ReBOC Guide - Reducing Behaviours Of Concern

The Reducing Behaviours of Concern (ReBOC) guide draws on currently accepted knowledge of the behavioural and psychological symptoms of dementia (BPSD), and promotes evidence based practice in dementia care to maximise the quality of life for people living with dementia and their carers.

This guide aims to enhance communication and interactions between carers, the person with dementia and their family members, and improve the occupational health and safety of people who provide care.

The guide has been designed to be used in conjunction with your organisational procedures, starting with a risk assessment of the behaviours of concern. There are five sections of the guide to work through sequentially.

Risk Assessment

  • Quickly identify whether the behaviours are creating an emergency situation
  • Make an informed decision about what immediate actions to take

Behaviours of Concern

  • Understand the relationship between the brain, cognition and behaviour
  • Identify and objectively describe behaviours of concern
  • Establish a baseline measurement for a behaviour

Delirium Screen

  • Identify and address behaviours related to delirium


  • Undertake a comprehensive review of factors contributing to the behaviours
  • Gain a better understanding of the emotional status of the person with the behaviours

Management Strategies

  • Understand the guiding principles for behaviour management
  • Match psychosocial therapy approaches to the emotional needs underpinning the behaviours
  • Understand the guiding principles for the pharmacological management of behaviours of concern