Use of Learning Collaboratives by the Center for Practice Innovations to Bring IPS to Scale in New York State

Margolies, Paul J.; Broadway-Wilson, Karen; Gregory, Raymond; Jewell, Thomas C.; Scannevin, Gary; Myers, Robert W.; Fernández, Henry A.; Ruderman, Douglas; McNabb, Liam M.; Chiang, I-Chin; Marino, Leslie; Dixon, Lisa B.

doi:10.1176/appi.ps.201400383

Cited by 18 publications

(17 citation statements)

References 10 publications

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“…PROS is an outpatient mental health program model that sets a clear expectation in regard to the implementation of recovery-oriented evidence-based practices. Through funding policies, the NYS Office of Mental Health provides incentives for adoption of these practices, which include IPS (10). …”

Section: Methodsmentioning

confidence: 99%

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Is There a Role for Fidelity Self-Assessment in the Individual Placement and Support Model of Supported Employment?

Margolies

Humensky

Chiang

et al. 2017

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Objective Fidelity assessments help ensure evidence-based practices are implemented properly. While typically conducted by independent raters, some programs have implemented self- assessments due to resource constraints. Self-assessments were compared to independent assessments within programs implementing Individual Placement and Support (IPS) supported employment. Methods Eleven community-based outpatient programs in New York State completed both self and independent assessments. ICCs and paired t-tests were used to compare independent and self-rated assessments. Results Mean scores are within the range of “fair fidelity” to IPS. Mean self (91.7) and independent (92.9) scores were not significantly different from one another. However, significant differences were found among individual items in this small sample. Conclusions and Implications for Practice Self-assessments may be valid for examining a program’s overall functioning, and useful when resource constraints prevent independent assessment. Independent assessors may be able to identify nuances, particularly among individual assessment items, that can identify areas for program improvement.

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Section: Methodsmentioning

confidence: 99%

“…Fidelity assessments were one component of a comprehensive training and implementation technical assistance package offered to PROS programs across NYS by the Center for Practice Innovations (CPI) (10). Programs participated in regional learning collaboratives providing face-to-face and online training and support.…”

Section: Methodsmentioning

confidence: 99%

Is There a Role for Fidelity Self-Assessment in the Individual Placement and Support Model of Supported Employment?

Margolies

Humensky

Chiang

et al. 2017

Self Cite

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“…A New York initiative modeled on the IPS national learning community provides technical assistance and a process for monitoring fidelity and employment outcomes [48]. By the end of 2014, 59 (69%) of 86 eligible programmes had joined the New York initiative.…”

Section: Dissemination Implementation and Sustainabilitymentioning

confidence: 99%

Recent advances in supported employment for people with serious mental illness

Mueser

Drake

Bond

2016

Current Opinion in Psychiatry

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“…This initiative includes a technical assistance center that provides training and monitors fidelity and employment outcomes. Its initial employment outcomes have been similar to those in the national learning community. It also established a dedicated IPS funding mechanism, which has contributed to the rapid growth of IPS services.…”

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confidence: 86%

Sustaining Individual Placement and Support (IPS) services: the IPS Learning Community

et al. 2016

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again, according to a structured interview (if feasible). Alternatively, the person no longer meets the definition of remission/recovery (i.e., the person again scores 13 or above on the (C)Y-BOCS plus CGI-I rating of 6 ("much worse") or higher for at least one month, or needs to be withdrawn prematurely from the trial before one month has elapsed due to a severe worsening of OCD symptoms. Discontinuation of the trial due to reasons other than worsening in OCD symptoms (e.g. suicide risk) is not considered a relapse.Two comments are worth adding. First, in Round 1, to consider a patient a treatment responder or remitter, many experts (56% and 58%, respectively) thought that sustained improvement should be present for at least one month. However, this proposed duration clashes with the (C)Y-BOCS, which asks about symptoms during the "previous week". In addition, response has been defined in most prior OCD trials at the end of treatment. In Round 2, despite explicating this, only 64% and 46% of experts agreed with the proposal of "at least one week" for the duration of response and remission, respectively. To accommodate this disagreement in the field, the duration for response and remission above allows for "at least one week" and we recommend additional follow-up assessments where possible to assess whether response/remission status has been maintained over longer periods.Second, to judge that a patient relapsed, many experts (Round 1: 48%; Round 2: 87%) thought that worsening of symptoms should be present for at least one month to protect against transient flares in symptoms. However, some patients acutely deteriorate and require immediate clinical intervention 12 . For this reason, the relapse definition above indicates that patients who need to be removed from treatment protocols before one month because of worsening of OCD symptoms should also be considered to have relapsed.In summary, agreement was reached on how to define response, remission, recovery and relapse across a range of international professionals with expertise in OCD. We recommend that researchers report their results using these definitions whenever possible. As outlined by Frank et al 6 , doing so will lead to: a) improved design, interpretation and comparison of clinical trials of various modalities; b) improved communication of research findings between professionals and to the general public; c) improved guidelines for evaluation of clinical efficacy of various treatments by regulatory agencies; and d) development of improved treatment guidelines for clinical practice.

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Use of Learning Collaboratives by the Center for Practice Innovations to Bring IPS to Scale in New York State

Cited by 18 publications

References 10 publications

Is There a Role for Fidelity Self-Assessment in the Individual Placement and Support Model of Supported Employment?

Is There a Role for Fidelity Self-Assessment in the Individual Placement and Support Model of Supported Employment?

Recent advances in supported employment for people with serious mental illness

Sustaining Individual Placement and Support (IPS) services: the IPS Learning Community

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