{Reference Type}: Journal Article
{Title}: Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach.
{Author}: Yates J;Stanyon M;Challis D;Coleston-Shields DM;Dening T;Hoe J;Jawahar K;Lloyd-Evans B;Moniz-Cook E;Poland F;Streater A;Trigg E;Orrell M;
{Journal}: BMC Psychiatry
{Volume}: 20
{Issue}: 1
{Year}: 10 2020 13
{Factor}: 4.144
{DOI}: 10.1186/s12888-020-02899-0
{Abstract}: 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.