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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

Authors

Jennifer Yates

Miriam Stanyon

David Challis

Donna Maria Coleston-Shields

Tom Dening

Juanita Hoe

Kaanthan Jawahar

Brynmor Lloyd-Evans

Professor Esme Moniz-Cook E.D.Moniz-Cook@hull.ac.uk
Professor of Clinical Psychology of Ageing and Dementia Care Research/ Dementia Research Work Group Lead

Fiona Poland

Amy Streater

Emma Trigg

Martin Orrell



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.

Citation

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), https://doi.org/10.1186/s12888-020-02899-0

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
DOI https://doi.org/10.1186/s12888-020-02899-0
Public URL https://hull-repository.worktribe.com/output/3619922

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Publisher Licence URL
https://creativecommons.org/licenses/by/4.0/

Copyright Statement
© The Author(s). 2020

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.





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