Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach
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...
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| Format: | Article |
| Language: | English |
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BMC
2020-10-01
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| Series: | BMC Psychiatry |
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| Online Access: | http://link.springer.com/article/10.1186/s12888-020-02899-0 |
| _version_ | 1828786963839188992 |
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| author | Jennifer Yates Miriam Stanyon David Challis Donna Maria Coleston-Shields Tom Dening Juanita Hoe Kaanthan Jawahar Brynmor Lloyd-Evans Esme Moniz-Cook Fiona Poland Amy Streater Emma Trigg Martin Orrell |
| author_facet | Jennifer Yates Miriam Stanyon David Challis Donna Maria Coleston-Shields Tom Dening Juanita Hoe Kaanthan Jawahar Brynmor Lloyd-Evans Esme Moniz-Cook Fiona Poland Amy Streater Emma Trigg Martin Orrell |
| author_sort | Jennifer Yates |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T00:20:58Z |
| format | Article |
| id | doaj.art-ae6512295ec04f41ae24770122424bd5 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-12-12T00:20:58Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-ae6512295ec04f41ae24770122424bd52022-12-22T00:44:44ZengBMCBMC Psychiatry1471-244X2020-10-0120111410.1186/s12888-020-02899-0Developing a model of best practice for teams managing crisis in people with dementia: a consensus approachJennifer Yates0Miriam Stanyon1David Challis2Donna Maria Coleston-Shields3Tom Dening4Juanita Hoe5Kaanthan Jawahar6Brynmor Lloyd-Evans7Esme Moniz-Cook8Fiona Poland9Amy Streater10Emma Trigg11Martin Orrell12Institute of Mental Health, Division of Psychiatry and Applied Psychology, School of Medicine, University of NottinghamInstitute of Mental Health, Division of Psychiatry and Applied Psychology, School of Medicine, University of NottinghamInstitute of Mental Health, Division of Psychiatry and Applied Psychology, School of Medicine, University of NottinghamInstitute of Mental Health, Division of Psychiatry and Applied Psychology, School of Medicine, University of NottinghamInstitute of Mental Health, Division of Psychiatry and Applied Psychology, School of Medicine, University of NottinghamDivision of Nursing, City University LondonInstitute of Mental Health, Division of Psychiatry and Applied Psychology, School of Medicine, University of NottinghamDivision of Psychiatry, University College LondonFaculty of Health Sciences, University of HullUniversity of East AngliaInstitute of Mental Health, Division of Psychiatry and Applied Psychology, School of Medicine, University of NottinghamInstitute of Mental Health, Division of Psychiatry and Applied Psychology, School of Medicine, University of NottinghamInstitute of Mental Health, Division of Psychiatry and Applied Psychology, School of Medicine, University of NottinghamAbstract 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.http://link.springer.com/article/10.1186/s12888-020-02899-0Crisis resolution teamDementiaBest practiceFidelityConsensus |
| spellingShingle | Jennifer Yates Miriam Stanyon David Challis Donna Maria Coleston-Shields Tom Dening Juanita Hoe Kaanthan Jawahar Brynmor Lloyd-Evans Esme Moniz-Cook Fiona Poland Amy Streater Emma Trigg Martin Orrell Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach BMC Psychiatry Crisis resolution team Dementia Best practice Fidelity Consensus |
| title | Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach |
| title_full | Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach |
| title_fullStr | Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach |
| title_full_unstemmed | Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach |
| title_short | Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach |
| title_sort | developing a model of best practice for teams managing crisis in people with dementia a consensus approach |
| topic | Crisis resolution team Dementia Best practice Fidelity Consensus |
| url | http://link.springer.com/article/10.1186/s12888-020-02899-0 |
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