Project TAP: Tailored Activities Project

Inclusion Criteria: * Care Recipient * English Speaking * NINCDS-ADRDA diagnosis\[physician generated of dementia or mini-mental state examination score of less than or equal to 23;3\] Able to feel self; and participates in at least 2 other activities of daily living\[ADLs-Bathing, Dressing, Grooming, Toileting, Transferring from bed to chair\] As reported by caregiver. * Caregiver * English Speaking * Family member 21 years of age or older \[male or female\] * Lives with Care Recipient * Has telephone in the home * Plans to live in area for 8 months * Indicated willingness to learn new approaches by which to engage care recipient in meaningful activities * Provides 4 or more hours a day directly caring or providing for care recipient Exclusion Criteria: * Care Recipient * Has Schizophrenia or Bi-Polar Disorder * Their Dementia is secondary to probable head trauma * Their MMSE score is equal to zero and they are bed bound, defined as confinement to bed or chair for at least 22 hours a day for at least 4 of 7 days * They are not responsive to their environment * Caregiver * Are currently involved in another clinical trial of psycho-social or educational interventions for caregivers * Are planning to place their family member in a nursing home within the next 8 months. Also, the care recipient/caregiver dyad will be excluded if either caregiver or care recipient: 1) has a terminal illness with life expectancy less than 8 months 2)is in active treatment for cancer or 3) has had greater than 3 acute medical hospitalizations within the past year.