PURPOSE AND ROLEThe Australian Journal of Dementia Care is the firstand only multidisciplinary journal in Australia forall professional and community carers of peopleliving with dementia. It offers a forum in thechallenging field of dementia care and fills a vitalniche providing relevant, practical, high-qualityand well-researched solutions for dementia caresettings, presented by practitioners, researchersand other experts in the field of dementia carefrom Australia and around the world. There is astrong emphasis on ‘knowledge translation’,which closes the gap between research intodementia care and provides practical, positiveoutcomes for carers, those living with dementiaand healthcare staff. Topics include care practice,clinical updates, research, resources, training,technology and news.

The Editorial team is headed by its Director, Executive Editor Professor Richard Fleming. The team includes Managing Editor Kerry Schelks, Contributing Editor Briana Lees and Website Manager Emma Paul. They are supported by UK Editor Mark Ivory, Editor-In-Chief Dr Richard Hawkins and Production Editor Andrew Chapman.

The team is further advised by the Australian Journal of Dementia Care Advisory Board whose members are:

• Professor Henry Brodaty AO, Director, Academic Departmentfor Old Age Psychiatry, Prince of Wales Hospital and DementiaCentre for Research Collaboration, UNSW Sydney.

• Marily Cintra, Executive Director, Health and ArtsResearch Centre, Inc, Canberra.

• Emeritus Professor Rhonda Nay, La Trobe University.• Tara Quirke, Dementia consultant and educator.• Margaret Ryan, Head of Dementia Services GroupDevelopment, Bupa Care Services, Australia.

• Dr Andrew Stafford, Director, Dementia TrainingAustralia, University of WA.

• Dr Margaret Winbolt, Director, Dementia TrainingAustralia, La Trobe University.

TARGETED READERSHIPThe Australian Journal of Dementia Care is a specialist publicationtargeted directly at decision makers and buyers of products andservices related to the care of people with dementia. Because thisfast-growing market has lacked a centralised forum until theadvent of the journal, its reputation as a trusted source ofinformation will be highly influential in the readers’ choices ofproducts and services.

Readers include:• Managers of residential care services• Managers and proprietors of specialist dementia care homes• Geriatricians and Psycho-Geriatricians• Community Health Nurses• Occupational Therapists• Managers of specialist day care facilities• Administrators and Nursing Unit Managers in hospitals• Community-based carers and dementia care organisations• Staff in residential aged care services• Psychologists• Diversional Therapists• Architects• Interior Designers

For all who work with people with dementia 2018

Media informationFor all who work with people with dementia Vol 3 No 1 February/March 2014

Also insidethis issue:

� The challenge of consumers’ expectations� Dancing beats fighting � Final stage care planning

Young carers: unnoticed casualties?

For all who work with people with dementia Vol 2 No 5 October/November 2013

Also insidethis issue:

� Understanding stigma � Outback dementia education

� Planning for a dementia-friendly community

How can robots help?For all who work with people with dementia Vol 2 No 6 December 2013/January 2014

Also insidethis issue:

� Why person-centred care is difficult � The use of colour� The assertive voice of people with dementia

Every bloke needs a shed

Dr Penny Flett AO, Pro-Chancellor University of Western Australia.

•

• Professor Elizabeth Beattie, Director, Dementia TrainingAustralia, Queensland University of Technology

Kathryn Quintel, CEO / Founder Preventing Dementia.•

EVENTSInformation about forthcoming dementia care events and conferences where the Australian Journal of Dementia Care will be distributed can be found on our website at: www.journalofdementiacare.com

CIRCULATIONThe Australian Journal of Dementia Care is a bi-monthly publication available through subscription and distributed in Australia and overseas. We offer a targeted readership of dementia care professionals in leading aged care organisations, hospitals and health and community services. The journal is also distributed to delegates at major dementia conferences around Australia during the year. The publishers guarantee a readership of at least 1000 key personnel per issue, while the subscription base grows.

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DEADLINES 2018/2019

The Australian Journal of Dementia Care is published bi-monthly: Jun/Jul, Aug/Sept, Oct/Nov, Dec/Jan, Feb/Mar, Apr/May. It is mailed during the last week of the month before the cover date.

Booking Material deadline Publication date02/03/18 28/03/18

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Email inquiries & artwork to: Kerry Schelks at kerry@australianjdc.com

Vol 3 No 1 February/March 2014 Australian Journal of Dementia Care 17

Music therapy for peoplewith dementia has beenwell documented in

many peer-reviewed academicjournals, but it is still arelatively underused practicefor supporting people withdementia. As a RegisteredMusic Therapist (RMT), Ipersonally experience thebenefit of using music therapyfor people with dementia, andbelieve it is one of the mostaccessible person-centredinterventions. It is cost-effectivefor residential aged carefacilities and enjoyable forresidents, staff and families.The best part is that it canfacilitate meaningfulexperiences for people involvedin all stages of dementia and isa way of involving theirfamilies.

What is music therapy?Music therapy is anintervention that falls under theallied health umbrella and ispractised in more than 40countries around the world in avariety of settings. It isdistinguished from musicalentertainment or musicaleducation because it focuses onmeeting therapeutic goals.Music therapy does thisthrough the planned andcreative use of music to attainand maintain health and well-being. I personally use music tofacilitate changes in challengingbehaviours, which are oftenexpressions of need. I havefound music to help increaserelaxation and decrease feelingsof anxiety, isolation anddepression.

A RMT is someone who isregistered with the AustralianMusic Therapy Association(AMTA Inc) and is bound bythat organisation’s Code ofEthics and Standards ofPractice. RMTs are alsoqualified therapists (currentstandards require anundergraduate degree in arelated discipline and aminimum of a Masters in MusicTherapy), whose training has

included the theoretical andpractical applications of musictherapy. In addition, musictherapists undertake sixmonths’ clinical training in avariety of settings, includinghospitals, special schools andaged care homes. Currently theonly universities in Australiaoffering placements for musictherapy qualifications are theUniversity of Melbourne andthe University of WesternSydney, in partnership withNordoff-Robbins MusicTherapy Ltd. Otherinterventions using music, suchas Music and ReminiscenceTherapy incorporatingStorytelling (MaRTiS), arebecoming increasingly popular.The MaRTiS approach is aperson-centred interventiondesigned specifically for peoplewith dementia.

Group music therapy I have worked as a contractRegistered Music Therapist atMasonic Care Queensland sincelate 2007, offering group musictherapy sessions in variouslocations in the facility,including two areas cateringspecifically to residents withdementia. Both of mygrandfathers were Masons andmy Nana and Pop spent theirfinal days living in the MasonicCare facility, so it felt fitting thatI submit a business proposal toimplement a music therapyprogram for this same place.

I designed a music therapyprogram for a group of adultswith dementia and many alsowith mental health issues, atask which was bothchallenging, yet exciting. Therewere many differentpersonalities involved in the

therapeutic group, and eachperson had various‘eccentricities’. In my group ofeight I had a European manwho was a former Prisoner OfWar (POW) and who hadreverted back to somebehaviours from his traumaticpast. For example, he would tryto steal food, hide it in hisjumper and jump the fence.Another man had been a sheepfarmer and lived a somewhatisolated life before moving intoresidential care; there was aman no older than 65 who hadphysical and mental healthcomplications from long-termillnesses and substance use; aformer stage performer whocould recite a 10-minute poembut who struggled with dailytasks, and a lady who thought Iwas her daughter. There wasalso a woman named Allison*,

The healing power of music

Vanessa Solomon and a resident during a music therapy session

Vanessa Solomon writes about a group music therapy projectheld at Masonic Care Queensland

Vol 2 No 5 October/November 2013 Australian Journal of Dementia Care 15

As a child I would run and hidebehind the sofa whenever Dr Whocame on television. Even though

Dr Who fascinated me, the sound, lookand movement of the Daleks frightenedme. For this reason, I initially hadconcerns about introducing people withdementia to robots. What would theymake of large, bulky robots speaking in arobotic voice? How would they view ananimal robot? Would they believe it was alive animal? Was it unethical to beintroducing lifelike animal robots that hadthe potential to further confuse reality?

My journey with robotsI was first introduced to companionrobots in 2009, as a chief investigator of aEuropean Union Grant researchingassistive technologies and their use inhelping older people maintain well-being.Through this initial contact I quicklyrealised that, despite the ongoingtechnological advancements, there wasvery little research on the effectiveness ofthese robots, particularly for people withdementia. The ever-increasing costs ofsuch technology also encouraged me toexplore their use as it seemed that while afew aged care facilities were purchasingrobots, the high cost seemed to inhibittheir use, resulting in them being stored incupboards. Furthermore, I was interestedto know whether robots were a cost-effective means of maintaining quality oflife and reducing behavioural andpsychological symptoms of dementia.

Along the way, I have faced many criticswho thought I was creating an army ofrobot workers or trying to eliminatehuman interaction from aged care. While Iunderstand these concerns, they are farfrom the truth (although sometimes therobots dotted around my office do lookeerily like an army of Daleks!). What I aminterested in is examining whether robotsreally do have a place in the care of peoplewith dementia and ensuring that the bestquality evidence informs their use.

Ethical debatesIn the 1990s, ethical debates about the useof robots for supporting older peoplebegan to appear in the ethics andphilosophy literature. The debates were(and still are) premised on the belief thatrobots are taking away the humanelement of care. This argument promotesthe idea that robots are being developedand used to replace human interaction. Icertainly never started exploring the use

of robots in health and social care as ameans to replace humans; in fact theresearch our team has been undertaking atthe Griffith Health Institute, at GriffithUniversity in Queensland, suggests quitethe opposite. We advocate for the use ofrobots as conduits through which socialinteraction with another human being cantake place. We see our robots as providinga talking point for staff and family. Robots,particularly companion robots, can alsohelp to fill those inevitable times whenpeople with dementia are left alone whencare staff or family are occupied withanother resident or task. This is notreplacing the staff member or family, butrather providing comfort when they areabsent. Robots might provide stimulationand comfort for a person with dementiawho would otherwise have been alone,anxious and bored.

Types of robotsThere is an ever-increasing supply ofrobots, including entertainment robots(that can sing and dance) and servicerobots (that can perform basic household

chores). Our research work has focused ontwo other types of robots – telepresencerobots and companion robots.

Giraff is a human-size telepresencerobot developed in Sweden(www.giraff.org). VGo is a morestreamlined telepresence robot developedin the United States(www.vgocom.com/). Telepresencerobots enable an operator to connect witha person or group anywhere in the worldand to see each other as well as thesurroundings. The advantage of theserobots is the operator can remotely drivethe robot from their computer, allowingvisual access to the hospital or residentialcare setting (we like to think of it as Skypeon wheels). Our team at GriffithUniversity has just completed its firststudy of Giraff and hope the findings willbe in press before the end of 2013.

PARO is a companion robot, developedby Dr Takanori Shibata, a researcher atJapan’s National Institute of AdvancedIndustrial Science and Technology. PAROis a therapeutic robot with the appearanceof a baby harp seal and weighs the same

Robots in dementia careWendy Moyle discusses the role of robots in dementiacare, particularly the use of companion robots, which herresearch suggests have the potential to improve moodand quality of life of people with dementia

The Griffith University team (from left) Professor Wendy Moyle, Dr Cindy Jones, Dr SiobhanO'Dwyer and Dr Takanori Shibata (PARO developer) with a resident from Wesley Missionaged care facility, Brisbane and companion robot PARO

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