WP1: Development Phase
We will formulate an evidence-based conceptual model and recommendations for achieving best practice in DCT organisation and operation to guide research and practice, and to develop and validate an Implementation Measure to assess to what extent this is achieved and test this in practice. We will develop a Resource Kit for achieving high quality and effective care. The Resource Kit will include: the Home Treatment Protocol (HTP), best practice recommendations for DCT organisation, and the Implementation Measure.
WP2: Feasibility Phase
We will conduct a feasibility study to evaluate the methodology, use of the Resource Kit, appropriate patient and carer outcome measures, costs and
WP3: Evaluation Phase
We will conduct a cluster randomised controlled clinical trial (with internal pilot) of DCTs to evaluate the clinical and cost effectiveness of the Resource Kit in comparison with usual care for people with dementia in reducing admissions, improving quality of life, and reducing costs. In a proportion of DCTs in the control group we will implement the Resource Kit in DCT routine practice collecting basic data, and evaluating implementation.