Reframing Dementia: How to promote rights and strengths-based care for people living with dementia and their carers

By using a life course approach, this article seeks to discuss and analyse the impact on a carer when their older loved one experiences cognitive changes such as dementia, and the specific implications in case for people from culturally and linguistically diverse backgrounds. In Western contexts such as Australia, dementia is often understood through a biomedical lens and deficit-based frameworks. These dominant understandings can maintain ageist attitudes that construct older people and those with dementia as a social policy burden. This is further amplified for people from non-dominant cultures. This paper examines the marketisation of aged care in Australia and phenomena of ambiguous loss in identifying a range of issues for carers, including the specific experiences and challenges for culturally and linguistically diverse people. Finally, it discusses implications for critical social work practice and argues for radical change at structural and organisational levels. It proposes that a reframing of dementia as a shared social experience along with strengths-based and relational practice are key to creating more meaningful counter narratives that foster a sense of agency and empowerment for carers and people with dementia