Dementia Care
Queensland
Geriatrician in consultation with patient and family
Resources · For Geriatricians

Clinical complexity in dementia doesn't plateau. The provider managing your patient needs to understand what that means before the referral is made, not after the first incident.

A guide to identifying capable dementia support providers, asking the right questions before you refer, and writing documentation that produces an adequate NDIS plan.

Most providers
Accept without capability
to manage genuine clinical complexity
Carer burnout
Most common crisis trigger
often driven by inadequate support
Plan quality
Reflects the documentation
that informs the planning meeting

Most NDIS support providers accept dementia referrals. Acceptance is not the same as capability, and the difference becomes apparent quickly when the condition escalates beyond what a generic provider can manage.

Four Dimensions of Dementia Complexity

Before selecting a provider, characterise what clinical complexity this patient actually presents:

Dimension 1

Disease stage & progression rate

Rapidly progressing presentations require a provider planning for the next stage, not only the current one. A plan written for mild dementia may be inadequate within six months.

Dimension 2

Behavioural & psychological symptoms

Agitation, aggression, psychosis, wandering, and resistance to care require providers who understand triggers, not just how to react.

Dimension 3

Physical comorbidities

Dysphagia, falls risk, incontinence, and complex medication regimes significantly increase support complexity in ways generic providers are not trained to manage.

Dimension 4

Informal carer dynamics

Carer burnout is a clinical outcome. A capable provider actively manages the carer relationship, not only the participant.

Dementia care support context

Questions to Ask Any Provider Before You Refer

A capable dementia provider should answer these clearly. Vague answers are a signal:

Documentation That Produces Adequate Plan Funding

Plan funding quality directly reflects the clinical documentation that informs it. Include these four elements:

1

Describe what tasks require supervision, assistance, or cannot be performed safely at all — not just the diagnosis.

2

Quantify time required, not just impairment: “45 minutes of direct support for morning routine” funds differently to “requires morning support”.

3

Identify safety risks and their likely consequences if support is absent.

4

Comment on trajectory: what will change in the next 12 months and what additional support that will require.

A coordinator managing 40–50 complex dementia participants cannot provide the active monitoring each one requires. Participant-to-coordinator ratio is worth asking about before you refer.

Interactive Tool

Clinical Complexity & Provider Requirements Assessment

Enter your patient's stage, BPSD profile, comorbidities, and carer situation to generate a complexity rating, a provider capability requirements checklist, and pre-referral screening questions tailored to the specific presentation.

BPSD present — rate each symptom
Agitation
Verbal aggression
Physical aggression during care
Exit-seeking or wandering
Day–night reversal
Psychosis or hallucinations
Paranoia or delusions
Resistance to personal care
Sexual disinhibition
Severe apathy
Physical comorbidities
Current support in place
Select a disease stage to assess.

Built for the complexity geriatricians navigate.

DCQ works exclusively with dementia participants and understands the clinical complexity geriatricians navigate. Contact our intake team to discuss a referral for a complex or rapidly progressing presentation.

Or call 0439 143 082