Dementia: When to refer to a specialist
Primary care providers should consider referring the patient when there is:
- uncertainty over diagnosis after initial evaluation and treatment
- an indication for neuropsychological testing to differentiate between normal aging and mild cognitive impairment
- significant depression with poor response to treatment
- difficulties in tolerating medications for dementia
- challenging behaviours or significant stress on the caregiver and social environment
- need for genetic counselling
- patient or family request
- an indication for further evaluation of in-home safety, driving or other areas of potential risk
What referrals can support my patient with dementia?
- Alzheimer Society's First Link program for patients newly diagnosed with dementia
- Home care services (e.g., in Ontario contact the local Community Care Access Centre)
- Geriatric medicine
Psychiatry in primary care toolkit
The Psychiatry in Primary Care App has been decommissioned.
The revised print version of Psychiatry in Primary Care is avaible through the CAMH store.
We have posted a number of revised chapters from the book in Treating Conditions and Disorders in the new Professionals section of camh.ca.
Fourth Canadian Consensus Conference on the Diagnosis and Treatment of Dementia Recommendations for family physicians (2014)
Caregiving strategies for older adults with delirium, dementia and depression (RNAO, 2004, 2010)
Recommendations on screening for cognitive impairment in older adults (Canadian Task Force on Preventative Health, 2015)
Dementia, disability and frailty in later life – mid-life approaches to delay or prevent onset (NICE guideline NG16, 2015)