A majority of the activities in this book are designed for use with clients who must have individual attention from a staff member in order to participate. The activities are designed for older adults who may or may not be physically frail, but who exhibit many signs of confusion, memory loss and/or disorientation.

The authors' philosophy, evident throughout the book, is that any recreational activity can and should benefit the client, and even those programs that are designed simply to provide a fun-filled afternoon or evening should have a goal and carry equal weight in the overall programming schedule.