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The community mental health team fidelity scale: A measure of program fidelity of social networks interventions for severe mental illness

Alvarez-Monjaras, Mauricio; Lotmore, Melissa; Razzaque, Russell; Hopfenbeck, Mark Steven; Pilling, Stephen; (2023) The community mental health team fidelity scale: A measure of program fidelity of social networks interventions for severe mental illness. Frontiers in Psychology , 14 , Article 1076791. 10.3389/fpsyg.2023.1076791. Green open access

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Abstract

Open dialogue (OD) is a multi-component therapeutic and organizational intervention for crisis and continuing community mental health care with a therapeutic focus on clients’ social networks. The development and implementation of this model of care in the United Kingdom requires considerable contextual adaptations which need to be assessed to support effective implementation. Program fidelity–the extent to which core components of an intervention are delivered as intended by an intervention protocol at all levels–is crucial for these adaptations. Aims: To develop, pilot, and implement a program fidelity measure for community mental health services providing OD and ‘treatment as usual’ (TAU) or standard NHS crisis and community care. Methods: Measure structure, content, and scoring were developed and refined through an iterative process of discussion between the research team and OD experts. Measure was piloted in the 6 OD and 6 TAU services participating in a large-scale research program. Results: Initial data suggests that the Community Mental Health Team Fidelity Scale (COM-FIDE) is a potentially reliable and feasible measure of the fidelity of community mental health services and specific OD components of such services.

Type: Article
Title: The community mental health team fidelity scale: A measure of program fidelity of social networks interventions for severe mental illness
Open access status: An open access version is available from UCL Discovery
DOI: 10.3389/fpsyg.2023.1076791
Publisher version: https://doi.org/10.3389/fpsyg.2023.1076791
Language: English
Additional information: Copyright © 2023 Alvarez-Monjaras, Lotmore, Razzaque, Hopfenbeck and Pilling. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Keywords: open dialogue, fidelity, implementation science, community mental health, measure development, severe mental illness, complex interventions
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10166244
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