Cognitive Rehabilitation to Enhance Life Quality and Daily Functioning in Elderly Persons with Intellectual Disability and Alzheimer’s Disease: The Triple CAB–Elderly Intervention Model

  • Hefziba Lifshitz


This chapter presents a new cognitive rehabilitation program that adapts the triple CAB model to elderly adults with ID at various stages of dementia, mostly with Alzheimer’s disease. This CAB-Elderly or CAB-E model (Cognition, Affect, and Behavior mediation for Elderly persons with Alzheimer’s) aims to help caregivers and direct staff relate to these people with comorbid ID and Alzheimer’s in ways that enhance their cognitive, affective, and behavioral functioning and improve their quality of life. The program integrates four theoretical resources: the compensation age theory and the person-centered care, cognitive rehabilitation, and mediational approaches. Deriving from a successful case-study intervention, the CAB-E model’s three mediation components – cognition, affect, and behavior – can be applied during daily activities like meals, medication administration, vocational work sessions, and leisure activities. Using the program can reduce the burden on caregivers and enable greater optimism and resilience. Detailed practical recommendations are furnished for treating older persons with ID with and without Alzheimer. This chapter supports calls for preparing adults with ID towards aging.


Aging in ID Dementia in ID Triple CAB mediation for elderly with ID Comorbid ID and Alzheimer’s Person-centered approach Cognitive rehabilitation 


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Hefziba Lifshitz
    • 1
  1. 1.Head of MA Program in Intellectual Disability, School of EducationBar-Ilan UniversityRamat GanIsrael

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