Changing the dementia care ecosystem: implementation and initial evaluation of a novel Dementia Friendly Healthcare model

OBJECTIVES: There is a need to develop person-centered models to support healthcare system readiness to serve persons with dementia (PwD) and caregivers across settings. We present a novel, comprehensive and flexible Dementia Friendly Healthcare (DFH) model, comprising six components to support staff knowledge, environmental optimization, and sustainability and spread. Using the RE-AIM framework, we report on the implementation and initial evaluation at one U.S. Veterans Health Administration medical center. METHOD: = 5 employees involved in initial implementation. RESULTS: < 0.001) and acceptability ratings were high. Qualitative findings revealed perceptions of effective implementation and sustainability of the DFH model, along with tangible positive changes in the workforce and environment. CONCLUSION: The Dane County DFH model represents a promising approach to improving healthcare for PwD and caregivers that can be flexibly and sustainably implemented. Future research should include measurement of PwD and family outcomes.

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Publication Details

Journal
Aging & Mental Health
Published
2026-09-09
DOI
https://doi.org/10.1080/13607863.2026.2729258
Primary Topic
Geriatric Care and Nursing Homes
Type
article
Field-Weighted Citation Impact
0.00
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article

Changing the dementia care ecosystem: implementation and initial evaluation of a novel Dementia Friendly Healthcare model

Joy Schmidt, Mary F. Wyman, Philip Dolwick, Marion McKinney et al.
Aging & Mental Health
Geriatric Care and Nursing Homes
article

Changing the dementia care ecosystem: implementation and initial evaluation of a novel Dementia Friendly Healthcare model

Joy Schmidt, Mary F. Wyman, Philip Dolwick, Marion McKinney, Carey E. Gleason, Margaret Featherston
article en

Abstract

OBJECTIVES: There is a need to develop person-centered models to support healthcare system readiness to serve persons with dementia (PwD) and caregivers across settings. We present a novel, comprehensive and flexible Dementia Friendly Healthcare (DFH) model, comprising six components to support staff knowledge, environmental optimization, and sustainability and spread. Using the RE-AIM framework, we report on the implementation and initial evaluation at one U.S. Veterans Health Administration medical center. METHOD: = 5 employees involved in initial implementation. RESULTS: < 0.001) and acceptability ratings were high. Qualitative findings revealed perceptions of effective implementation and sustainability of the DFH model, along with tangible positive changes in the workforce and environment. CONCLUSION: The Dane County DFH model represents a promising approach to improving healthcare for PwD and caregivers that can be flexibly and sustainably implemented. Future research should include measurement of PwD and family outcomes.

Aging & Mental Health
United States Department of Veterans Affairs (US), University of Wisconsin–Madison (US), Geriatric Research Education and Clinical Center (US), Monroe County Department of Human Services (US), William S. Middleton Memorial Veterans Hospital (US), Department of Veterans Affairs (AU)
Life in Land
Openalex Percentile: Top 6%
Geriatric Care and Nursing Homes
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Changing the dementia care ecosystem: implementation and initial evaluation of a novel Dementia Friendly Healthcare model — Joy Schmidt, Mary F. Wyman, et al. · Aging & Mental Health (2026) | TGRS Research Map | TGRS