Using the Dementia Practice Guidelines in a home setting: A case study


  • Marianna Stocco
  • Melissa L. Zahl, PhD, CTRS



dementia, Dementia Practice Guidelines, in-home recreational therapy


With approximately 70 percent of individuals with dementia living outside skilled care, the need for quality care is imperative. One such indicator for quality of care when working with individuals with dementia is the use of nonpharmacological interventions to treat disturbing behaviors. Disturbing behaviors within dementia are currently classified as passive behaviors or agitation. These behaviors are more about communicating unmet needs. Within recreational therapy, the Dementia Practice Guidelines for Recreational Therapy: Treatment of Neuropsychiatric Behaviors (DPG) provided protocols to assist the practitioner in providing interventions to treat passive behaviors and agitation. This case report used the DPG on a single female living in a family member’s home. Results indicate improvement in passive behaviors, she engaged not only in sessions but also in the home environment.

Author Biographies

Marianna Stocco

Recreation Specialist, Special Recreation Association of Central Lake County, Vernon Hills, Illinois.

Melissa L. Zahl, PhD, CTRS

Assistant Professor, Oklahoma State University, Stillwater, Oklahoma


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How to Cite

Stocco, M., & Zahl, PhD, CTRS, M. L. (2014). Using the Dementia Practice Guidelines in a home setting: A case study. American Journal of Recreation Therapy, 13(1), 36–44.



Case Studies