A recent systematic review of the literature, scoping the roles of crisis intervention teams working with older people with dementia, and attempting to assess their effectiveness, was performed. The authors were able to find only limited evidence that crisis teams reduce hospital admissions. The reasons may be mainly methodological. The teams managing such crises go by a range of different names, for example. Other differences and variations in these services are noted.
The authors recommend a use of a consistent protocol for delivering standardised care pathways, with measurable outcomes being used to evaluate the effectiveness of such interventions.
This systematic review and scoping survey were conducted as part of the AQUEDUCT Programme, funded by the National Institute for Health Research (NIHR).
“A realist review is needed to unpack the complexities of delivering a complex intervention, identify facilitators and barriers to its applicability across settings… “ (p.1602).
Streater, A. Coleston-Shields, DM. [and] Yates, J. [et al] (2017). A scoping review of crisis teams managing dementia in older people. Clinical Interventions in Aging. October 3rd 2017; 12: 1589-1603.