Beyond components: Using Fidelity scales to measure and assure choice in program implementation and quality assurance

Fidelity scales have become an accepted part of intervention research. Initially, fidelity scales focused on critical components of an intervention. In this paper we argue that the next generation of fidelity scales should include key process variables such as choice. Since choice is an essential el...

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Bibliographic Details
Published in:Community mental health journal 2002-04, Vol.38 (2), p.119-128
Main Authors: PAULSON, Robert I, POST, Rachel L, HERINCKX, Heidi A, RISSER, Patrick
Format: Article
Language:English
Subjects:
Biological and medical sciences
Case management
Choice
Choice Behavior - classification
Classification
Coercion
Community Mental Health Services - organization & administration
Consumer Behavior
Consumers
Decision Making
Design
Employment
Employment, Supported - organization & administration
Employment, Supported - psychology
Empowerment
Fidelity
Health services
Humans
Intervention
Medical sciences
Mental disorders
Mental health
Mental health care
Mentally ill people
Mentally Ill Persons - psychology
Models, Organizational
Organization of mental health. Health systems
Power (Psychology)
Program Evaluation
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Quality Assurance, Health Care
Quality control
Rehabilitation
Scales
Severely
Social psychiatry. Ethnopsychiatry
Social research
Supported employment
Surveys and Questionnaires
USA
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Description
Summary:Fidelity scales have become an accepted part of intervention research. Initially, fidelity scales focused on critical components of an intervention. In this paper we argue that the next generation of fidelity scales should include key process variables such as choice. Since choice is an essential element in all empowerment and recovery driven intervention models, a fidelity scale for an enhanced version of the Individual Placement and Support (IPS) supported employment model that incorporates choice as a fundamental component was developed as part of a SAMHSA community action grant. The process for developing the choice component and the dimensions measured are also described.
ISSN:0010-3853
1573-2789
DOI:10.1023/A:1014591020400