humane things that he has ever seen. he is sharing it with you now. stay close. erks i'm here in the netherlands. there has been a grand experiment happening here. all of the residents have severe dementia. we don't talk about it very much but if you consider the developed world 65 million people are expected to have dementia by 2030. and what to do with all these people with dementia. in many parts of the world they

are ignored. they live in these non descript buildings. but what if those worlds could look like this? buildings dedicated to people with dementia. ♪ ♪ >> welcome to a little village minutes from downtown amsterdam. it looks like any other small dutch town. but look closer, it is not. outsiders aren't allowed here and everyone who lives within

these calls has something in common. it is the last place any of them will ever call home. >> so this is a neighborhood. >> yes. >> a neighborhood for people with dementia. >> yes, yes.yvonne is one of ths of this new age elder care facility build in 2009 and it is the only one of its kind in the world. >> i think one of the things that are important to people with dementia is that they don't understand what is happening around them. they don't understand the world anymore. we try to help people understand that is happening and let them feel that it is okay. for corey viser everything is okay. she seems happy here even more so they theo, her husband of

nearly 60 years coming to visit. >> you come nearly every day. >> yes, yes. >> how do you describe this place to your friends? >> perfect. >> it's perfect. i wouldn't know a bet per place for her. it is 100% good. before she came here, i visited five other places and i definitely saw that this was the best place for her. >> what makes this place better? >> this is open. this place is open. people can enjoy the seasons. they can feel if it is cold or warm. they canvas it a restaurant and drink a cup of tea and they are free to go wherever they can't to go. wherever they want to go except back into the real world.

these sliding glass doors are the ome doors that lock here. this is the only way in and the only way out. >> this is the site where there used to be a previous nursing home. >> yes. >> you worked there? >> yes. >> you had a transformation if you will yourself where you decided that wasn't good enough. was there a moment or event that sparked that more you? >> for me that was the moment that my mother called me and told me that my father had passed away saidenly. nothing was wrong with him he had a heart attack and he died. and one of the first things i thought was thank god he never got to be in a nursing home. that is crazy that i have to think that. i'm in the management of a nursing home and i don't want my father to come there.

my colleagues in the management team had similar thoughts. and one day we said let's talk about this. we said in november 1992 we said let's take one day and decide on what to do to make nursing homes worthwhile living and we did. >> a four acre complex home to 23 housing yupts and lifestyle themes. crafts, culture religious and urban. look over here, the colors, the artwork, even the choice of dishware specific to this particular lifestyle. >> those people you live with should be people that could be your friends. people you would pick to live with and not just the first coming around.

those people probably have the same ideas on life. the same values and we call that lifestyles. >> it is quite normal. it is normal. but it is very hard to be normal. >> createing a sense of normalcy is the goal here. of ten times that means creating a routine and sticking to it. >> if you walk in here this will look like any other grocery store to you. you do see the same products, cleaning products but you will notice quickly there are no prices on anything. there is no money that is exchanged hands either. the customer are residents of this village and they have severe dementia and come here with their care givers.

of ten times they don't exchange money. and trudy is trained specifically to handle people with dementia. >> some compare this manufactured reality to the movesly, "the truman show". a man played by jim carey discovered his life is a tv program. everything he thinks is real is a mirage created by television producers. >> do the people here ever feel, do you ever get the impression that they feel like they are being fooled or duped in anyway? >> why should they feel they are fooled? we have a society here. our super market is not a show it is a real super market.

maybe we are fooling them when we say it is okay what you are doing but that is because we want to help people enjoy life and feel they are welcome here on this earth. >> for the rest of they're lives. here a vacancy becomes available when a current resident passes away. [ sniffles, coughs ] shhhh!

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♪ >> she has been making music with her husband ben for a long as they have been together. >> how did you meet? >> in a pub. >> yes. >> did someone introduce you? >> no. a friend of me went up and they were playing cards but then after -- he offered me a drink and we fall in love until this moment. >> do you remember that ben? the playing of the cards and the buying of the drink? >> oh, yeah. yeah. yeah. ♪

>> in comparison with the other residents, ben is a lucky man. these days he can still manage to get a few words out here and there. but doctors warn he is rapidly progressing. >> i hear a lot of music here. >> music is very important. we see people with dementia. it is part in the brain that functions the longest. i have seen people that can't talk anymore. but they can sing songs. i have seen people playing instruments and music is one of them. ♪ >> you come visit every day. >> yes, hardy every day. sometimes i try one day a week

not to come. so i do other things. but yes, normally six days a week and sometimes seven. >> i think that is wonderful but it is hard to do? >> i don't think in terms of hard or not hard. >> i don't feel fine because he is still waiting for me every day. >> yeah, yeah. >> he likes it that i'm coming. >> what is the hardest part about all of this for you. >> well, now the communication. and i can see he is losing so many things. but, he is still a kind man. he is not aggressive and that is

wonderful. ♪ >> unfortunately afrggressive behavior is not uncommon in late stage alzheimer's. it can occur suddenly. that is where resident social worker coming in. >> you never leave your phone do you? >> no, i don't. >> how many talls are you getting? >> well, it depends. >> for now we have a sir in here that gets nervous and aggressive sometimes so then i have to go there and try to calm him down. >> what is the most common sort of call you get? >> people are nervous or rest areless. so for this person you are

worried about what are your tricks. some times i go there and say i was looking for you. so he thinks she knows me. >> you have to be creative. >> yeah, really creative. yeah. >> creativity comes at a higher cost. but here that is not the case. in the netherlands it is a state run system. >> how about the cost? it is a dutch system. we have the same budget. >> you take anybody. what about mild? >> here in the netherlands you need the indication for severe demen sha to come here. if you have mild dementia then you don't have the communication to come here. >> can you describe general that

what that mes? >> that somebody needs attention and support for 24 hours a day. people come here and then they die here. we saw it today. >> yes. >> how is that for you? well, you know, with a lot of people you think well they have had their life and they are ready to die. you see that some people are relief ved that they can die. >> up until that moment they are watched over and comforted by full and part-time caregivers who out number them two to one. every worker and volunteer work ing there has been specially trained to take care of people with severe dementia. >> part of having a naormal

society is vetting your hair down. >> yes. i'm very busy but it is a special work. >> is she telling you to hurry up. she did it. just let her. the simple act of brushing her hair seem to have a calming effect. ina looks like ina and hopefully still recognizing herself in the mirror. the same sadly cannot be said for everyone i met. just by talking to a helmet. it grabbed the patient's record before we even picked him up. it found out the doctor we needed was at st. anne's. wiggle your toes. [ driver ] and it got his okay on treatment from miles away. it even pulled strings with the stoplights.

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came with the toughest cases. >> how old are you? >> i was born in -- how many?

hard to remember? >> 1926. >> 1926? >> yeah. i mean, i don't know exactly. >> i don't know exactly. you hear that a lot around here. as time goes by, the grasp on reality fades. for residence like this woman. >> so you have a job? >> yes. >> what do you do? >> i don't know. >> i have a job and i have to go to it. >> are there absolute no-nos, things you should never do when dealing with someone with dementia? >> yeah. correct them. say, no, don't do this. don't do that. they won't remember. so why would you? >> are you happy here? >> oh, yes. yes, yes. i am a happy people.

i like. i have children. i have a father and a mother. >> whether is the last time you saw your parents? >> my parents? >> yeah? >> oh, yesterday. >> yesterday? >> yes. >> do you try and jog people's memory, refresh their memory or do you just let them -- do you redirect them? what is your strategy? >> it depends on the face of dementia. for example, very often people ask me where are my parents? that's daily question. and in the beginning you can ask if a person is not so far in i did men shah, you can say how old are you? >> i'm 84. >> well, how old with your parents be? and they can think and -- oh, that doesn't make sense. >> her dementia progressed too far to process that kind of logic. but if it bothers her at all,

you can't tell. and with so many other residence just like her, there are special modifications here to keep everyone safe. sometimes it's a small things that make a difference in a village like this. take an elevator, for example. maybe you don't know what this does exactly, but there is a censor over there. turns on that button over here that, call the elevator. i didn't have to touch anything. because perhaps i wouldn't even know what this door was going to do. but now when i walk into the elevator, again, without touching anything for my weight alone, it senses that someone is here and is now going to take me to the next floor. study after study shows that stimulating the mind is the best way to slow the brain's decline. here there are 25 clubs including this one, for example,

baking. just to help keep the residence active. >> when i ask someone to finish the table, i won't ask them to do the table. that is like asking you well, make me a puzzle of 1,000 pieces. i say will you do this for me? and i say thank you. because of you, we can eat. >> you stha there are results. >> yes. >> do you think people are physically healthier? >> yes, we see that people are invited to exercise more because everybody can go outside, walk in the sun. social contact is very important for people with dementia. it helps different parts of the brains to connect and we see that people meet others here. this life helps people to live a healthy life. that helps people to get strong. >> and that's -- that's been shown now? in terms of eating, they eat better, in terms of getting off medications, living longer. do you actually see that?

>> well, we haven't had scientific research on living longer. we haven't done that yet. but in 1992 when we started this, people came in with the same indication and they would stay an average of 2, 2 1/2 years with us. now it's 3, 3 1/2 years. it's not scientific. but i can count. in here people can still be theirselves. they can be human. they're not just a person with dementia or they're still a person and they can do whatever they like. >> that's good. >> okay. i have to go. >> getting calls? >> yes. bye. >> one of the most difficult residents has barricaded himself inside his home. it's happened before. and just like that, she is on

her way. you talk about the fact that the place that you used to work you couldn't imagine your own parents being there. it's always difficult to think about our parents in these types of situations. but how about now? for your mom? >> my mother has dementia. she lives in a home for the elderly. and i see that she's very happy there. >> where does this go from here for you? because right now you have this neighborhood. again, a normal neighborhood as you put it, 152 residents. what would you want it to be in five or ten years? >> well, we're looking at is that we want it to be possible for people for the partners of our residence to live here, too. but that's in the system we have here, that's not possible. not with the budget we have. >> could this work in other countries? you traveled around the world. could this work in other cultures, other countries? >> the concept could work. this is dutch. we have dutch design.

we have the dutch cultures, dutch groups, lifestyles. actually, what it means this concept is that you value the person, the individual. and you support them to live their life as usual and you can do that everywhere. ♪ >> on a physical level, people here require fewer medications. they eat better. and, yes, they live longer. but on a mental level, they also seem to have more joy. it's a difficult thing to measure but it's the most important thing according to the leadership. now could this work in other parts of the world? that's the next question. yeah it offers stop/start technology and an epa-estimated 36 mpg highway. do you mind... oh, sure, i'm great with kids. yeah. we're next! great... [ both chuckle ] yeah.

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