| 204 decisions (16). Little is known about the role of psycho-education in addressing the health literacy of people with dementia themselves, although Shindhe and Kusama (17) suggests that providing psycho-education is beneficial for people with other mental disorders. Health literacy is a vital component in receiving help, especially since the navigation of healthcare systems is often perceived as complex. Chapters 6 and 7 highlighted that informal caregivers often find it challenging to navigate the healthcare systems and access care. Views on the healthcare systems could both facilitate and delay help-seeking as positive experiences may promote further health-seeking whereas the perceived complexity of healthcare systems might deter people from seeking help once a diagnosis is disclosed (18, 19). Being informed about services and strong communication skills by healthcare professionals have been known to benefit the help-seeking experience and the ability to access care (20). However, Chapters 4 and 6 identified that information and communication skills of healthcare professionals are often perceived to be lacking. It is therefore not surprising that the general notion that healthcare systems are complex to navigate still exists (21). This is often more pronounced for people with dementia and informal caregivers from a minority background (22, 23). To support the process of accessing post-diagnostic support services, care navigation services can be helpful. The actifcare best-practice recommendations emphasize the need for a named contact that enhances the access of care (24). Many interventions aimed at care navigation have been developed and implemented (25). Care navigation services and signposting services can offer a more holistic experience of support for people with dementia and informal caregivers. They are typically offered by case managers or care navigators. Whilst their primary objective is to support people with dementia, they can often assist informal caregivers in navigating the healthcare systems. Care navigation workers and case managers utilize strategies that have been shown to reduce stress in informal caregivers and thus support their wellbeing (26, 27). To further improve access to care, the concept of integrated care is important. Integrated care is concerned with connecting various post-diagnostic support services to ensure a seamless transition of different healthcare services. Examples of integrated care in dementia include Enhanced Dementia Care
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