Should you intervene in the life of the 48-year-old woman whose dwelling is stuffed with accumulated rubbish and who will not let anyone help get rid of it - or the 78-year-old surrounded by putrescent food and filth - or the 'animal accumulator'? Cases of severe domestic squalor (sometimes called Diogenes Syndrome) are among the most complex and difficult faced by community agencies. Local councils, housing officers, health professionals, social services, animal welfare agencies, public guardians and of course relatives and neighbours often feel powerless and lack confidence about what to do when faced with such situations. The guidelines, recommendations and case examples in Severe Domestic Squalor will help concerned people to understand what can be done and how, by providing an understanding of the causative factors and who should take the lead in dealing with them.

Every person living with dementia is entitled to the highest standards of wellbeing and health and social care services. This in-depth, evidence-based book identifies how outstanding quality integrated care might be achieved, whether in residential or home-based settings. Experienced dementia researcher Dr Shibley Rahman highlights the key contemporary underpinnings of integrated care that are required for wellbeing for living with dementia, including technology, staff performance, leadership, and intelligent regulation of services. The book addresses the major challenges to promoting person-centred care, and tackles difficult conversations around spirituality, sexuality and dying well. The crucial importance of promoting physical and mental health is emphasised. Taking into account recent developments in NICE guidelines and Cochrane reviews for dementia, this book presents an opportunity for all those involved in the provision of care for people with dementia to maintain a focus on delivering the best care possible, and to engage with the wider issues surrounding wellbeing. This book will be especially useful to commissioners following the NHS 'new models of care' "vanguards".