About Dementia: Progression and Teepa's GEMS
The only constant with dementia, or brains in general, is that they are ever-changing. All humans experience brain change every day. This GEMS Model, developed by Teepa Snow and based on the Allen Cognitive Scale, recognizes the shifts in our skills and abilities in any given moment. With dementia, while the progression, pattern, and changes may look very different for each type of dementia, the movement through the GEMS is somewhat predictable. Your understanding of the remaining abilities at each step of this journey can make a world of difference.
"Just like gems, each person is precious, valuable, and unique, and given the right setting and care, can shine." - Teepa Snow
This book covers each GEMS® State and the types of support needed as brain change progresses.
This 12-part recorded webinar series with Teepa Snow focuses on interaction skills and appreciating the changes the PLwD may be experiencing. Priced Individually at $120. This Special Bundle now just $79 until August 31st!
Watch Teepa Snow explain methods of care and risk reduction needed during different GEMS states.
The Living GEMS Wall Poster
Beautiful and thought provoking 22″ x 28″ poster which shares out the characteristics of Teepa’s GEMS®
The GEMS State Tool
The GEMS State Tool is an in the moment resource for determining GEMS States and choosing an appropriate support response, to help in de-escalating crises and facilitating communication.
GEMS Resource Card 25-pack
The GEMS Resource Card is an inexpensive tool to help staff and learners build and remember the GEMS progression knowledge.
Get a free sample of the PAC Resource Cards
To cite this webpage, please use:
Snow, T. L. (2012).The GEMS®: Brain change model. Positive Approach to Care. https://teepasnow.com/about/about-teepa-snow/the-gems-brain-change-model/.
To cite the book on the GEMS State Model, please use:
Snow, T. (2012) Dementia caregiver guide: Teepa Snow’s Positive Approach to Care techniques for caregiving, Alzheimer’s, and other forms of dementia. Mason, OH: Cedar Village.