People with dementia experiencing a mental health crisis and carers receiving clinical input from a dementia crisis team (Team Managing Crisis in Dementia - TMCD) Mental and Behavioural Disorders Unspecified dementia
Conditions
Interventions
This pre-post group-comparison multi-centre RCT will be carried out with 30 dementia crisis teams (TMCDs) across England.
Once consent has been obtained from each Team Managing Crisis in Dementia (TM
Sponsors
Nottinghamshire Healthcare NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Teams (TMCDs) managing mental health crises in dementia in community settings, and practitioners, people with dementia and carers associated with these TMCDs. No age range criteria are set for any participants.
Exclusion criteria
Exclusion criteria: Teams (TMCDs) will be excluded for the following reasons: 1. Team is not defined by service/NHS Trust as having a role in dementia mental health crisis management 2. Team does not meet the following definition for mental health crisis: providing urgent mental health assessment and intervention for people with dementia in the community 3. A major service reorganisation is planned over the study period, or is anticipated in the near future 4. NHS Trust and team are not able to demonstrate capacity and capability to complete required research activities 5. Team is co-located with another team taking part in this study; sharing the same site is acceptable but sharing the same office is not 6. Team shares immediate management structures with another team taking part in this study; sharing a management structure above the level of team leader is acceptable but sharing a team leader is not 7. Core clinical staff for team do not operate separately from another team taking part in this study; this includes a requirement that core clinical staff must not engage in clinical cross cover with another team taking part in this study 8. Team shares core administrative staff with another team taking part in this study 9. If a team leader who has been exposed to the intervention becomes lead for a team in the control arm of the RCT, that latter team will then be excluded
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of mental health hospital admissions measured using hospital admissions records for people with dementia in the geographical catchment area covered by the TMCD (as defined by postcode) at baseline and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Number of acute/general hospital admissions measured using hospital admissions records for people with dementia in the geographical catchment area covered by the TMCD (as defined by postcode) at baseline and 6 months 2. Client satisfaction measured for people with dementia and carers using the Client Satisfaction Questionnaire (CSQ-8) once post discharge from the TMCD 3. Quality of life measured for people with dementia and carers using the Quality of Life Questionnaire (EQ-5D-5L) once post discharge from the TMCD 4. General health measured for people with dementia and carers using the General Health Questionnaire (GHQ-12) once post discharge from the TMCD 5. Work acceptance and action measured for TMCD practitioners using the Work Acceptance & Action Questionnaire (WAAQ) at baseline and 6 months 6. Work engagement measured for TMCD practitioners using the Work Engagement Scale (Utrecht – UWES) at baseline and 6 months 7. General health measured for TMCD practitioners using the General Health Questionnaire (GHQ-12) at baseline and 6 months 8. Staff sickness levels measured for TMCD practitioners using TMCD staff sickness records at baseline and 6 months | — |
Countries
England, United Kingdom
Contacts
Public ContactLinda O'Raw
Outcome results
None listed