%0 Journal Article
%T Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach.
%A Yates J
%A Stanyon M
%A Challis D
%A Coleston-Shields DM
%A Dening T
%A Hoe J
%A Jawahar K
%A Lloyd-Evans B
%A Moniz-Cook E
%A Poland F
%A Streater A
%A Trigg E
%A Orrell M
%J BMC Psychiatry
%V 20
%N 1
%D 10 2020 13
%M 33050901
%F 4.144
%R 10.1186/s12888-020-02899-0
%X 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.<BR>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).<BR>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).<BR>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.