Abstract

Occupational therapy (OT) plays a critical and unique role in dementia care by promoting functional cognition, behavioral health, safety, and engagement in meaningful activities. Individuals living with dementia experience progressive cognitive and physical changes that impact their ability to participate in daily life. Occupational therapists are uniquely trained to assess and support individuals at all stages of dementia by utilizing evidence-based approaches, such as the Allen Cognitive Levels (ACL) framework, to tailor interventions that enhance participation and quality of life.

This presentation will explore how occupational therapy supports individuals with dementia through family training, task analysis, and the adaptation of activities of daily living (ADLs) to align with an individual’s cognitive and functional abilities. Research has shown that utilizing the ACL framework allows therapists to modify tasks and environments effectively, thereby fostering engagement and reducing behavioral distress. By understanding a person’s cognitive level, therapists can create meaningful opportunities that promote autonomy, reduce caregiver burden, and enhance safety within home, community-based settings, and institutional levels of living.

In addition to cognitive-based interventions, occupational therapy addresses behavioral and psychosocial aspects of dementia care. OTs provide caregivers with practical strategies for communication, environmental modifications, and activity adaptation to prevent falls, manage agitation, and support emotional well-being. Community-based programs that integrate occupational therapy interventions have demonstrated improved caregiver confidence and reduced institutionalization rates for individuals living with dementia.

The role of occupational therapy extends beyond direct patient care, as practitioners contribute to dementia-inclusive communities by advocating for policies and practices that prioritize participation and engagement for individuals with dementia. This presentation will highlight case studies and the latest research demonstrating how OT interventions, grounded in functional cognition and participation-based models, can optimize quality of life and independence.