Over the course of its history, Germany has turned from an emigration country into an immigration country. The recruitment of guest workers from abroad in the mid-1900s, the collapse of the Soviet Union, the development of high levels of youth unemployment in southern Europe and the Syrian conflict have all contributed to a rise in Germany’s migrant population [
10,
23]. According to census data, the number of PwM amounts to 18.6 million people, which accounted for 23% of the population in Germany in 2018 [
27]. In Germany, as in many other countries of Europe, the number of PwM aged 65 years or older is increasing. A total of 1.99 million PwM are older than 64 years, which represents 11.52% of the German population who are older than 65 years. A growing probability of age-associated and chronic diseases such as dementia is a consequence of increasing age [
17,
25]. An analysis from 2019 showed that there were approximately 96,500 PwM with dementia living in Germany at that time, with distinct regional differences regarding the number of PwM and their origin of migration. Most PwM with dementia reside in North-Rhine Westphalia (26,000), Baden-Wuerttemberg (18,100) and Bavaria (16,700), which is not surprising as they are the federal states where the greatest numbers of PwM can generally be found. Fewer PwM with dementia live in Mecklenburg-Western Pomerania (500), Thuringia (500), Saxony-Anhalt (650) and Brandenburg (650). The place of origin of most PwM with dementia (84,500) are other European countries, with most originating from Poland (14,000), Italy (8900), Turkey (8800), Romania (6400) and the Russian Federation (6300). Unpublished results from the abovementioned analysis reveal an uneven distribution across regions. Most people with dementia who originate from (a) Poland are found in North Rhine-Westphalia (6000) and Bavaria (1400), while (b) those from Italy reside in Baden-Wuerttemberg (2900) and North Rhine-Westphalia (2400), (c) those from Turkey live in North Rhine-Westphalia (3100) and Baden-Wuerttemberg (1300), (d) those from Russia live in North Rhine-Westphalia (1700) and Baden-Wuerttemberg (1000) and (e) those from Romania live in Bavaria (2500) and Baden-Wuerttemberg (2100) [
19]. Despite the diversity of the group of PwM with dementia, there have been common challenges identified for this group and their families. It has been reported that there is a lack of culturally sensitive diagnostic and screening tools, which results in difficulties in diagnosing dementia [
2,
22]. Additionally, culturally sensitive information and healthcare services are also missing for this population [
4,
10,
16,
18]. The PwM show a lack of awareness and knowledge about the healthcare system, its services and support and how to utilize them [
4,
16,
18]. Further complicating this situation are language problems that can arise in communication with healthcare professionals, service providers and others [
4,
16] or false beliefs, such as thinking that dementia is a regular part of ageing [
2,
24]. The PwM can be distrustful of the healthcare system and healthcare professionals or fear facing stigma or judgement from other people when utilizing formal help [
10,
16,
18]. These factors are only just a few that play an important role in healthcare for PwM with dementia and their families. These circumstances are associated with worsened access to the healthcare system; thus, services have to be low-threshold, culturally sensitive and adapted to their needs [
13,
29]. A more detailed overview of this topic is provided by Alzheimer Europe (2018) [
1]. This identifies PwM with dementia as a group at special risk that needs appropriate care with culturally sensitive healthcare services and information that are adapted to their needs. However, the regional differences in areas where PwM with dementia live make it hard to implement a nationwide solution. Therefore, regional and local initiatives that are adapted to the situation on site also have to be established. Germany’s first national dementia strategy acknowledges PwM with dementia as a risk group and is committed to providing support and care for them. Therefore, the national dementia strategy aims to implement measures to support PwM with dementia. One measure is to expand the availability of culturally sensitive information and counselling services [
14].
This scoping review provides an overview of existing national, regional and local healthcare services and information on where they are located and where action needs to be taken. In addition, this article depicts the current projects on dementia and migration present in Germany. This will help (a) affected people to see where they can find support and (b) service providers to initiate and offer new services and get in contact with each other.