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Comparison of Assertive Community Treatment Fidelity Assessment Methods: Reliability and Validity

  • Angela L. Rollins
  • , John H. McGrew
  • , Marina Kukla
  • , Alan B. McGuire
  • , Mindy E. Flanagan
  • , Marcia G. Hunt
  • , Doug L. Leslie
  • , Linda A. Collins
  • , Jennifer L. Wright-Berryman
  • , Lia J. Hicks
  • , Michelle P. Salyers

Research output: Contribution to journalArticlepeer-review

Abstract

Assertive community treatment is known for improving consumer outcomes, but is difficult to implement. On-site fidelity measurement can help ensure model adherence, but is costly in large systems. This study compared reliability and validity of three methods of fidelity assessment (on-site, phone-administered, and expert-scored self-report) using a stratified random sample of 32 mental health intensive case management teams from the Department of Veterans Affairs. Overall, phone, and to a lesser extent, expert-scored self-report fidelity assessments compared favorably to on-site methods in inter-rater reliability and concurrent validity. If used appropriately, these alternative protocols hold promise in monitoring large-scale program fidelity with limited resources.

Original languageEnglish (US)
Pages (from-to)157-167
Number of pages11
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Volume43
Issue number2
DOIs
StatePublished - Mar 1 2016

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

All Science Journal Classification (ASJC) codes

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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