistic and meaningful goals, plan ways of addressing these, and support goal attainment. GREAT stands for goal-oriented rehabilitation in early-stage Alzheimer’s and other dementias.

What is the evidence for GREAT CR?

The GREAT randomised controlled trial showed that GREAT CR enables people with dementia to improve their everyday functioning in relation to the goals that they work on. A subsequent study showed the same benefits when GREAT CR was delivered as part of usual NHS services.

What does the course cover?

You will learn the skills needed to offer GREAT CR to people with dementia and their families, including:

  • The principles of GREAT CR
  • How to work with clients to formulate individual rehabilitation goals
  • How to apply a range of rehabilitative strategies to enable people to attain their goals
  • How to evaluate client progress and make adaptations where needed

You will gain access to a handbook and other resources to use in your work with clients.

Who is the course suitable for?

The course is suitable for health and social care practitioners, assistants and trainees involved in the direct care of people with dementia, including occupational therapists, nurses and psychologists. Managers who support practitioners working in this way may also find the course useful.

Resource details

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Contributed to: Community contributions
Community resources are online learning and digital materials provided by the wider Learning Hub community that anyone can contribute to.
Contributed by: Catherine Charlwood
Authored by: Professor Linda Clare, University of Exeter
The GREAT Cognitive Rehabilitation Team, University of Exeter
Licence: Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 International More information on licences
Last updated: 10 July 2023
First contributed: 13 October 2022
Audience access level: Full user

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