OUTCOME MEASURES FOR ROUTINE USE IN DEMENTIA SERVICES - SOME PRACTICAL CONSIDERATIONS

Objectives-To work with specialist community teams to assess the pract icality and acceptability of identified outcome measures for routine u se in dementia services. Setting-Seven specialist dementia services: f our multidisciplinary teams, a specialist service for carers, a commun ity psychiatric nurse team, and a day hospital. Subjects-20 members of staff from the specialist dementia services including psychiatry, com munity psychiatric nursing, social work, occupational therapy Admiral nursing, ward management, geriatric nursing. Main measure-A questionna ire designed to assess staff views on the use of six outcome measures in routine practice in terms of practicality, relevance, acceptability , and use in improving care. Results-Each of the outcome measures took 15 to 30 minutes to administer. All were rated as easy to use and as relevant to dementia services and to carers. Staff commented that the measures could be useful in routine practice for structured assessment and service evaluation, but highlighted the need for sensitive use of measures with carers. Conclusions-These measures consider the main do mains of functioning for people with dementia and their carers. The me asures are suitable for use in routine practice in dementia services a nd are acceptable to staff and carers. The project underlined the need for management support, staff ownership of measures, and training in using outcome measures. Staff concerns about service evaluation need t o be acknowledged.