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GEMS State Tool


The GEMS State Tool is truly a first aid kit for assisting those living with brain change.  It is an in the moment tool for determining GEMS States and choosing an appropriate support response.  It also provides help in de-escalating crises and facilitating communication between professionals regarding those living with brain change.  The GEMS State Tool is an eight-page resource with full-color, 8” x 6” laminated cardstock pages.  It is durable, sturdy, and easy to hold and carry.

Whether you are a mental health professional, EMT, first responder, law enforcement officer, professional care partner, or family care partner, the GEMS State Tool is a valuable resource that you will reference time and time again.

Pages include:

  • Dementia Scale Comparison
  • GEMS State Model Overview
  • GEMS State Abilities
  • Tips for Supportive Responses
  • 4 Step Crisis Safety Approach
  • Me in the Moment Assessment Tool
  • Person-Centered Approach to Care Planning
  • Hand-under-Hand Examples

Please see the tab below for a detailed description of each page and how this resource can help you.

Save big and provide a valuable, economical resource for your staff or department with our 5, 10, 25, and 50 unit multi-packs!



The GEMS State Tool is a valuable resource for a variety of audiences:

For family or professional care partners familiar with Positive Approach to Care techniques: The GEMS State Tool is a valuable extension of existing knowledge, and will be a vital tool for helping support those living with brain change and communicating with medical professionals and others about retained abilities.  It is a quick reference and resource guide with space for recording and highlighting current state, future plans, and important personal information for the team.

For care partners without previous knowledge of Positive Approach to Care methods: The GEMS State Tool provides a basic awareness of terminology and techniques that, when combined with the other PAC resources, is a beneficial tool to offer support, guidance and help communication with medical professionals and the individual living with dementia.

For law enforcement, firefighters, EMTs, Emergency Department staff, and mental health professionals: The GEMS State Tool is an incredibly effective resource when paired with some training in the basics of Positive Approach to Care techniques.  The ultimate goal of first responders and mental health professionals is to get the individual the care they require as quickly and safely as possible, and GEMS State Tool can help do just that.  By recognizing the abilities and limitations of the individual and using effective responses and modified environments, interactions can be more efficient and effective.  There is a reduced risk of emotionally or physically risky or dangerous situations when awareness is improved and skills are employed.

GEMS State Tool pages include:

Dementia Scale Comparison: This helpful chart compares the Allen, FAST, GDS, and GEMS scales of dementia progression, and is an essential resource for helping various medical professionals communicate about the level of brain change that an individual is experiencing.

GEMS State Model Overview:  On this page, the GEMS State Model is detailed, including simple descriptions of common traits of each state.

GEMS State Abilities: This essential chart focuses on using the observed abilities present at each GEMS state across a variety of categories, such as vision changes, body skills, and time awareness to help assess the GEMS state of the individual and estimate their abilities based on these observed characteristics.

Tips for Supportive Responses: This invaluable chart offers appropriate supportive responses to assist individuals in the different GEMS states, including the most effective ways to touch a person, communicate with them, or help them to move.

4 Step Crisis Safety Approach:  On this page, four clear steps are outlined for de-escalating a crisis when it involves an individual living with brain change, along with tips to decipher unmet needs that may be precipitating the crisis.

Me in the Moment Assessment Tool (for longer-term relationships):  This page contains important information to be completed about an individual living with brain change to improve our understanding of the person and who they are so that we can deliver more effective care, since knowing about the person can help guide interactions and expectations.

Person-Centered Approach to Care Planning:  In this chart, person-centered care planning is defined  and described with structured spaces, and an example is provided.

Hand-under-Hand® Examples:  This page contains color photographs of different uses of the Hand-under-Hand technique, as well as detailed explanations of each of the four main dementia progression scales.

Save by purchasing a multi-pack!

Single Unit Price- US$39.50

Pack of 5- $187 (US$37.40 each)

Pack of 10- $359 (US$35.90 each)

Pack of 25- $799 (US$31.96 each)

Pack of 50- $1,489 (US$29.78 each)

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