Home based support made a difference in the lives of dementia patients and their caregivers seen in recent study in JAMA (September 1) at four months. The home based program provided occupational therapy and nursing support to offer interventions and concrete strategies to address communication, everyday tasks and home safety and care coordination. When the program was over after ten sessions over a four month period, gains made did not persist when re-evaluated at nine months revealing the need for continuous intervention to address problems of shopping, meal preparation, and managing finances. Significant improvements did not occur with bathing, grooming and getting out of bed which would make sense in terms of the help provided. It appears that changes in the home setting have to be maintained on a continual basis requiring continued professional support.