title: Practical Monitoring of Treatment Fidelity: Examples From a Team-Based Intervention for People With Early Psychosis.
abstract: Mental health programs can address many components of fidelity with routinely available data. Information from client interviews can be used to corroborate these administrative data. This column describes a practical approach to measuring fidelity that used both data sources. The approach was used in the Recovery After an Initial Schizophrenia Episode (RAISE) Connection Program, a team-based intervention designed to implement evidence-based practices for people experiencing early psychosis suggestive of schizophrenia. Data indicated that the intervention was implemented as intended, including program elements related to shared decision making and a range of evidence-based clinical interventions.
authors.affiliation: Dr. Essock, Dr. Nossel, and Dr. Dixon are with the New York State Psychiatric Institute and the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City (e-mail: se2176@columbia.edu ). Dr. McNamara, Dr. Bennett, Dr. Kreyenbuhl, and Dr. Goldman are with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Dr. Buchanan is with the Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Ms. Mendon is with the New York State Psychiatric Institute, New York City. Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column. This column is part of a special section on RAISE and other early intervention services.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Essock
authors.affiliation: Dr. Essock, Dr. Nossel, and Dr. Dixon are with the New York State Psychiatric Institute and the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City (e-mail: se2176@columbia.edu ). Dr. McNamara, Dr. Bennett, Dr. Kreyenbuhl, and Dr. Goldman are with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Dr. Buchanan is with the Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Ms. Mendon is with the New York State Psychiatric Institute, New York City. Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column. This column is part of a special section on RAISE and other early intervention services.
authors.forename: Ilana R
authors.initials: IR
authors.lastname: Nossel
authors.affiliation: Dr. Essock, Dr. Nossel, and Dr. Dixon are with the New York State Psychiatric Institute and the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City (e-mail: se2176@columbia.edu ). Dr. McNamara, Dr. Bennett, Dr. Kreyenbuhl, and Dr. Goldman are with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Dr. Buchanan is with the Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Ms. Mendon is with the New York State Psychiatric Institute, New York City. Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column. This column is part of a special section on RAISE and other early intervention services.
authors.forename: Karen
authors.initials: K
authors.lastname: McNamara
authors.affiliation: Dr. Essock, Dr. Nossel, and Dr. Dixon are with the New York State Psychiatric Institute and the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City (e-mail: se2176@columbia.edu ). Dr. McNamara, Dr. Bennett, Dr. Kreyenbuhl, and Dr. Goldman are with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Dr. Buchanan is with the Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Ms. Mendon is with the New York State Psychiatric Institute, New York City. Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column. This column is part of a special section on RAISE and other early intervention services.
authors.forename: Melanie E
authors.initials: ME
authors.lastname: Bennett
authors.affiliation: Dr. Essock, Dr. Nossel, and Dr. Dixon are with the New York State Psychiatric Institute and the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City (e-mail: se2176@columbia.edu ). Dr. McNamara, Dr. Bennett, Dr. Kreyenbuhl, and Dr. Goldman are with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Dr. Buchanan is with the Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Ms. Mendon is with the New York State Psychiatric Institute, New York City. Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column. This column is part of a special section on RAISE and other early intervention services.
authors.forename: Robert W
authors.initials: RW
authors.lastname: Buchanan
authors.affiliation: Dr. Essock, Dr. Nossel, and Dr. Dixon are with the New York State Psychiatric Institute and the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City (e-mail: se2176@columbia.edu ). Dr. McNamara, Dr. Bennett, Dr. Kreyenbuhl, and Dr. Goldman are with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Dr. Buchanan is with the Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Ms. Mendon is with the New York State Psychiatric Institute, New York City. Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column. This column is part of a special section on RAISE and other early intervention services.
authors.forename: Julie A
authors.initials: JA
authors.lastname: Kreyenbuhl
authors.affiliation: Dr. Essock, Dr. Nossel, and Dr. Dixon are with the New York State Psychiatric Institute and the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City (e-mail: se2176@columbia.edu ). Dr. McNamara, Dr. Bennett, Dr. Kreyenbuhl, and Dr. Goldman are with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Dr. Buchanan is with the Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Ms. Mendon is with the New York State Psychiatric Institute, New York City. Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column. This column is part of a special section on RAISE and other early intervention services.
authors.forename: Sapna J
authors.initials: SJ
authors.lastname: Mendon
authors.affiliation: Dr. Essock, Dr. Nossel, and Dr. Dixon are with the New York State Psychiatric Institute and the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City (e-mail: se2176@columbia.edu ). Dr. McNamara, Dr. Bennett, Dr. Kreyenbuhl, and Dr. Goldman are with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Dr. Buchanan is with the Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Ms. Mendon is with the New York State Psychiatric Institute, New York City. Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column. This column is part of a special section on RAISE and other early intervention services.
authors.forename: Howard H
authors.initials: HH
authors.lastname: Goldman
authors.affiliation: Dr. Essock, Dr. Nossel, and Dr. Dixon are with the New York State Psychiatric Institute and the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City (e-mail: se2176@columbia.edu ). Dr. McNamara, Dr. Bennett, Dr. Kreyenbuhl, and Dr. Goldman are with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Dr. Buchanan is with the Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Ms. Mendon is with the New York State Psychiatric Institute, New York City. Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column. This column is part of a special section on RAISE and other early intervention services.
authors.forename: Lisa B
authors.initials: LB
authors.lastname: Dixon
mesh_terms: D003657:Decision Making; D019317:Evidence-Based Medicine; D006801:Humans; D011618:Psychotic Disorders / Q000628:therapy*; D012559:Schizophrenia / Q000628:therapy*