A scoping review of crisis teams managing dementia in older people

Background: Research on crisis teams for older adults with dementia is limited. This scoping review aimed to 1) conduct a systematic literature review reporting on the effectiveness of crisis interventions for older people with dementia and 2) conduct a scoping survey with dementia crisis teams mapp...

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Main Authors: Streater, Amy, Coleston-Shields, Donna Maria, Yates, Jennifer, Stanyon, Miriam, Orrell, Martin
Format: Article
Published: Dove Medical Press 2017
Subjects:
Online Access:https://eprints.nottingham.ac.uk/47030/
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author Streater, Amy
Coleston-Shields, Donna Maria
Yates, Jennifer
Stanyon, Miriam
Orrell, Martin
author_facet Streater, Amy
Coleston-Shields, Donna Maria
Yates, Jennifer
Stanyon, Miriam
Orrell, Martin
author_sort Streater, Amy
building Nottingham Research Data Repository
collection Online Access
description Background: Research on crisis teams for older adults with dementia is limited. This scoping review aimed to 1) conduct a systematic literature review reporting on the effectiveness of crisis interventions for older people with dementia and 2) conduct a scoping survey with dementia crisis teams mapping services across England to understand operational procedures and identify what is currently occurring in practice. Methods: For the systematic literature review, included studies were graded using the Critical Appraisal Skills Programme checklist. For the scoping survey, Trusts across England were contacted and relevant services were identified that work with people with dementia experiencing a mental health crisis. Results: The systematic literature review demonstrated limited evidence in support of crisis teams reducing the rate of hospital admissions, and despite the increase in number of studies, methodological limitations remain. For the scoping review, only half (51.8%) of the teams had a care pathway to manage crises and the primary need for referral was behavioral or psychological factors. Conclusion: Evidence in the literature for the effectiveness of crisis teams for older adults with dementia remains limited. Being mainly cohort designs can make it difficult to evaluate the effectiveness of the intervention. In practice, it appears that the pathway for care managing crisis for people with dementia varies widely across services in England. There was a wide range of names given to the provision of teams managing crisis for people with dementia, which may reflect the differences in the setup and procedures of the service. To provide evidence on crisis intervention teams, a comprehensive protocol is required to deliver a standardized care pathway and measurable intervention as part of a large-scale evaluation of effectiveness.
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spelling nottingham-470302020-05-04T19:10:24Z https://eprints.nottingham.ac.uk/47030/ A scoping review of crisis teams managing dementia in older people Streater, Amy Coleston-Shields, Donna Maria Yates, Jennifer Stanyon, Miriam Orrell, Martin Background: Research on crisis teams for older adults with dementia is limited. This scoping review aimed to 1) conduct a systematic literature review reporting on the effectiveness of crisis interventions for older people with dementia and 2) conduct a scoping survey with dementia crisis teams mapping services across England to understand operational procedures and identify what is currently occurring in practice. Methods: For the systematic literature review, included studies were graded using the Critical Appraisal Skills Programme checklist. For the scoping survey, Trusts across England were contacted and relevant services were identified that work with people with dementia experiencing a mental health crisis. Results: The systematic literature review demonstrated limited evidence in support of crisis teams reducing the rate of hospital admissions, and despite the increase in number of studies, methodological limitations remain. For the scoping review, only half (51.8%) of the teams had a care pathway to manage crises and the primary need for referral was behavioral or psychological factors. Conclusion: Evidence in the literature for the effectiveness of crisis teams for older adults with dementia remains limited. Being mainly cohort designs can make it difficult to evaluate the effectiveness of the intervention. In practice, it appears that the pathway for care managing crisis for people with dementia varies widely across services in England. There was a wide range of names given to the provision of teams managing crisis for people with dementia, which may reflect the differences in the setup and procedures of the service. To provide evidence on crisis intervention teams, a comprehensive protocol is required to deliver a standardized care pathway and measurable intervention as part of a large-scale evaluation of effectiveness. Dove Medical Press 2017-10-03 Article PeerReviewed Streater, Amy, Coleston-Shields, Donna Maria, Yates, Jennifer, Stanyon, Miriam and Orrell, Martin (2017) A scoping review of crisis teams managing dementia in older people. Clinical Interventions in Aging, 2017 (12). pp. 1589-1603. ISSN 1178-1998 dementia home treatment crisis resolution crisis mental health community mental health services https://www.dovepress.com/a-scoping-review-of-crisis-teams-managing-dementia-in-older-people-peer-reviewed-article-CIA doi:10.2147/CIA.S142341 doi:10.2147/CIA.S142341
spellingShingle dementia
home treatment
crisis resolution
crisis
mental health
community mental health services
Streater, Amy
Coleston-Shields, Donna Maria
Yates, Jennifer
Stanyon, Miriam
Orrell, Martin
A scoping review of crisis teams managing dementia in older people
title A scoping review of crisis teams managing dementia in older people
title_full A scoping review of crisis teams managing dementia in older people
title_fullStr A scoping review of crisis teams managing dementia in older people
title_full_unstemmed A scoping review of crisis teams managing dementia in older people
title_short A scoping review of crisis teams managing dementia in older people
title_sort scoping review of crisis teams managing dementia in older people
topic dementia
home treatment
crisis resolution
crisis
mental health
community mental health services
url https://eprints.nottingham.ac.uk/47030/
https://eprints.nottingham.ac.uk/47030/
https://eprints.nottingham.ac.uk/47030/