Caregivers are randomized to receive either telephone-based intervention or standard medical care. Both groups receive a resource packet containing information about caring for someone with dementia and a list of local resources. Caregivers in the intervention group also receive a series of telephone calls over 12 months, during which education, emotional support, and training in problem-solving skills are provided by trained therapists. Caregivers in the standard care group receive no additional psychosocial intervention. Participants are assessed pre-treatment, mid-treatment (6 months), post-treatment, and at a 3-month follow-up.

Patient Inclusion Criteria:

• DSM-IV diagnosis of dementia (vascular, mixed, or associated with Alzheimer's disease)
• Lives in the community, including senior/retirement centers, but excluding nursing homes and assisted living centers
• 50 years old or older
• Resides in Southeastern New England

Caregiver Inclusion Criteria:

• Living with a person with dementia
• Provides care for at least 6 months for at least 4 hours a day
• English as primary language
• Telephone access
• Resides in Southeastern New England

Patient Exclusion Criteria:

• Major acute medical condition affecting independent functioning

Caregiver Exclusion Criteria:

• Acute medical illness
• Cognitive impairment as defined by an MMSE score < 25