title: Is high fidelity to supported employment equally attainable in small and large communities?
abstract: Individual Placement and Support (IPS) is an evidence-based model to help people with serious mental illness achieve employment. This study examined variation in model adherence in small and large communities. We compared program-level ratings on a standardized 25-item IPS fidelity scale (range = 25-125) for 79 sites in eight states categorized by local community size. Programs in large and small communities achieved comparable fidelity scores (mean = 100 and 104, respectively). Fidelity-outcome correlations within the two groups were both of moderate size. As a practical guide, the IPS fidelity scale is suitable for use in both small and large communities.
authors.affiliation: Dartmouth Psychiatric Research Center, Geisel School of Medicine at Dartmouth, Rivermill Commercial Center, Suite B4-1, 85 Mechanic Street, Lebanon, NH, 03766, USA, Alison.Luciano@dartmouth.edu.
authors.forename: Alison
authors.initials: A
authors.lastname: Luciano
authors.forename: Gary R
authors.initials: GR
authors.lastname: Bond
authors.forename: Robert E
authors.initials: RE
authors.lastname: Drake
authors.forename: Deborah R
authors.initials: DR
authors.lastname: Becker
mesh_terms: D004651:Employment / Q000706:statistics & numerical data; D016832:Employment, Supported / Q000706:statistics & numerical data*; D055317:Evidence-Based Practice; D006801:Humans; D017063:Outcome Assessment, Health Care; D011156:Population Density; D010818:Practice Patterns, Physicians'; D012050:Rehabilitation, Vocational / Q000706:statistics & numerical data*; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012559:Schizophrenia / Q000534:rehabilitation*; D013223:Statistics as Topic; D014481:United States