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, Brynmor, Moniz-Cook, Esme, Poland, Fiona, Streater, Amy, Trigg, Emma and Orrell, Martin (2020) Developing a model of best practice for teams managing crisis in people with dementia:a consensus approach. BMC Psychiatry, 20 (1). ISSN 1471-244X

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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.

Item Type: Article
Uncontrolled Keywords: best practice,consensus,crisis resolution team,dementia,fidelity,psychiatry and mental health ,/dk/atira/pure/subjectarea/asjc/2700/2738
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
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Depositing User: LivePure Connector
Date Deposited: 31 Oct 2020 01:08
Last Modified: 17 Nov 2020 01:09
URI: https://ueaeprints.uea.ac.uk/id/eprint/77489
DOI: 10.1186/s12888-020-02899-0

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