A scoping review of crisis teams managing dementia in older people

Amy Streater,1,2 Donna Maria Coleston-Shields,2 Jennifer Yates,2 Miriam Stanyon,2 Martin Orrell2 1Research and Development, North East London NHS Foundation Trust, Ilford, 2Institute of Mental Health, University of Nottingham, Nottingham, UK Background: Research on crisis teams for older...

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Autores principales:	Streater A, Coleston-Shields DM, Yates J, Stanyon M, Orrell M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Dementia Home treatment Crisis resolution Crisis Mental health Community Mental Health Services. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/2c9061864b8048beb2dbcd8e2fcf6b0e
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spelling	oai:doaj.org-article:2c9061864b8048beb2dbcd8e2fcf6b0e2021-12-02T05:02:37ZA scoping review of crisis teams managing dementia in older people1178-1998https://doaj.org/article/2c9061864b8048beb2dbcd8e2fcf6b0e2017-10-01T00:00:00Zhttps://www.dovepress.com/a-scoping-review-of-crisis-teams-managing-dementia-in-older-people-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Amy Streater,1,2 Donna Maria Coleston-Shields,2 Jennifer Yates,2 Miriam Stanyon,2 Martin Orrell2 1Research and Development, North East London NHS Foundation Trust, Ilford, 2Institute of Mental Health, University of Nottingham, Nottingham, UK 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. Keywords: dementia, home treatment, crisis resolution, crisis, mental health, community mental health servicesStreater AColeston-Shields DMYates JStanyon MOrrell MDove Medical PressarticleDementiaHome treatmentCrisis resolutionCrisisMental healthCommunity Mental Health Services.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 1589-1603 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dementia Home treatment Crisis resolution Crisis Mental health Community Mental Health Services. Geriatrics RC952-954.6
spellingShingle	Dementia Home treatment Crisis resolution Crisis Mental health Community Mental Health Services. Geriatrics RC952-954.6 Streater A Coleston-Shields DM Yates J Stanyon M Orrell M A scoping review of crisis teams managing dementia in older people
description	Amy Streater,1,2 Donna Maria Coleston-Shields,2 Jennifer Yates,2 Miriam Stanyon,2 Martin Orrell2 1Research and Development, North East London NHS Foundation Trust, Ilford, 2Institute of Mental Health, University of Nottingham, Nottingham, UK 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. Keywords: dementia, home treatment, crisis resolution, crisis, mental health, community mental health services
format	article
author	Streater A Coleston-Shields DM Yates J Stanyon M Orrell M
author_facet	Streater A Coleston-Shields DM Yates J Stanyon M Orrell M
author_sort	Streater A
title	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_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_sort	scoping review of crisis teams managing dementia in older people
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/2c9061864b8048beb2dbcd8e2fcf6b0e
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A scoping review of crisis teams managing dementia in older people

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