Reframing Dementia Support. A Scoping Review of Person-Centred, Relational, and Community-Based Approaches to Social Inclusion Authors: Rhiannon Toohey, Claire Peirce, Nathan D’Cunha, & Stephen Isbel Affiliation: Faculty of Health, University of Canberra Background People living with dementia often experience social exclusion driven by stigma, inaccessible environments, and limited community support. While person-centred care is widely recognised, less is known about its intersection with relational and community-based approaches. Figure 1: A Community Approach to Social Inclusion for People Living with Dementia Aim To synthesise evidence on person-centred care, community engagement, and socially inclusive initiatives supporting people with dementia and their supporters. Methods A scoping review followed Joanna Briggs Institute methodology. Six databases were searched (2014–2024), yielding 662 records, with 55 studies included. Data were synthesised using grounded theory. Inclusive Community-Based Dementia Support Pathway and Outcomes: PERSON-CENTRED CARE + RELATIONAL CARE + COMMUNITY ENGAGEMENT ↓ SOCIAL INCLUSION ↓ BELONGING, IDENTITY, WELL-BEING. Results Social inclusion was shaped by relational, environmental, and systemic factors. Inclusive community initiatives (e.g., arts programs, social groups, dementia-friendly communities) supported belonging, identity, and wellbeing when person-centred, flexible, and embedded in everyday life. Key enablers included meaningful activity, skilled facilitation, peer support, co-design, and psychologically safe environments. Participation was strongest when it enabled contribution and reciprocity, reflecting a social citizenship approach. Challenges included stigma, inaccessible environments, workforce limitations, and risk-averse practices. Conclusion Social exclusion in dementia is socially produced and modifiable. Findings support a shift toward relational and community-based models that position people with dementia as active contributors.