Achieving Quality and Effectiveness in Dementia Using Crisis Teams (AQUEDUCT): Work Package 1


Study ID: 32157
Short Title: AQUEDUCT (v1)
Organisation: Dorset Healthcare University NHS Foundation Trust
Location: Dorset Healthcare University NHS Foundation Trust
Condition: Dementia
Main Specialty: Dementias
Expected End Date: 30/06/2019
Postcode: BH1 4JQ
Contact Name: DHUFT Research & Development
Contact Email: dhc.research&development@nhs.net
Active: Yes

Inclusion Criteria

All participants must be willing and able to give informed consent for participation in the study, and they must be age 18 years or above. WP1.1: Understanding Current TMCD Practice and Process W P1.1.1 – Interviews With TMCD Staff Members About Current Practice


• Staff members involved in the interviews will have been a member of the TMCD for at least 6 months. WP 1.1.2 – Interviews With TMCD Staff Members, Service Users and Carers About the Experience of Giving and Receiving Current Practice Service users involved in the interviews will have been given a diagnosis of dementia and will have received input from the TMCD within the last 6 months.


• Carers will be caring for a person with dementia who has received input from the TMCD within the last 6 months. WP1.1.3 – Focus Groups on Positive TMCD Practice


• People with dementia taking part in focus groups will have been given a diagnosis of dementia and will have received input from the participating TMCDs within the last 6 months.


• Carers taking part in focus groups will have a relative with dementia who has received input from the TMCDs within the last 6 months.


• TMCD staff will have been employed by the TMCD for at least 6 months.


• The stakeholders will be commissioners, Trust senior managers, and those who interface with TMCDs from primary or secondary care on a regular basis. WP1.1.4 – Briefing of TMCD Staff Members With the HTP


• Any crisis team that works with people with dementia and with carers of people with dementia will be considered suitable to participate in this stage of the research.


• The 10 TMCD staff members who receive the HTP briefing will be senior members within the team. WP 1.2: Development of the Best Practice Model and FM WP1.2.1 – Stakeholder Consensus Conference


• Stakeholders invited to participate will have at least 6 months knowledge and experience of working with TMCDs. WP1.2.2 – FMv3 Field Testing


• The 15 TMCDs will be selected to provide a range of care models, service user demographics, and geographical location.


• The 10 other teams will provide community mental health services for people with dementia but will not offer crisis services.


• People with dementia filling out questionnaires will have been given a diagnosis of dementia and will have received input from the participating TMCDs within the last 6 months.


• Carers filling out questionnaires will have a relative with dementia who has received input from the participating TMCDs within the last 6 months. WP1.3: Development of the RK WP 1.3.1 – Field testing the RK


• Any crisis team which works with people with dementia and carers of people with dementia will be considered suitable for participation in this stage of the research.

Exclusion Criteria

• Participants unable to give informed consent will not be included in this research.


• Participants may be withdrawn if they do not complete the research.

Study summary:

Currently there is limited evidence to suggest that crisis teams working with older adults with mental health needs reduce hospital admissions. The present study seeks to establish best practice for crisis teams working with people with dementia including the development of a resource kit that will train and guide crisis teams in how to provide best practice. This will take place through a number of work packages, the first of which is addressed in this application. Work package 1 will determine best practice in Teams Managing Crisis in people with Dementia (TMCDs) using: the perspectives and experiences of service users, carers, the voluntary sector, professionals, and experts. We will use the following methods: researchers interviewing TMCD staff members, semi-structured interviews and focus groups with service users of TMCDs and their carers; and a consensus process to achieve synthesis of these sources of evidence to develop a best practice model, a resource kit and a measure to assess to what extent best practice has been implemented. In work package 2, this resource kit will then be field tested and evaluated through data gathered from TMCDs and other non-crisis dementia teams and client questionnaires.


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