Fidelity Outcomes in the National Implementing Evidence-Based Practices Project

McHugo, Gregory J.; Drake, Robert E.; Whitley, Rob; Bond, Gary R.; Campbell, Kikuko; Rapp, Charles A.; Goldman, Howard H.; Lutz, Wilma J.; Finnerty, Molly

doi:10.1176/ps.2007.58.10.1279

Cited by 216 publications

(121 citation statements)

References 31 publications

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“…The 28-item DACTS (11) assesses fidelity to ACT along three dimensions: Human Resources (e.g., psychiatrist on staff), Organizational Boundaries (e.g., explicit admission criteria), and Nature of Services (e.g., in-vivo services). Items are rated using a 5-point behaviorally-anchored scale (5=full implementation, 1=not implemented).…”

Section: Methodsmentioning

confidence: 99%

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A Comparison of Phone-Based and On-Site Assessment of Fidelity for Assertive Community Treatment in Indiana

McGrew¹

2011

Psychiatric Services

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Objective This study investigated the reliability, validity, and role of rater expertise in phone-administered fidelity assessment instrument based on the Dartmouth Assertive Community Treatment Scale (DACTS). Methods An experienced rater paired with a research assistant without fidelity assessment experience or a consultant familiar with the treatment site conducted phone based assessments of 23 teams providing assertive community treatment in Indiana. Using the DACTS, consultants conducted on-site evaluations of the programs. Results The pairs of phone raters revealed high levels of consistency [intraclass correlation coefficient (ICC)=.92] and consensus (mean absolute difference of .07). Phone and on-site assessment showed strong agreement (ICC=.87) and consensus (mean absolute difference of .07) and agreed within .1 scale point, or 2% of the scoring range, for 83% of sites and within .15 scale point for 91% of sites. Results were unaffected by the expertise level of the rater. Conclusions Phone based assessment could help agencies monitor faithful implementation of evidence-based practices.

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Section: Methodsmentioning

confidence: 99%

“…Mean item scores of 4 and above are considered characteristic of established ACT teams. The DACTS has excellent interrater reliability (11) and can differentiate between ACT and other types of intensive case management (7). …”

Section: Methodsmentioning

confidence: 99%

A Comparison of Phone-Based and On-Site Assessment of Fidelity for Assertive Community Treatment in Indiana

McGrew¹

2011

Psychiatric Services

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“…The federal government and private foundations have helped to promote EBPs by sponsoring demonstrations, such as the National Evidence-based Practices Project (McHugo et al 2007). Demonstrations are often short-lived when states do not sustain funding and leadership.…”

Section: What Are the Facilitators?mentioning

confidence: 99%

“…Since the late 1990s, researchers, mostly in the USA, have developed, validated and refined a series of EBP fidelity scales (McHugo et al 2007), including scales for IPS , assertive community treatment (Monroe-DeVita et al 2011), Housing First (Gilmer et al 2013) and Illness Management and Recovery (McGuire et al 2012). These scales have enabled state authorities to monitor programs and to ensure quality.…”

Section: What Are the Facilitators?mentioning

confidence: 99%

New directions for psychiatric rehabilitation in the USA

Bond

Drake

2016

Epidemiol Psychiatr Sci

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American researchers have led the world in developing, evaluating, and disseminating evidence-based psychiatric rehabilitation practices for people with serious mental illness. Paradoxically, however, the USA lags behind most industrialized nations in providing access to high-quality mental health and psychiatric services. This essay examines several evidence-based practices developed in the USA, the spread of these practices, the barriers to ensuring availability to people who could benefit from these services, and some promising directions for overcoming the barriers. Factors influencing the growth and sustainment of effective client-centred practices include the availability of adequate and stable funding, committed leadership, and the influence of vested interests. Two strategies for promoting the spread and sustainment of well-implemented evidence-based practices are the adoption of fidelity scales and learning communities.

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“…The National Evidence-Based Practices Project evaluated the implementation of five EBPs across 53 sites in eight states over a two-year period (McHugo et al, 2007).…”

mentioning

confidence: 99%

Fidelity of supported employment: Lessons learned from the National Evidence-Based Practice Project.

Bond

McHugo

Becker

et al. 2008

Psychiatric Rehabilitation Journal

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A review of the site reports suggested four factors that facilitated movement toward high fidelity: (1) Discontinuing non-evidence-based vocational services, (2) Making rapid structural changes through administrative action, (3) Measuring key process indicators to move toward desired changes, and (4) Gradually improving integration of the employment specialists with clinical services, primarily through supervisor leadership.

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Fidelity Outcomes in the National Implementing Evidence-Based Practices Project

Cited by 216 publications

References 31 publications

A Comparison of Phone-Based and On-Site Assessment of Fidelity for Assertive Community Treatment in Indiana

A Comparison of Phone-Based and On-Site Assessment of Fidelity for Assertive Community Treatment in Indiana

New directions for psychiatric rehabilitation in the USA

Fidelity of supported employment: Lessons learned from the National Evidence-Based Practice Project.

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