Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach

Jennifer Yates, Miriam Stanyon, David Challis, Donna Maria Coleston-Shields, Tom Dening, Juanita Hoe, Kaanthan Jawahar, Brynmor Lloyd-Evans, Esme Moniz-Cook, Fiona Poland, Amy Streater, Emma Trigg, Martin Orrell

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Abstract

Background: Teams delivering crisis resolution services for people with dementia and their carers provide short-term interventions to prevent admission to acute care settings. There is great variation in these services across the UK. This article reports on a consensus process undertaken to devise a Best Practice Model and evaluation Tool for use with teams managing crisis in dementia. Methods: The Best Practice Model and Tool were developed over a three stage process: (i) Evidence gathering and generation of candidate standards (systematic review and scoping survey, interviews and focus groups); (ii) Prioritisation and selection of standards (consultation groups, a consensus conference and modified Delphi process); (iii) Refining and operationalising standards (consultation group and field-testing). Results: One hundred sixty-five candidate standards arose from the evidence gathering stage; were refined and reduced to 90 through a consultation group exercise; and then reduced to 50 during the consensus conference and weighted using a modified Delphi process. Standards were then operationalised through a clinical consultation group and field-tested with 11 crisis teams and 5 non-crisis teams. Scores ranged from 48 to 92/100. The median score for the crisis teams was 74.5 (range 67–92), and the median score for non-crisis teams was 60 (range 48–72). Conclusions: With further psychometric testing, this Best Practice Model and Tool will be ideal for the planning, improvement and national benchmarking of teams managing dementia crises in the future.

Original languageEnglish
Article number505
JournalBMC Psychiatry
Volume20
Issue number1
DOIs
Publication statusPublished - 13 Oct 2020

Keywords

  • Best practice
  • Consensus
  • Crisis resolution team
  • Dementia
  • Fidelity

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