Poster Presentation International Congress on Neuronal Ceroid Lipofuscinoses 2025

From "We Don't Fit" to Priority Actions: A Comprehensive Study of Care and Support Priorities for Childhood Dementia (#3)

Gail Hilton 1 , Leigh Donovan 2 , Kristina Elvidge 1 , Eleanor Da Ros 1 , Joanne Kershaw 1 , Megan Maack 1
  1. Childhood Dementia Initiative, Brookvale, NSW, Australia
  2. Collaboraide, Newport Beach, NSW , Australia

Childhood dementia encompasses over 100 rare genetic conditions causing progressive cognitive decline, with neuronal ceroid lipofuscinoses representing some of the more common causes. This comprehensive research program examined family experiences and healthcare professional perspectives across three sequential studies to inform systemic improvements for children and families impacted by childhood dementia.

The research commenced with the "We Don't Fit" study, where Nous Group conducted semi-structured interviews with eight parents (5 caring, 3 bereaved), revealing that families felt excluded from current care and support structures. Building on these insights, HealthConsult engaged over 110 healthcare professionals across Australia through virtual interviews, focus groups, and surveys, identifying ten key areas where needs were not being met through thematic analysis. The final "What Matters Most" study validated and extended these findings through nine focus groups with seventeen parents.

Integration of findings across all three studies revealed consistent challenges: fragmented and difficult to access care and support systems, lack of healthcare professional awareness and training, lack of access to experimental and emerging therapies, and families becoming "project managers" for their child's complex needs. Most significantly, the research identified five evidence-based priority actions derived from lived experience: 

  1. Establish dedicated care coordination to transform navigation of healthcare systems
  2. Advance healthcare professional education
  3. Strengthen family support networks including psychosocial support
  4. Integrate palliative care approaches from diagnosis, and 
  5. Enhance disability support service (NDIS) responsiveness.

These priorities directly address the complex needs of families, who face unique challenges navigating devastating progressive conditions requiring sustained, coordinated care over extended periods. This research provides a foundation for developing nationally coordinated frameworks that integrate both clinical expertise and lived experience to ensure appropriate, equitable, and high-quality care for all families affected by childhood dementia.

  1. Nous Group. ‘We don’t fit’: The lived experience of families affected by childhood dementia and their interactions with care and support services. March 2023. https://www.childhooddementia.org/news/we-dont-fit
  2. HealthConsult. Childhood Dementia Care and Support Landscape: Pathway Toward Report. October 2024. https://www.childhooddementia.org/getasset/A9JKTN
  3. Collaboraide. Childhood Dementia Care and Support Landscape. What Matters Most Report: Integrating The Lived Experience And Health Professional Perspectives In Childhood Dementia. January 2025. https://www.childhooddementia.org/getasset/IE9PKL
  4. Elvidge KL, Christodoulou J, Farrar MA, et al. The collective burden of childhood dementia: a scoping review. Brain. 2023;146(11):4446-4455. doi:10.1093/brain/awad242