Sexuality/Intimicy Resources.

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National Council of Certified Dementia Practitioners
Sexuality and Intimacy: A Guide for Dementia Patients in Long Term Care & Home Care Settings
Free Power Point In-service with Pre Test Post Test
Available from Nov 15th to March 15th for
NCCDP Alzheimer's and Dementia Care Staff Education Week Feb 14-21
  1. Inclusive Questions for Older Adults PDF Document - A Practical Guide to Collecting Data on Sexual Orientation and Gender Identity
  2. Better Serving The Lesbian, Gay, Bisexual and Trans Gender Populations in Assisted Living Communities
  3. Sexually Transmitted Diseases in the Elderly: What you Need to Know

Guidelines for the Evaluation of dementia and Age Related Cognitive Change, American Psychological Association

Assessment of Older Adults with Diminished Capacity- American Bar Association, Free download 186 pages, Sexual consent forms pages 61-71

  1. A Guide to Assessing Needs: Essential Tools for Collecting Information, Making Decisions and Achieving Development Results - Free Book Download
  2. Alzheimer's Disease and Sexuality, Maintaining Intimacy, Managing Difficult Behavior, James Clyde Sellman Ph.D July 24 2008,
  3. A Perfect Cause - Sex Offenders Act, Predators in Nursing Homes
  4. American Association for Geriatric Psychiatry
  5. American Association of Older Persons. Great Sex Well After 50.
  6. America Bar Association
  7. American Family Physician - Questions for a Sexual Health History
  8. American Foundation for Urological Disease, Inc
  9. Assessment of Older Adults with Diminished Capacity: A Handbook for Psychologist, Free 186 book download, American Bar Association
  10. Assessments - Admission Intimacy History
  11. Assessments - Assessment of Sexual Behavior
  12. Assessments - Sexual Behaviourial Assessment
  13. Assessments - Sexuality Practice Guidelines
  14. Beautiful portraits of older gay couples.
  15. Better Serving the Lesbian Gay, Bisexual and Transgender Populations in Assisted Living communities
  16. Challenges of housing Registered Sex Offenders
  17. Comprehensive Geriatric Assessment
  18. Delivery of The National Dementia Strategy, The Alzheimer’s Society UK Recommends How To Implement the UK Strategy, “Information Needs of People With Dementia and Carers.” Download Free Document
  19. Dementia Care Mapping Book through Amazon
  20. Did an NHC Nursing Home let a Serial Molester Run Free For Seven Years
  21. Finding the Path to Equal Justice A Handbook for Adults with Intellectual Disabilities and their Families, Free Download, Georgia Appleseed
  22. For Behavior Log, Growing Options, ABC (Antecedent, Behavior, Consequence), Chart Form
  23. For Behavior Log, Aged Care, Behavior Chart see page 11
  24. FREE DOWNLOAD A Practical Guide for Collecting Data on Sexual Orientation and Gender Identity
    by National Resource Center on LGBT Aging
  25. Gathering Data on Sexual Orientation - National Resource Center on LGBT Aging
  26. Gen Silent Video - Fantastic Video to Show your Staff on LGBT Issues in Long Term Care
  27. Get a Second Wind
  28. Grandparent Molesting: Sexual Abuse of Elderly Nursing Home Residents and It’s Prevention
  29. Guidelines for Conducting Assessments of Capacity, Canada
  30. Hartford Institute for Geriatric Nursing Try This Series. Free download assessments tools
  31. HIV and Aging Consensus Project - Recommended Treatment Strategies for Clinicians Managing Older Patients with HIV
  32. Hypersexuality in Dementia, Advances in psychiatric treatment
  33. Improving Lesbian, Gay, Bisexual and Transgender Access to Healthcare at New York City Health and Hospitals Corporation Facilities, (Everyone should read this)
  34. Improving the Lives of LGBT Older Adults
  35. Intimate partner violence prevention
  36. Intimate Partner Violence and Sexual Victimazation Assessment Instruments to Use in Health Care Settings
  37. Judicial Determination of Capacity of Older Adults in Guardianship Proceedings. A Handbook for Judges, Free Download about 186 pages
  38. LGBT Aging Project
  39. MedlinePlus
  40. Mental Health Foundation UK, Case Studies to discuss
  41. National Academy of Elder Care Attorneys
  42. National Domestic Violence Hotline
  43. National Coalition for LGBT Health
  44. National Gay and Lesbian Task Force
  45. National Online Resource Center on Violence Against Women
  46. National Resource Center on LGBT Aging
  47. National Sexual Violence Resource Center
  48. Opening Doors: An Investigation of Barriers to Senior Housing for Same Sex Couple  by SAGE and The Equal Rights Center. Read 2014 Report
  49. Policy Focus: How to Gather Data on Sexual Orientation and Gender Identity in Clinical Settings
  50. PreventConnect
  51. Proactive Sexual Health History Article with Sexual History Form, American Family Physician Web site. Free Download
  52. Promoting Sexual Safety, Responding to Sexual Activity and managing Allegations of Sexual Assault in Adult Acute Inpatient Units
  53. PSAT The Psychosexual Assessment and Treatment Continuum 
  54. Rape, Abuse, and Incest National Network
  55. Residents’ Rights and the LGBT Community: Know Your Rights as a Nursing Home Resident
  56. SAGE (Services and Advocacy for Gay, Lesbian, Bisexual and Transgender Elders), 305 Seventh Avenue, 6th Floor, New York, NY 10001, 212-741-2247, ext. 261
  57. Sex and Aging: A Game of Awareness and Interaction
  58. Sexuality and Intimacy in Older Adults - Staff Attitudes
  59. Sexuality Assessment - Nursing Home Pro
  60. Sexually Transmitted Diseases in the Elderly: What You Need To Know, Sexual History Form for Elders
  61. Sexual violence
  62. Screening Older Adults for Executive Dysfunction
  63. Society for the Scientific Study of Sexuality.
  64. Stalking Resource Center
  65. Still Out, Still Aging, The MetLife Study of Lesbian Gay Bisexual and Transgender Baby Boomers
  66. Supporting Sexual Health and Intimacy in Care Facilities
  67. To Watch a Video of a Nurse Conducting Executive Dysfunction Assessments
  68. The Geriatric Mental Health Foundation
  69. The Metlife Study of Lesbian, Gay, Bisexual and Transgender Baby Boomers, Still Out, Still Aging
  70. The National Intimate Partner and Sexual Violence Survey- NISVS
  71. The National Long-Term Ombudsman Resource Center has many resources regarding elder abuse, residents' rights, and ombudsman training.
  72. The Single Assessment Process, Assessment Tools and Scales
  73. Transgender Aging Resources
  74. What to do with Sex Offenders in Long Term Care?, Article published December 2nd 2011, LTL Magazine
  75. World Health Organization (2004). Sexual Health- A New Focus for WHO. Progress in Reproductive Health Research, 67. 1-8.

From Department of Aging

For Family Caregivers

Help for Caregivers (Ayuda para cuidadores de personas con demencia) (2006, 25 pages)

The third section of this booklet for caregivers of people with Alzheimer’s disease addresses challenging situations, including sexual relationships and inappropriate sexual behavior. Tips for dealing with each situation are provided. The brochure is available online in English and Spanish; print copies are available in English, Spanish, Arabic, Russian, Japanese, Hebrew, Chinese, Danish, Hindi, and Serbian.

Available from Alzheimer's Disease International. E-mail: Free online access at

Caring for a Person with Alzheimer's Disease: Your Easy-to-Use Guide from the National Institute on Aging (2009, 148 pages)

This guide from the National Institute on Aging provides clear, easy-to-read information and advice to help caregivers of people with Alzheimer’s disease cope with the many challenges they face. One section of the guide explains how to deal with common behavioral issues, including loss of intimacy and sexually inappropriate behavior. Other aspects of caregiving discussed include everyday activities, home safety, getting help, and choosing a full-time care facility. Available from the Alzheimer's Disease Education and Referral (ADEAR) Center. Call (800) 438-4380 or e-mail

Dementia: Sexuality and Intimacy (2008)

This fact sheet from the consumer health website of the government of Victoria, Australia, explains that people with dementia continue to need loving, safe relationships, even when the disease changes how they show intimacy and sexuality. It explains what partners can expect in terms of increases or decreases in sexual interest and demands, and advises them on how to manage inappropriate sexual behaviors.
Available from Better Health Channel, Melbourne, Australia. Free online access at

Sex and Dementia (2008, 6 pages)

This fact sheet describes how dementia can affect the sexual feelings, needs, and desires of people with dementia and their partners. It explains how sexual behavior can change in a person with dementia and how partners can cope with changes and their own emotions and frustration. Also covered are sex in residential care settings, capacity to consent to sexual relations, and what to do when abuse is suspected.
Available from the Alzheimer’s Society, London E1W 1JX England. E-mail Free online access at

Sexuality (Sexualidad) (2004, English and 2008, Spanish; 2 pages)

This fact sheet explains how Alzheimer’s disease can change a person’s sexual behavior and how caregivers can deal with those changes. It lists possible reasons for behaviors such as inappropriate undressing, sexual displays, aggressive advances, and reduced sexual desire. It suggests ways to respond to these behaviors and offers advice for partners about adjusting to changes in the sexual relationship.

Available from the Alzheimer's Association. Call (800) 272-3900 or e-mail Free print copy from local chapters and free online access at (English) and (Spanish).

Sexuality and Dementia: Coping with Changes in Your Intimate Relationship (2001)

This publication discusses how couples can cope with the emotional and physical changes in their relationship brought on by dementia. It describes the impact of a lost sexual relationship and the ways that physical intimacy can help both the person with dementia and his or her caregiver cope with loss and agitation. Sexually inappropriate behaviors are also discussed.

Available from the Family Caregiver Alliance. Call (415) 434-3388 or e-mail Free online access at

Sexuality and the Alzheimer’s Patient (1993, 64 pages)

This guide from the Joseph and Kathleen Bryan Alzheimer’s Disease Research Center discusses issues of sexuality and intimacy for people with Alzheimer’s and their caregivers. Among the topics discussed are the need for affection and self-esteem, effects of the disease on marital intimacy, how to respond to inappropriate sexual behaviors, and sexual needs and expression. Other topics include the effects of medications on sexual function, coping strategies for the spouse caregiver, and managing sexual behaviors in the nursing home.

Available from the Duke Family Support Program. Call (919) 660-7510 or e-mail $10.

Sexuality in Later Life (La sexualidad en la edad avanzada) (2009, 12 pages)

This fact sheet describes the physical changes that occur with normal aging and reviews some causes of sexual problems, including dementia. It also discusses the importance of safe sex, emotional factors and sexuality, and ways to keep an active sex life in later life.

Available from the National Institute on Aging Information Center. Call (800) 222-2225/(800) 222-4225 (TTY) or e-mail Free print and online access at

For Professional Caregivers

Intimacy, Sexuality and Sexual Behaviour in Dementia: How to Develop Practice Guidelines and Policy for Long-Term Care Facilities (2002, 25 pages)

This guide advises facility managers on developing an effective policy on sexuality and dementia that balances residents’ rights to sexual expression with an organization’s mission and goals. It reviews obstacles to consistent, fair practices, including staff members’ perceptions of and attitudes toward the sexuality of elderly residents with dementia. The guide includes action steps facilities can take to develop a policy and a list of facilities to contact for sample policies, resources, and facts and myths about sexuality and older adults.

Freedom of Sexual Expression: Dementia and Resident Rights in Long-Term Care Facilities (2002, VHS or DVD and booklet)

This 16-minute video looks at sexuality and intimacy in long-term care settings. It tastefully shows sexual expressions and describes methods for allowing sexual expression while maintaining a comfortable environment for residents and staff. The video also offers strategies for dealing with inappropriate sexual behaviors, as well as sample policies and procedures regarding residents’ rights in the areas of sexual expression and physical protection.

Available from Terra Nova Films, Inc. Call (800) 779-8491 or e-mail PRICE: $139; $50 rental fee.

More Than a Thousand Tomorrows (2003, DVD)

This 22-minute follow-up to “A Thousand Tomorrows” further explores the challenges that Alzheimer’s disease can bring to intimacy and sexuality in a spousal relationship. The video revisits Everett and Betty Jordan, looking at the changes Alzheimer’s has caused in their intimate relationship. It also discusses such issues as making the adjustment from intimate partner to caregiver and dealing with frustration over lack of sexual desire.

Available from Terra Nova Films, Inc. Call (800) 779-8491 or e-mail PRICE: $179; $55 rental fee.

Physical Intimacy: The Person with Alzheimer’s Disease (2008, DVD)

Dr. Peter V. Rabins of the University of Maryland School of Medicine and nursing staff discuss issues related to physical intimacy and patients with Alzheimer’s disease. They discuss patients’ needs for positive intimacy, when intimacy is inappropriate, and actions to take in selected situations. Topics include masturbation, inappropriate touching of residents and staff, and the need for family involvement to develop solutions.

Available from the University of Maryland School of Medicine Video Press. Call (800) 328-7450 or e-mail PRICE: $150; $75 rental fee.

Supporting the Caregiver in Dementia: A Guide for Health Care Professionals (2006, 312 pages)

This guide for mental health professionals explores caregiving in dementia, discussing the latest research developments and sharing tips for clinical practice. Part III examines caregiving from an interpersonal perspective. One article in this section, “Caregiving and the Sexual Relationship in Dementia,” by Naomi D. Nelson, addresses the issue of sexuality and intimacy by people with Alzheimer’s disease and their caregivers.

Available from the Johns Hopkins University Press. Call (410) 516-6930. PRICE: $57 (hardcover).

A Thousand Tomorrows (1995, DVD)

In this 30-minute video, three married couples discuss their relationships and problems with intimacy related to Alzheimer’s disease. They describe different issues, including hypersexuality, a decline in intimacy, a strengthened relationship, and what happens when a partner no longer recognizes his or her spouse.

Available from Terra Nova Films, Inc. Call (800) 779-8491 or e-mail PRICE: $189; $55 rental fee.


Alagiakrishnan, K., et al. Sexually inappropriate behaviour in demented elderly people. Postgraduate Medical Journal. 2005 July;81(957):463-6.

Alkhalil, C., et al. Treatment of sexual disinhibition in dementia: Case reports and review of the literature. American Journal of Therapeutics. 2004;11(3):231-5.

Black, B., et al. Inappropriate sexual behaviors in dementia. Journal of Geriatric Psychiatry and Neurology. 2005;18(3):155-62.

De Medeiros, K., et al. Improper sexual behaviors in elders with dementia living in residential care. Dementia and Geriatric Cognitive Disorders. 2008;26(4):370-7.

Hajjar, R.R., et al. Sexuality in the nursing home: part 1: Attitudes and barriers to sexual expression. Journal of the American Medical Directors Association. 2003;4(3):152-6.

Harris, P.B. Intimacy, sexuality, and early-stage dementia: The changing marital relationship. Alzheimer’s Care Today. 2009 April/June;10(2):63-77.

Kamel, H.K., and Hajjar, R.R. Sexuality in the nursing home, part 2: Managing abnormal behavior—legal and ethical issues. Journal of the American Medical Directors Association. 2003;4(4):203-6.

Kuppuswamy, M., et al. Sexuality and intimacy between individuals with Alzheimer’s disease and their partners: Caregivers describe their experiences. Clinical Gerontologist. 2007;30(3):75-81.

Loboprabhu, S., et al. Spouses of patients with dementia: How do they stay together “till death do us part?” Journal of Gerontological Social Work. 2005;44(3/4):161-74.

Loue, S. Intimacy and institutionalized cognitive impaired elderly. Care Management Journal. 2005 Winter;6(4):185-90.

Ozkan, B., et al. Phamacotherapy for inapproprirate sexual behaviors in dementia: A systematic review of literature. American Journal of Alzheimer’s Disease & Other Dementias. 2008;23(4):344-54.

Simonelli, C., et al. The influence of caregiver burden on sexual intimacy and marital satisfaction in couples with an Alzheimer’s spouse. International Journal of Clinical Practice. 2008;62(1):47-52.

Srinivasan, S., and Weinberg, A.D. Pharmacologic treatment of sexual inappropriateness in long-term care residents with dementia. Annals of Long-Term Care. 2006 Oct. 14(10):20-8.

Tabak, N., and Shemesh-Kigli, R. Sexuality and Alzheimer’s disease: Can the two go together? Nursing Forum. 2006;41(4):158-66.

Ward, R., et al. Kiss is still a kiss?: The construction of sexuality in dementia care. Dementia. 2005;4(1):49-72.



"So that knowledge gets better with Age" National Resource Center on LGBT Aging

"Remember : You don't stop laughing because you grow old:,
you grow old because you stop laughing"
Author Unknown

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