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Only a third of people with dementia receive a diagnosis and post-diagnostic support. An eight session, manualised, modular post-diagnostic support system (New Interventions for Independence in Dementia Study (NIDUS) – family), delivered remotely by non-clinical facilitators is the first scalable intervention to improve personalised goal attainment for people with dementia. It could significantly improve care quality.
Aims
We aimed to explore system readiness for NIDUS–family, a scalable, personalised post-diagnostic support intervention.
Method
We conducted semi-structured interviews with professionals from dementia care services; the Consolidated Framework for Implementation Research guided interviews and their thematic analysis.
Results
From 2022 to 2023, we interviewed a purposive sample of 21 professionals from seven English National Health Service, health and social care services. We identified three themes: (1) potential value of a personalised intervention – interviewees perceived the capacity for choice and supporting person-centred care as relative advantages over existing resources; (2) compatibility and deliverability with existing systems – the NIDUS–family intervention model was perceived as compatible with service goals and clients’ needs, but current service infrastructures, financing and commissioning briefs constraining resources to those at greatest need were seen as barriers to providing universal, post-diagnostic care; (3) fit with current workforce skills – the intervention model aligned well with staff development plans; delivery by non-clinically qualified staff was considered an advantage over current care options.
Conclusions
Translating evidence for scalable and effective post-diagnostic care into practice will support national policies to widen access to support and upskill support workers, but requires a greater focus on prevention in commissioning briefs and resource planning.
This chapter discusses the crises Alexander faced leading up to his succession to his father, Philip II: his dispute with Attalus at Philip’s wedding to Cleopatra, its causes, significance and aftermath; and the Pixodarus affair. It then turns to the crisis of the succession itself: the circumstances of Philip’s assassination at the hands of Pausanias, Alexander’s movements at the time of it, and the steps by which he secured the throne himself and legitimated himself as Philip’s successor.
The chapter collects what may be known of Alexander’s life up until the battle of Chaeronea, for which the source of primary importance is Plutarch’s biography. It attempts to sift what may plausibly regarded as historical from embellishments of various kinds (contemporary and subsequent, propagandist, folkloric or mythologyzing). Particular attention is given to: Alexander’s three birth myths; his education at the hands of Lysimachus of Acarnania, Leonidas of Epirus and Aristotle; Aeschines’ vignette of him as nine-year-old boy; the intriguing traditions bearing upon his horse Bucephalas; his regency during the Byzantine campaign, his foundation of Alexandropolis and his dealings with the Persian ambassadors; his role in the battle at Chaeronea.
The image of Alexander flourished across the disiecta membra of the empire he created and far beyond it. Consideration is given here to the appropriation of the king’s image in the broader sense – and principally through the medium of texts – in relation to the founders of the greater two of the Successor dynasties, those of the Ptolemies and the Seleucids. The legend of Seleucus was richly bathed in Alexander-imagery, and this imagery was focused, in different ways, on the person of Seleucus himself. Some of the tales focus syntagmatically on his personal interaction with the king, whilst he yet lived, and indeed in one case even after even he had died. Others serve to establish paradigmatic or typological parallel between the actions of Alexander and those of Seleucus, and some seek to do both. The case of Ptolemy is different: whilst there is again some focus on Ptolemy’s personal interaction with Alexander, much of the legend-generation focuses rather on Alexander’s relationship with Ptolemy’s city of Alexandria, the glory of which was the king’s tomb. So long as Ptolemy remained ensconced in the city, he could afford to bask in a more indirectly reflected variety of the king’s charisma.
The Introduction locates the current volume initially in the context of the work of the Alexander equipe since 1997, and then more broadly in the context of visions of Alexander proffered since the work of Droysen in 1833, with particular attention to those of Berve (1926), Wilcken 1931, Tarn (1948), Schachermeyr (1949), Badian (1958–), Lane Fox 1973 and Bosworth (1980–). A response is given to the objections voiced against the approach of the activities of the equipe formulated by James Davidson in 2001 under the slogan ‘Alexanderland’. The breakdown of the book’s parts and chapters is laid out and justified, with the contents of each contribution briefly summarized. Particular attention is given to the selection of the historical sources accorded focused discussions in Part III.