Articles

Reducing Placement Breakdown in Dementia Services: Transition Reviews, Stabilisation Plans and Crisis Learning

Placement breakdown is rarely caused by one incident. This article explains how to stabilise dementia placements through structured transition reviews, escalation planning and crisis learning. It includes operational examples, governance...

Dementia Escalation Pathways: When to Involve GP, Community Teams, Crisis Services and Safeguarding

Escalation in dementia services fails when thresholds are unclear and referrals are inconsistent. This article sets out a practical, defensible escalation pathway for involving GPs, community health teams, crisis services...

Managing Escalation Without Restrictive Practice in Dementia Services

Escalation in dementia care often leads to unnecessary restriction when systems are weak. This article shows how providers can manage rising risk, distress and safety concerns without defaulting to restrictive...

Crisis Prevention in Dementia Care: Identifying Early Warning Signs Before Escalation

Crisis in dementia care is rarely sudden. This article explains how providers can identify early warning signs of deterioration, distress and risk, and intervene before escalation occurs. It sets out...

Escalation Meetings in Dementia Care: How to Run Effective Reviews That Prevent Breakdown

Escalation meetings are one of the most practical tools for preventing crisis in dementia care, but only if they are structured, evidence-led and actioned quickly. This article explains how to...

Managing Transitions in Dementia Care: Hospital, Step-Down and Community Handover That Prevents Crisis

Transitions are high-risk moments for people living with dementia, especially when information is lost or support changes too quickly. This article explains how providers can manage hospital-to-community, step-down and internal...

Crisis Prevention in Dementia Care: Building Escalation Pathways That Actually Work

Preventing crisis in dementia care depends on clear escalation pathways, shared accountability and timely intervention. This article explores how providers can design and operate escalation systems that reduce distress, protect...

Recognising Early Escalation in Dementia: Preventing Crisis Before It Happens

Escalation in dementia rarely begins with crisis. It develops gradually through subtle changes in behaviour, health and routines. This article explains how providers can recognise early escalation, intervene proportionately, and...

Managing Transitions Between Home, Hospital and Care Settings in Dementia Services

Transitions between home, hospital and care settings are high-risk points in dementia support. This article sets out how providers should manage transitions operationally, reduce escalation, maintain continuity and meet commissioner...

Dementia Transitions That Go Wrong: Why Poor Planning Drives Crisis, Breakdown and Hospital Admission

Poorly planned transitions are one of the leading causes of crisis, placement breakdown and avoidable hospital admission for people living with dementia. This article examines why transitions fail in practice,...