Copyright: Australian Journal of Dementia Care (www.journalofdementiacare.com) Vol 6 No 1 February/March 2017. Reprinted with the permission of Hawker Publications Australia Pty Ltd.
CAUSEd (Communication, Activity, Unwell/unmet needs, Story, Environment, dementia) is an easy-to-remember acronym that encourages carers to look beyond when people with dementia are communicating their unmet needs through their behaviour.
Alzheimer’ s Australia Vic developed* the CAUSEd problem-solving tool to assist carers to understand and respond when people with dementia are communicating their unmet needs through their behaviour.
CAUSEd (Communication, Activity, Unwell/unmet needs, Story, Environment, dementia) is an easy-to-remember acronym that encourages family carers and health care workers to look beyond presenting behaviours and beyond medical-model based explanations of the origins of these behavioural responses, and to see the person with dementia.
Looking at their story, the environment they live in, their physical and emotional health, the nature of the activities they are engaged in and the communication challenges they experience, carers are able to pinpoint modifiable triggers for these responses and develop and implement support strategies specifically designed to meet the need communicated by the ‘ behaviour’ (see CAUSEd examples).
CAUSEd provides a systematic approach to problem-solving to help carers minimise the impact of responsive behaviours. It does this by shifting the focus away from behaviours being ‘ difficult’ , ‘ challenging’ or ‘ problem’ behaviours and providing an understanding of how the physical and social environment can be challenging and unsupportive for a person with dementia.
Since 2008, CAUSEd has been an important tool in Alzheimer’ s Australia Vic’ s learning programs. In 2014-15 it was used to introduce more than 17,000 family carers and health care workers to the application of person-centred approaches to supporting people with dementia (Alzheimer’ s Australia Vic 2014-15).
The CAUSEd acronym has been adopted by a number of key Australian agencies and researchers for use in training programs and publications.
- -It is referred to in the Dementia Behaviour Management Advisory Services (DBMAS) publication: Behaviour Management: A Guide To Good Practice. Managing Behavioural And Psychological Symptoms Of Dementia**
- – The Dementia Training Study Centres included the CAUSEd acronym in its workshop series ‘ The Portrait, the Mirror and the Landscape’ .
- -It has also been used in training work led by Dr Sue Aberdeen, in which she adopted the CAUSEd acronym to signify the key concepts in concept mapping to improve problem solving in residential aged care facility staff (Aberdeen 2011).
Learn more about the CAUSEd problem-solving tool at http://dementialearning.org.au/course-modules or attend a Dementia Essentials workshop in your state. Dementia Essentials is a nationally accredited training program fully funded by the Australian Government. The training is delivered by the Dementia Training Australia (DTA) consortium, led by the University of Wollongong, in each State and Territory. As part of DTA, Alzheimers Australia will deliver the Dementia Essentials dementia specialist accredited course, including the CAUSEd approach to problem solving. This course is suitable for people currently working in aged care, health care and community services who regularly provide assistance to people living with dementia.
*Footnote: Dementia Australia Vic educators Di Fitzgerald and Marina Cavill developed the CAUSEd model for Dementia Australia Vic.
**Available from www.DementiaKT.com.au