Get answers to common questions about dementia care in Hong Kong, including memory loss, day care, respite care, residential care and caregiver support. JCCPA provides practical guidance to help families understand available services and care options for people with dementia.
1. What should we do if we detect memory loss in the family members?
2. What services are available to people with dementia and their caregivers?
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3. How to apply for government services for people with dementia?
- You can apply at the nearest Neighbourhood Elderly Centre / District Elderly Community Centre
- If the elderly with dementia is still in hospital, contact the Medical Social Service Unit of the hospital to help with the application
- If you wish to find private care homes, apply at a district Integrated Family Services Centre
Note: In general, applicants must be aged 65 or above. Applicants aged 60-64 are considered on a case by case basis. Applications from people aged below 60 are not accepted for long-term elderly care. The Social Welfare Department will evaluate the applications. Those confirmed as eligible will be put on the waiting list for government services.
4. How to apply for residential services (Respite Service)?
- Get assistance from social workers at a District Elderly Community Centre
- Consider applying for JCCPA services
- Call private elderly homes in the neighbourhood
Note: Respite service is available for no more than 42 days within a year. Social workers should make referrals for admission to residential respite service. A physical check-up report (MEF-A) will be arranged before admission; allow 3-6 months in advance for preparation. If respite services for over 42 days are required, look for private care homes.
5. How do I apply for daycare services as I can’t care for my family member during the daytime?
- Government services: apply at a District Elderly Community Centre
- Self-funding services: Caregivers can call nearby care homes/ daycare centres directly
- JCCPA services: The elderly must be diagnosed to have dementia by a doctor, and the caregivers can apply for our services directly
Note: In general, applicants must be aged 65 or above. Applicants aged 60-64 are considered on a case by case basis. Applications from people aged below 60 are not accepted for government daycare centres. Self-funding daycare centres will evaluate all cases individually, but most are open only to people aged 60 or above.
6. What activities can people with dementia take part in at daycare centres?
Different daycare centres set up activity schedules based on needs. There are usually morning exercises, games training and individual treatment. The activities are designed to use socialisation to enhance the abilities of people with dementia. However, most daycare centres provide integrated care services but cannot tailor activities to individuals (such as people with dementia). People with special needs or conditions can enquire the daycare centres for special care.
7. How to apply for private care homes?
- Call a District Elderly Community Centre to get information
- If the elderly with dementia is still in hospital, contact the Medical Social Service Unit of the hospital to help with the application
- Call around private care homes in the district and apply. The facility will advise an admission date. Before admission, a physical check-up report (MEF-A) is required
8. How to select a good quality elderly care facility?
The quality of a care facility can be assessed based on the space, facilities, staffing ratio, food and care. It’s best to visit the facility and observe the environment and hygiene, as it is vital to the health of the elderly. All elderly care facilities must be licensed. Check the Social Welfare Department website for a complete list of all licensed residential care homes.
9. How to apply for a disability allowance?
- If a person with dementia goes to a hospital for outpatient services, ask the doctor directly for a referral letter and submit the application via the medical social worker
- If you already have a letter from a doctor of the Hospital Authority, you can apply from a District Social Welfare Office
10. How to apply for meal delivery and out-patient escort service?
- Government service: You can apply at a District Elderly Community Centre
- Non-government service: Call an integrated home care service provider directly to apply
11. How to prevent a person with dementia from getting lost again?
Getting lost is a serious problem for people with dementia. Caregivers must evaluate if it’s still suitable for the person with dementia to live in the community. Further cognitive assessment is recommended to prevent the person from getting lost again, or try the following methods:
- Install a hidden or complicated lock at a higher or hidden location, and add a shutter
- Add an alarm sensor, such as a burglar alarm, at the door of your home
- Sew on contact details, including name and telephone numbers, on his/her clothes, and give him/her a bracelet or nameplate to carry around
- Tell the security officers of your building or some friendly neighbours that the person is prone to get lost, and ask them to help him/her get home
- Take some headshots or full body shots of him/her, and keep the clothes simple, so you can recall what he/she is wearing to make it easier to find him/her
12. The person with dementia has hallucinations / is delusional. How should I deal with it?
In such cases, find out if he/she is upset by their condition and assess if there’s an immediate risk (such as losing control, harming himself/herself or others). He/she might also be affected by their environment or feeling unwell. If the condition persists, it has to be followed up by a psychiatrist. Government out-patient services can be arranged, or visit a private doctor. Call an ambulance if it’s an emergency.
13.My family member with dementia often says someone has stolen his/her things.
What should we do?
- Please do not argue with him/her because it will only agitate him/her
- Help him/her look for the lost things calmly
- Ask him/her to describe how did he/she know his/her thing was stolen
- Try to understand the reason why he/she wants to find that thing
- Change the topic and distract him/her
- Teach him/her to put things in the same place, and remind him/her where he/she has put items
- Lost items can be reduced through repeated training. If the condition persists and he/she is very agitated, seek help from a psychiatrist
- If he/she lives with another person (such as a domestic helper), observe the helper’s behaviour, as he/she might be telling you what he/she has actually seen
14. Who is eligible for residential dementia care in Hong Kong?
Answer︰People with dementia may be eligible for residential care if they require long-term personal, nursing, or daily living support that cannot be fully provided at home. For subsidised residential care, applicants are generally aged 65 or above, assessed as suitable through SWD’s Standardised Care Need Assessment Mechanism, and suitable for communal living. Persons aged 60 to 64 may also apply if they have proven health or social needs.