Continuity of care in a crisis resolution home treatment team

Titheradge, Daniel; Galea, A

doi:10.1002/pnp.527

“…Recommendations by Alzheimer Europe encourage development of services which operate with a flexible approach and react to crisis situations at home in a timely and immediate fashion [27]. However, this distinct function makes other elements of best practice, such as continuity of staff, challenging [28] and these issues should be considered when designing services. The Best Practice Model developed here, and the process used to develop it, will be of interest internationally to planners who could benefit from establishing TMCDs as a model of working.…”

Section: Discussionmentioning

confidence: 99%

Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach

Yates

¹

,

Stanyon

²

,

Challis

³

et al. 2020

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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.

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“…Recommendations by Alzheimer Europe encourage development of services which operate with a exible approach and react to crisis situations at home in a timely and immediate fashion (27). However, this distinct function makes other elements of best practice, such as continuity of staff, challenging (28) and these issues should be considered when designing services. The Best Practice Model developed here, and the process used to develop it, will be of interest internationally to planners who could bene t from establishing TMCDs as a model of working.…”

Section: Discussionmentioning

confidence: 99%

Developing a model of best practice for teams managing crisis in people with dementia: A consensus approach

Yates

¹

,

Stanyon

²

,

Challis

³

et al. 2020

Preprint

View full text Add to dashboard Cite

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: 165 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 48-92/100. 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.

show abstract

“…Alzheimer Europe encourage the development of services that can operate with a flexible approach and react to crisis situations at home in a timely and immediate fashion [26]. However, the nature of this distinct function makes other elements of general best practice, such as continuity of staff, a challenge [27] and these issues need to be considered in the planning of services. The Best Practice…”

Section: Discussionmentioning

confidence: 99%

Developing a model of best practice for teams managing crisis in people with dementia: A consensus approach

Yates

¹

,

Stanyon

²

,

Challis

³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

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: 165 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 48-92/100. 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.

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Continuity of care in a crisis resolution home treatment team

Cited by 11 publications

References 8 publications

Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach

Developing a model of best practice for teams managing crisis in people with dementia: a consensus approach

Developing a model of best practice for teams managing crisis in people with dementia: A consensus approach

Developing a model of best practice for teams managing crisis in people with dementia: A consensus approach

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