Essock Susan M, Nossel Ilana R, McNamara Karen, Bennett Melanie E, Buchanan Robert W, Kreyenbuhl Julie A, Mendon Sapna J, Goldman Howard H, Dixon Lisa B
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:
Psychiatr Serv. 2015 Jul;66(7):674-6. doi: 10.1176/appi.ps.201400531. Epub 2015 Jan 2.
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.
心理健康项目可以利用常规可得数据来处理保真度的许多组成部分。来自客户访谈的信息可用于证实这些行政数据。本专栏介绍了一种使用这两种数据源来衡量保真度的实用方法。该方法用于首次精神分裂症发作后康复(RAISE)连接项目,这是一种基于团队的干预措施,旨在为疑似精神分裂症的早期精神病患者实施循证实践。数据表明,干预措施按计划实施,包括与共同决策相关的项目要素和一系列循证临床干预措施。