Cultural Competency in Dementia Care: An African American Case Study
Open accessAbstract
Age is the greatest risk factor for Alzheimer's disease, the most common cause of dementia. The older population in the United States is growing, and within this demographic ethnic and racial diversity is also on the rise. This article introduces Stanford Health Care's Memory Support Program (MSP) as a model for culturally competent dementia care that spans inpatient and outpatient settings. The case study of an African American patient and family dealing with an Alzheimer's disease diagnosis and comorbid conditions is presented and explored to illustrate the MSP model. The authors make recommendations for the implementation of similar continuum of care services in other institutions. As research continues to show, the cultural competence of medical professionals can impact patient quality of care and health outcomes. More research is needed to appropriately support positive outcomes for patients and families of diverse ethnic and racial backgrounds.
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Post-discharge follow-up was linked to carers understanding of condition management, and confidence to support the patient's needs.
“Post-discharge follow-up was linked to carers understanding of condition management, and confidence to support the patient’s needs [28, 44, 53–55, 58–60, 62–65].”
From Do hospital-to-home transitions work for older adults with multiple long-term conditions including dementia? A realist review (2025) · cites this paper as [62]
In “The Memory Support Program” (page unavailable), the paper describes one point of contact following patients and families and offering education and caregiver support. “Commitment to Family—A Case Study” (page unavailable) describes a family meeting to align the siblings’ understanding of care needs. It does not establish a link between post-discharge follow-up and carers’ understanding or confidence to meet the patient’s needs. (LLM, conf=0.78)
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- Authors
- Clark, J. L., Phoenix, S., Bilbrey, A. C., McManis, T., Escal, K. A., Arulanantham, R., Sisay, T., & Ghatak, R.
- Affiliations
- Stanford Health Care (US)
- Stanford Medicine (US)
- Corresponding author
- Clark, Jennie Leeder
- Venue
- Clinical Gerontologist
- Publisher
- Informa UK Limited
- Published
- 2018-01-17
- Volume
- 41
- Issue
- 3
- Pages
- 255-260
- ISSN
- 0731-7115 (ISSN-L)
- 1545-2301
- PMC
- PMC5935110
- OpenAlex
- W2777164336
- Cited by
- 18
- References
- 21
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 3 · 2018: 1
- FWCI
- 2.80
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Gerontologist (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Freidenrich-Zaffaroni Fund
- Stanford Center for Memory Disorders
- NIH Stanford Alzheimer’s Disease Research Center
- Topics
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- cultural competence, dementia care, Alzheimer's disease, African American patients, continuum of care, comorbidities, family caregivers, racial and ethnic diversity, older adults, inpatient and outpatient care
- MeSH terms
- Aged, 80 and over, Alzheimer Disease, Attitude to Health, Black or African American, Family, Female, Health Services Accessibility, Home Care Services, Humans, United States, Caregivers, Culturally Competent Care
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