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Behavioral and Psychosocial Treatments of Dementia in the Caribbean: Cuba, Dominican Republic, and Puerto Rico

  • Ivonne Z. Jiménez-VelázquezEmail author
  • Juan Llibre-Rodríguez
  • Daisy Acosta
  • Christian E. Schenk-Aldahondo
  • Mackenzie T. Goertz
Chapter
  • 23 Downloads

Abstract

Cuba, the Dominican Republic, and Puerto Rico, otherwise known as the Spanish Insular Caribbean, comprise a subgroup of insular territories that have similar cultural, historical, and colonial backgrounds. The Spanish Insular Caribbean population faces a particularly high risk for dementia, and only steadily emerging, albeit unique behavioral and psychological approaches for treatment. Comprehensive efforts to provide adequate and culturally congruent treatment are complex and characterized by social, economic, political, and public health influences. This chapter begins contextualizing the treatment of dementia by describing the cultural and historical landscape of the Spanish-speaking islands in the Caribbean. Prevalence rates of dementia in these regions are also discussed along with the current strategic, national guidelines for comprehensive care and the systems of healthcare provision in each country. Furthermore, cultural considerations for dementia management are discussed, including a summary of the psychological strengths exemplified within the Cuban, Dominican, and Puerto Rican communities. The chapter concludes with a review of treatment practices and interventions for individuals with dementia and their caregivers.

Keywords

Aging Alzheimer’s Disease Behavioral Psychological Symptoms in Dementia Cuba Dementia Dominican Republic Puerto Rico Spanish Caribbean 

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2020

Authors and Affiliations

  • Ivonne Z. Jiménez-Velázquez
    • 1
    Email author
  • Juan Llibre-Rodríguez
    • 2
  • Daisy Acosta
    • 3
  • Christian E. Schenk-Aldahondo
    • 1
  • Mackenzie T. Goertz
    • 4
  1. 1.Universidad de Puerto Rico, School of MedicineSan JuanPuerto Rico
  2. 2.Universidad de Ciencias MedicasLa HabanaCuba
  3. 3.Universidad Nacional Pedro Henriquez UreñaSanto DomingoDominican Republic
  4. 4.Marquette UniversityMilwaukeeUSA

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