Improving emergency response providers' reaction to acute aggression in patients with dementia through adapted Crisis Intervention Team (CIT) education

Abstract

Background: Acute aggression among elderly patients suffering from some form of dementia induced by delirium is a significant issue facing societies in the United States and around the world. It is not a new issue, but with improved healthcare, decreasing mortality, and demographic trends related to the generation born after World War 2 aging, the prevalence of people suffering from dementia and acute exacerbations of aggressive incidents are likely to increase. To improve the outcomes, a better understanding of the mechanisms involved and implementation of proven standardized methods of de-escalating the situation for healthcare workers, first responders, and law enforcement officers is desirable. Methods: A scoping review of available peer-reviewed literature was initiated to formulate a basis for creating a pilot program. Data from the pilot program will inform further research, address deficiencies, and guide policies. Interventions: Educational seminar with pre- and post-seminar surveys to evaluate knowledge and attitudes/confidence changes. A post-seminar Strengths, Weaknesses, Opportunities, and Threats (SWOT) to evaluate/guide future steps. Results/Conclusions: The pre- and post-seminar survey data show that education changed confidence, attitude, and understanding. There was a statistically significant increase in participants' confidence in effectively dealing with acute dementia-related aggression. The post-seminar SWOT analysis identified IT glitches as a significant weakness. Participants felt that the seminar was well conducted, the material was relevant, the instructors were knowledgeable and well prepared, and they would recommend it to others.