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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; Orrell, Martin


Jennifer Yates

Miriam Stanyon

David Challis

Donna Maria Coleston-Shields

Tom Dening

Juanita Hoe

Kaanthan Jawahar

Brynmor Lloyd-Evans

Professor Esme Moniz-Cook
Professor of Clinical Psychology of Ageing and Dementia Care Research/ Dementia Research Work Group Lead

Fiona Poland

Amy Streater

Emma Trigg

Martin Orrell


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.

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).

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).

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.


Yates, J., Stanyon, M., Challis, D., Coleston-Shields, D. M., Dening, T., Hoe, J., …Orrell, M. (2020). Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach. BMC Psychiatry, 20(1),

Journal Article Type Article
Acceptance Date Sep 28, 2020
Online Publication Date Oct 13, 2020
Publication Date Dec 1, 2020
Deposit Date Sep 29, 2020
Publicly Available Date Oct 14, 2020
Journal BMC Psychiatry
Print ISSN 1471-244X
Electronic ISSN 1471-244X
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 20
Issue 1
Article Number 505
Public URL


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Copyright Statement
© The Author(s). 2020

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