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

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

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: 165 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 48-92/100. 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.

• Deposit Date: Jan 18, 2021
• Publicly Available Date: Jan 26, 2021
• Public URL: https://nottingham-repository.worktribe.com/output/4950022
• Publisher URL: https://www.researchsquare.com/article/rs-22175/v3
• Related Public URLs: https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-020-02899-0
• Additional Information: This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal.