Successfully implement this relationship-centered approach to dementia care that builds on the essential elements of friendship—respect, empathy, support, trust, and humor.
For decades the acclaimed Best Friends™ approach has been widely recognized for helping people with Alzheimer’s and other dementias experience meaningful engagement and dignity in all aspects of their lives. In this completely revised and expanded second edition, care partners learn how to apply the core principles of the approach through practical tips and instructive examples of Best Friends in action. An all-new section also provides a roadmap for creating and sustaining a Best Friends program.
Become familiar with:
- The building blocks of the approach, including the Dementia Bill of Rights and the concept of relationship-centered care
- The core tenets of Best Friends: the Life Story, skilled communication, and caregiving Knack
- New approaches to minimizing challenging behaviors and to creating activities that produce true engagement
- How to use Best Friends in a variety of care settings
- Effective ways to involve families and volunteers
- An approach that’s embraced around the world!
Make each day reassuring, enjoyable, and secure for the people in your care with this simple, compassionate approach to dementia care.
Virginia Bell, M.S.W., was one of the most influential thought leaders in the field of dementia care over the last four decades, who continued right up to the time of her passing in 2023 to improve the lives of people with dementia and their caregivers. Her Best Friends™ model of dementia care transforms attitudes in care institutions and among families about a debilitating disease. An author, speaker, and advocate, her work has profoundly influenced the lives of untold individuals, and her Best Friends approach to dementia care continues to be adopted world-wide by care programs.
She lectured widely on Alzheimer’s disease at national and international conferences, speaking at the National Education Conferences of the Alzheimer’s Association and lecturing at the conferences of Alzheimer’s Disease International. She has published journal articles and book chapters, notably in Dementia Care: Patient, Family and Community (John Hopkins, 1989). Many of her articles have been reprinted numerous times: “The Alzheimer’s Disease Bill of Rights” (1994), “The Other Face of Alzheimer’s Disease” (1999) and “Spirituality and the Person with Dementia” (2001), co-authored with David Troxel and published in the American Journal of Alzheimer’s Disease and in Alzheimer’s Care Quarterly. She has also co-authored six books with David Troxel, beginning with The Best Friends Approach to Alzheimer’s Care. She received her M.S.W. from the University of Kentucky in 1982.
Based in northern California, David Troxel, M.P.H., is nationally and internationally known for his expertise in the fields of dementia & long-term care. He has co-authored (with Virginia Bell) six influential books, including his newest book, and written numerous articles relating to dementia care and staff development and training. He is a writer, trainer, and long-term care consultant who has spoken at over 500 conferences including keynote presentations at various U.S., Canadian, and international conferences. He served for a decade as the Executive Director of the Santa Barbara (California) Alzheimer’s Association (1994-2004). He also helped support his mother, Dorothy, in her 10-year journey living with Alzheimer’s disease. David’s areas of expertise include best care practices for persons with dementia, caregiver support, staff training, and long-term care program development. More information about David’s work can be found on his website at 
Administrator –
“The Best Friends Approach, Second Edition, is a joy to read. It touched my heart. At the same time, it was practical, offering clear ways to implement all aspects of this extraordinary program. Being a Best Friend is so uncomplicated when you understand that this simply means you know the person’s Life Story and the importance of the process for providing care, not just how to complete the task. This book should be ‘must reading’ for care partners, both professional and family. So often, friends are not prepared to continue a relationship with someone with progressive memory loss, and sharing this book with them will help ‘old friends’ continue to be Best Friends. Living with memory loss can be a very frightening journey, but when surrounded by Best Friends who help you continue to engage in life and continue to remind you that you are a very special person, the journey is not quite so frightening, and can still have many moments of joy.”
—Joyce Simard, M.S.W.
Author, The End-of-Life Namaste Care™ Program for People with Dementia, Second Edition
Geriatric Consultant and professional speaker
Associate Professor, Western Sydney University
Administrator –
“Best Friends™ is helping to establish ourselves as a center of excellence in dementia care throughout our region.”
—Dan Lavender
President and CEO, Moorings Park, Florida
Administrator –
“Every Wednesday afternoon for the last 31 years, a person with dementia and I have been Best Friends at our amazing adult day program. Virginia and David’s approach has helped me feel blessed over and over as I’ve forged so many friendships. And the program really works, attracting volunteers and building a fantastic day of activities and engagement. Our day center participants, I hope, have felt known, loved, and valued, as have I.”
—Linda Rector
Volunteer, Best Friends Day Center, Lexington, KY
Administrator –
“The Best Friends Approach has been our guide to help understand the huge impact we can have on the lives of persons living with dementia. Being present and accepting their reality is life affirming, not only for the person but also the family and staff. Virginia and David have changed the history of dementia care in our country since Best Friends will be included in the Dementia Strategy of Hungary!”
―Zsuzsa Kovacsics M.S.W.
Administrator, Máriaremete Nursing Home, Budapest, Hungary
Administrator –
“Two decades ago, Bell and Troxel’s Best Friends™ approach affirmed the primary importance of relationship in supporting well-being for people living with dementia. It is great to see this thoughtful update of a classic and time-honored model for engagement and care.”
—G. Allen Power, M.D., FACP
Board-certified geriatrician, dementia advocate, and author of Dementia Beyond Drugs, and Dementia Beyond Disease
Administrator –
“The Best Friends books have become our go-to resource for ideas and inspirations about quality dementia care. This new edition raises the bar as it challenges us to develop authentic relationships, meaningful activities, and create outstanding programs.”
—Dina Newsom
Expressions™ Product Manager
Prestige Senior Living, Vancouver, WA
Administrator –
“Think of the penetrating, dense isolation of the dwarf planet Pluto. It parallels the chilling isolation of dementia—engulfing feelings of loneliness, loss of self, fears that you have not a friend in the world. I know the landscape well. Virginia Bell and David Troxel, in their inspiring book, The Best Friends™ Approach to Dementia Care, have shown me the way home, and given me new confidence that I am not alone, that I don’t have to fight Alzheimer’s myself; that I just have to learn to dance with it. Bell and Troxel are partners who can lead.”
—Greg O’Brien, author, On Pluto: Inside the Mind of Alzheimer’s
Administrator –
“The Best Friends philosophy is perfect for home care settings and beautifully supports the Home Instead Senior Care® network’s To Us, It’s Personal® philosophy. Professional caregivers embracing this approach spend time with the client enjoying old family scrapbooks, gardening, walking to a neighborhood park and engaging in meaningful connection and conversation. The result is a win-win for all involved. The person with dementia benefits from this loving approach and the professional caregivers, including our network’s CAREGivers℠, can help manage the challenges of dementia with wisdom and creativity.”
—Jeff Huber
President & CEO, Home Instead, Inc.
Administrator –
“Troxel and Bell’s deeply encouraging, effective, and enduring methods have improved the quality of life for people with dementia around the globe through the universal foundation of friendship. Their respectful, affirming, and applied wisdom transforms that act of caregiving into the art of care-partnering and I heartily recommend this bright gem of a book to anyone needing a light along the dementia path.”
—Lisa Snyder, MSW, LCSW
University of California San Diego
Author of Speaking Our Minds: What It’s Like to Have Alzheimer’s
Administrator –
“The Best Friends philosophy has changed the face of dementia over the last two decades leading the way to honoring the person’s journey, creating a rich and worthwhile life, and supporting family and professional care partners with education and expanded services. This new edition of Best Friends will teach you everything you thought you already knew.”
—Amelia Schafer, MS
Vice President of Programs
Alzheimer’s Association of Colorado
Administrator –
“Congratulations on the 2nd edition of The Best Friends™ Approach to Dementia Care! It is an excellent resource for professional caregivers in a variety of care settings—long-term care, home care, day programs, assisted living, and acute care, and also for family caregivers. It is a beautifully written and well-crafted training tool that provides accurate and current information about dementia, latest research on triggers for responsive behaviors, and the power of personalized music, skillful communication, and meaningful engagement in resolving these behaviors. The pictorial representation of standard approach versus Best Friends approach and the difference in outcomes, with the stories of success in the sidebars, not only makes it easier for the reader to have a deeper understanding of the approach, but also help retain readers’ interest. The chapters on growing a volunteer program, and creating and sustaining a Best Friends program, offer a rich array of effective strategies for ‘Best Friends communities’ facing staffing issues and limited resources to build and sustain caring communities. Based on my experience as a Master Trainer of the Best Friends approach, I strongly recommend this book as an essential resource for anyone and everyone working in a care setting.”
–Padma Genesh, BSc, MBBS, BA (Gerontology)
Learning Specialist
Learning and Support Services
Alzheimer’s Society of Calgary
Administrator –
“Alzheimer’s Disease International (ADI) works around the world to raise awareness of dementia and promote the importance of care and support for persons with dementia. Virginia and David’s Best Friends philosophy, rich in relationships and engagement, and respectful of human rights, provides a lasting foundation for dementia friendly communities and quality care.”
–Marc Wortmann
Executive Director
Alzheimer’s Disease International
Administrator –
“Virginia Bell and David Troxel are long-time advocates of using the personal history of people with dementia to build relationships and engage them in meaningful activity. Their ideas have benefited families and professionals worldwide who are working to find ways to enhance quality of life. Being a Best Friend is one of the ways to foster cooperation and success, preventing or minimizing behavioral outbursts. As dementia specialists—counselors, trainers, and authors—we have found the Best Friends approach to be extremely helpful in reducing behavioral challenges.”
—Beth Spencer & Laurie White, co-authors, Coping with Behavior Change in Dementia: A Family Caregiver’s Guide
Administrator –
“Whether your program serves six persons with dementia or six hundred, this new edition of Best Friends will become an invaluable resource. In addition to its practical tips for quality dementia care, the book offers insights into how you can obtain staff buy-in, implement your ideas, and sustain a great program over time.”
—Tom Cullen
CEO & Owner
Community Care Options
Administrator –
“We embrace the Best Friends philosophy in all our Life Guidance® memory care neighborhoods across the United States. This new edition of the classic Best Friends book is full of contemporary best practices and practical tips for successfully navigating the challenges of dementia care. It will be a valuable resource for our staff as we encourage relationships and meaningful activities to create a successful day.”
—Tom Alaimo
Vice President
Memory Care Operations (Life Guidance®)
Atria Senior Living
Administrator –
“This book goes right to the foundation of person-centered care with practical solutions and basic knowledge for creating not just a program but a lifestyle to staff members caring for people with dementia. This book teaches staff how to help people with dementia have a quality of life, not just existence…. A great tool for healthcare staff involved in the day-to-day routine care for residents with dementia.”
—Doody’s Review Service