Purpose: The Gentle Persuasive Approaches (GPA) curriculum was developed as an adjunct to other educational initiatives that were part of Ontario, Canada's Alzheimer Strategy. GPA emphasizes that an individual's unique personal history has a direct application to the interpretation of and response to their behavior. It incorporates strategies into…

Indirect self-destructive behavior (ISDB) is associated with direct suicide potential, dissatisfaction with the treatment program and with life in general, confused reasoning and judgment, poor prognosis for discharge, the absence of religious commitment, and significant losses in the patient's life. ISDB is an alternative form of suicide. (Author)

This manual, which is intended for use in conducting individualized inservice training sessions for certified nurse aides employed in nursing homes and boarding homes throughout Maine, contains three sections of learning experiences designed to help health care workers better understand and deal with "difficult" behavior on the part of…