Purpose To explore the spiritual needs of community‐dwelling older people living with early‐stage dementia. Design A descriptive qualitative research design with purposive sampling was used. Methods Ten older people who were receiving home care services from a mental hospital in central Taiwan were recruited. In‐depth semistructured interviews were conducted and content analysis was performed. Findings Four themes emerged that described the spiritual wishes and needs of older people with early‐stage dementia: the wish to turn back time, the need to instill meaning into past experiences, the need to rely on faith‐based strength, and the wish to have one's remaining life under control. The spiritual needs centered on a strong yearning to engage in a tug‐of‐war with time to reverse the impaired memory and independence. Conclusions This study provides insights into the spiritual needs of older people with early‐stage dementia. They struggled to maintain a balance between independence and dependence, build a sense of self and value, seek guidance and support from religious faith, and retain control over their lives. Clinical Relevance The findings can be expected to help caregivers improve care of older people with dementia by empowering older people to hold onto control in their lives and providing opportunities for them to connect with others for fulfilling their spiritual needs.

Social stigma is inevitable for mentally ill patients, but how patients treat themselves is a priority for rehabilitation and an important buffer mechanism. This study thus aimed to measure the effectiveness of rehabilitation models for improving self-stigma. This quasi-experimental research design applied purposeful sampling. The participants (n = 250) were persons with mental illness who received rehabilitation treatment in central Taiwan. They were divided into community- (n = 170) and institution-based (n = 80) rehabilitation groups. The Internalized Stigma of Mental Illness Scale was evaluated at the time of recruitment, and a follow-up was conducted after 1 and 3 months. A generalized estimation equation was used in data analysis to measure whether self-stigma improved with the rehabilitation model and time, and to test the effect of different rehabilitation models on participants’ self-stigma improvement. The study found that the self-stigma of patients receiving CBR improved more than that of those receiving IBR when behavioral problems, education, OT level, sex, and first-time self-stigma were controlled. Returning to the community is the goal of rehabilitation for patients with mental illness, but IBR still dominates the rehabilitation model in Taiwan. Thus, it is necessary to continue promoting CBR plans for future mental health policies.