The P.I.E.C.E.S.™ Learning and Development Model, used widely across Canada for the last 20 years, originated in 1997 through Ontario’s Strategy for Alzheimer Disease and Related Dementias (ADRD). The first comprehensive Alzheimer Strategy in Canada invested a total of $68.4 million between 1999 and 2004 and involved a joint initiative between the Ministry of Health and Long-Term Care and the Ontario Seniors’ Secretariat (within the Ministry of Citizenship and Immigration). This body of work included ten distinct but related initiatives focused on enhancing the quality of life for people living with ADRD, and their caregivers. Together, the ten initiatives addressed:

  • education for health care providers, caregivers and the public
  • service enhancements and expansion
  • research activities and knowledge exchange

Since 1999 the P.I.E.C.E.S.™ Learning and Development Model has been included in other government driven strategies across Canada to support changing relationships in health and health care. Through continuous improvement, spread and sustainability activities the approach continues to evolve.