In both the nursing home and community settings, behavioral disturbances of dementia have a considerable impact on caregivers. In long-term care facilities, behavioral problems impede the ability of nursing staff to perform their duties and affect their sense of job satisfaction. In the community, where persons with dementia typically are cared for by a spouse or adult child, behavioral problems affect the quality of life and sense of well-being of the caregiver. The overwhelming stress and feelings of burden engendered by behavioral disturbances often lead family caregivers to place patients in nursing homes.