1. Conflict of Interest Disclosure FLORENCE LUSTMAN
Has no real or apparent
conflicts of interest to report.

2. A national strategy: implementation of the French Alzheimer plan 2008-2012
ADI – 28 march 2011
Florence Lustman, inspecteur général des finances

3. The main challenges of the plan
A commission chaired by Pr Ménard
10 members, 8 working groups, 100 people, 3 months
Report to the President on 8 november 2007
A financial effort on 5 years
200 M€ for research
200 M€ for medical care
1,2 billion euros for medico-social support
A new governance based on transparency
Direct reporting to the President of the French Republic every 6 months
Coordination and assessment
Steering committee every month
Supervisory committee every 4 month

4. Plan Alzheimer 2008-2012 Solutions explorer and organizer Respect Cure
Health
3 axis
Research
Solidarity
Respect
guarantee the dignity of the person with Alzheimer ’s and ethics of this key social issue
Cure
know the disease and find a medical treatment
Take care
look after and increase quality of life for patients and carers
3 objectives
Family caregiver
Disease
3 targets
Person with Alzheimer’s
Let healthy ageing have a future

5. Research Foundation Plan Alzheimer
Over 20 major international publications in 2010
104 research projects – 70 M€
112 new researchers
Structuration
National epidemiologic data bank : patients
Clinic epidemiology training for 607 doctors
3 cohorts (3C, MEMENTO, young patients)
Methodology support group
Imaging center

8. Personal pathway for a person with dementia Alzheimer’s plan : 2012
DIAGNOSING
TAKING CARE
General practioner
Home
Home rehabilitation
Respite and support platforms
Person with dementia
Breaking the diagnosis
Supporting
MAIA
Training for professional and family caregivers
Family caregiver
Simplifying
Assessing
Orientating
Specialist
Neurologists
Memory centres
Centre for young Alzheimer ’s patients
Out of home : specialized structures
Hospital
Nursing home
RESEARCHING TO CURE, CARE AND INCREASE QUALITY OF LIFE

9. Places for diagnosis in France
Paris and petite couronne
Liberal neurologists
Memory centers 15 CM 10
250
500 km
CMRR 5
Source : DHOS 2009 & CNAM 2009 9

10. National center for young patients with AD
National reference centre for young Alzheimer ’s patients
Local correspondants

12. Places
Day care centers
Structures

13. Alzheimer rehabilitation teams

14. Special care units in nursing homes

15. Measuring patients’ quality of life
CLINICAL PRACTICE INDICATORS OF ALERT AND MASTERING OF
THE IATROGENICITY OF NEUROLEPTICS IN ALZHEIMER PATIENTS

16. Website : www.plan-alzheimer.gouv.fr

17. Tentative conclusions after 3 years out of 5
Need for phase 1 : testing pilot solutions with all partners before validating adequate and replicable solutions (time consuming)
Global implementation is slow
All objectives won’t be achieved by the end of 2012 : the President of the French Republic has annouced a follow-up of the Plan after 2012