Benefits of Interacting with Young Children for People with Dementia

How Intergenerational Care Benefits Young Children and Adults

Child Interacting with Grandparent Who Has Alzheimer's
Camille Tokerud Collection: Stone /Getty Images

Have you ever seen the effects of a child visiting someone who has Alzheimer's disease or another dementia? I have.

It's not uncommon to witness a child enter the facility and see a dramatic change in the engagement levels of persons with dementia. Suddenly, "Sarah the resident" is smiling, leaning toward the child and talking to her. If the young child is willing and walks over toward Sarah and is placed on her lap, Sarah is utterly enthralled, smiling, talking to the child, and laughing.

Intergenerational Care

Some facilities, including nursing homes and adult day care centers, offer child care centers where young children and older adults interact together on a regular basis. They might read together, build a tower out of blocks at the table or simply spend time together.

Benefits of Intergenerational Care

There is a limited amount of research that has been conducted on intergenerational care, especially when the older generation involved in the program has dementia. Studies have, however, noted the following:

  • People with dementia had a higher level of positive engagement when interacting with children.
  • Older adults without dementia demonstrate a higher frequency of smiling and conversation when interacting with preschool age children.
  • Intergenerational programming allows adults with dementia to be able to teach children things, such as how to fold a towel, how to dust handrails or how to categorize things such as by seasons or colors.
  • Interaction with older adults has also shown benefits for the children involved, including fewer behavioral challenges and improved social development.

Challinges in Intergenerational Care

There are some risks and challenges to facilitating intergenerational activities.

  • Vigilant Supervison

Because both children and persons with dementia can be unpredictable and lack inhibitions, caution must be utilized to ensure the safety of both parties.

  • Increased Planning Time

Adequate time is necessary for deliberate programming of the shared time together.

  • Licensing Requirements

The programs must meet multiple licensing requirements for both the persons with dementia and the children.

  • Space

Most facilities for adults with dementia, such as nursing homes and assisted livings, as well as those for child care, don't have the extra space required to regularly accommodate more people onsite.

How to Facilitate Intergenerational Interactions

While you might not be able to combine the care of people with dementia and childcare facilties on a daily basis, there are some things you can do to encourage these interactions to occur more frequently.

  • Own or direct a day care? Get permission from the parents and regularly visit a facility that cares for people with dementia.
  • Have dementia care staff members with children? Encourage them to stop by with their kids to visit.
  • Live near a facility or know someone who has dementia and lives at her own home? Stop by with your children and spread some joy.
  • Have a loved one with dementia in a facility or at home? Ask family members with kids to bring them with on short visits, rather than arranging for a sitter at home. Allow extra time for short visits to other residents at the nursing home.
  • Teach at a school that's near a care facility? Contact the activity director to set up regular visits from the students.

Having witnessed the beauty of children and older adults interacting many times, it's my opinion that all involved benefit from the richness of intergenerational time together.


BMC Geriatrics. 2013 Oct 18;13:111. Interactive programs with preschool children bring smiles and conversation to older adults: time-sampling study.

Clinical Interventions for Aging. Sep 2007; 2(3): 477–483. Effects of intergenerational Montessori-based activities programming on engagement of nursing home residents with dementia.

Generations United. The Benefits of Intergenerational Programs. Accessed March 28, 2014.

Journal of Intergenerational Relationships. Dec 12, 2011; 9(4): 366–373. Montessori-Based Activities as a Trans-Generational Interface for Persons with Dementia and Preschool Children.

TBD. All Over Washington. Intergenerational caregiving center benefits seniors, children.

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