Janet Durbin1, Avra Selick1, Gordon Langill1, Chiachen Cheng1, Suzanne Archie1, Shannel Butt1, Donald E Addington1. 1. Centre for Addiction and Mental Health, Toronto (Durbin, Selick); Department of Psychiatry, University of Toronto, Toronto (Durbin); Haliburton Kawartha Pine Ridge Branch, Canadian Mental Health Association, Peterborough, Ontario (Langill); Psychiatry Section, Clinical Sciences, Northern Ontario School of Medicine, Thunder Bay, Ontario (Cheng); Department of Psychiatry and Behavioural Neuroscience, McMaster University, Hamilton, Ontario (Archie); Elgin Branch, Canadian Mental Health Association, St. Thomas, Ontario (Butt); Department of Psychiatry, University of Calgary, Calgary, Alberta (Addington).
Abstract
OBJECTIVES: The First Episode Psychosis Services Fidelity Scale (FEPS-FS) is a validated measure of program delivery in relation to international standards. This study assessed fidelity in Ontario programs and the utility of the FEPS-FS for program improvement. METHODS: Assessments were conducted in a volunteer sample of nine early psychosis intervention (EPI) programs. Thirty components of care were each rated on a 5-point scale; a rating of 4 indicates satisfactory performance. Trained assessor teams conducted site visits, and ratings were made by consensus. RESULTS: Program mean fidelity ratings ranged from 3.1 to 4.4 and exceeded 4 in five programs. Across the programs, item mean fidelity ratings ranged from 2.1 to 5 and exceeded 4 for 14 of 30 items. CONCLUSIONS: The FEPS-FS captured variation in program implementation and provided a baseline for measuring change. Additions to the scale are planned to address components of the Ontario EPI standards not covered by the FEPS-FS.
OBJECTIVES: The First Episode Psychosis Services Fidelity Scale (FEPS-FS) is a validated measure of program delivery in relation to international standards. This study assessed fidelity in Ontario programs and the utility of the FEPS-FS for program improvement. METHODS: Assessments were conducted in a volunteer sample of nine early psychosis intervention (EPI) programs. Thirty components of care were each rated on a 5-point scale; a rating of 4 indicates satisfactory performance. Trained assessor teams conducted site visits, and ratings were made by consensus. RESULTS: Program mean fidelity ratings ranged from 3.1 to 4.4 and exceeded 4 in five programs. Across the programs, item mean fidelity ratings ranged from 2.1 to 5 and exceeded 4 for 14 of 30 items. CONCLUSIONS: The FEPS-FS captured variation in program implementation and provided a baseline for measuring change. Additions to the scale are planned to address components of the Ontario EPI standards not covered by the FEPS-FS.
Entities:
Keywords:
Fidelity; Quality of care ; first episode psychosis; standardized assessment
Authors: Nicole Kozloff; George Foussias; Janet Durbin; Sanjeev Sockalingam; Jean Addington; Donald Addington; Augustina Ampofo; Kelly K Anderson; Melanie Barwick; Sarah Bromley; Jasmyn E A Cunningham; Simone Dahrouge; Lillian Duda; Catherine Ford; Sheila Gallagher; John D Haltigan; Joanna Henderson; Alexia Jaouich; Dielle Miranda; Patrick Mitchell; Josette Morin; Claire de Oliveira; Valerie Primeau; Eva Serhal; Sophie Soklaridis; Diana Urajnik; Krista Whittard; Juveria Zaheer; Paul Kurdyak; Aristotle N Voineskos Journal: BMJ Open Date: 2020-06-03 Impact factor: 2.692