Introduction. 1. What is a Learning Disability? 2. What is Dementia? 3. Getting a Diagnosis. 4. Working with Different Realities. 5. Maintaining Good Communication. 6. Therapeutic Interventions. 7. Challenging Behaviour. 8. Responding to the Pain Needs of People with a Learning Disability and Dementia. 9. The Experiences and Needs of Peers. 10. Supporting People to Eat Well. 11. Creating Supportive Physical Environments. 12. The Role of Technology. 13. Late and End Stage Care. 14. Issues and Concerns for Relatives. 15. Some Issues in Relation to Medication. 16. Models of Care. A Plea for the Future. References. Subject index. Author index.