大脑健康服务

Over the last 40 or 50 years, when people have developed Alzheimer’s disease, they’ve tended to present to clinical services when they get to the dementia phase of illness, which is, as we know, a very late stage of the actual disease itself. This has been because we haven’t really been able to pick up disease early in its course. So people present when they start to develop symptoms. And those symptoms that people tend to associate with Alzheimer’s disease and, indeed, Alzheimer’s dementia, tend to be what we call cognitive symptoms, particularly memory symptoms. So memory clinics have been established to try and help people identify, diagnose, these conditions, and put in place what are called post-diagnostic plans.

对阿尔茨海默氏症患者的痴呆症患者的治疗倾向于专注于所谓的生物心理社会方法。例如，生物学治疗可能是有助于疾病症状的药物。心理社会方法是为护理人员提供支持，对患者的支持以及社会干预措施，例如参与团体活动，俱乐部和社会。如果需要，在病情的尾端，将被放置在支撑的住所中，甚至是疗养院。

As we think about the way that we’re being able to pick up Alzheimer’s disease earlier in its course, through early detection, through risk profiling, we have to set up new services, new services that are really accessible to people before they even have the slightest hint of any symptoms. They may have concerns about their brain health, because of a strong family history. They may have evidence of quite a few risk factors. And they want some early assessment of their brain health to determine whether or not they’re at risk of developing Alzheimer’s dementia in the future. So those services, necessarily, have to be based in the community. They have to be accessible.

And this is what we’re developing at the moment is things called brain health services, where people can drop in if they’ve got concerns about their brain health, and have an early assessment for early detection, risk profiling and, ultimately, a personalised prevention plan. And I think one of the very important things about brain health services is that they’re not, by definition, dementia prevention services. They’re focused on brain health. They’re focused on health. They’re focus on preserving what people have, rather than, necessarily, trying to prevent the development of a dementia syndrome.

我认为这是我们要在纪念诊所之间进行区分的地方，这些记忆诊所主要基于医院环境和门诊诊所，在英国和世界其他地区，主要由精神科医生进行，改为移动或发展，开发或发展同样，某些实际上是在疾病过程中为人们提供的一些服务，这些服务将在社区中，实际上将是非常容易获得的，并且主要是由初级保健医生提供的，他们将能够参考是否可以参考该人需要进一步评估或治疗。