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

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

Abstract

© 2020, The Author(s). 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.

• Journal Article Type: Article
• Acceptance Date: Sep 28, 2020
• Online Publication Date: Oct 13, 2020
• Publication Date: Dec 1, 2020
• Deposit Date: Oct 2, 2020
• Publicly Available Date: Oct 16, 2020
• Journal: BMC Psychiatry
• Electronic ISSN: 1471-244X
• Publisher: Springer Verlag
• Peer Reviewed: Peer Reviewed
• Volume: 20
• Issue: 1
• Article Number: 505
• DOI: https://doi.org/10.1186/s12888-020-02899-0
• Public URL: https://nottingham-repository.worktribe.com/output/4341746
• Publisher URL: https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-020-02899-0