Implementation and fidelity assessment of the NAVIGATE treatment program for first episode psychosis in a multi-site study

Autor: Sheena Potretzke, Sue E. Estroff, Corrine Cather, Delbert G. Robinson, Piper Meyer-Kalos, Jean Addington, John M. Kane, Susan Gingerich, Jennifer L. Wiseman, David L. Penn, Mary F. Brunette, Nina Schooler, David W. Lynde, Robert A. Rosenheck, Kim T. Mueser, Jennifer D. Gottlieb, Patricia Marcy, Shirley M. Glynn
Rok vydání: 2019
Předmět:
Adult
Male
Adolescent
Community Mental Health Centers
Computer science
Service delivery framework
Health Personnel
media_common.quotation_subject
Schizophrenia (object-oriented programming)
Staffing
Psychological intervention
Fidelity
Article
Young Adult
03 medical and health sciences
0302 clinical medicine
coordinated specialty care
Patient Education as Topic
Employment
Supported
First episode psychosis
Humans
Family
Program Development
implementation
Biological Psychiatry
Implementation Science
media_common
Supported employment
Patient Care Team
Medical education
training
Process Assessment
Health Care
Multi site
Community Mental Health Services
030227 psychiatry
Psychiatry and Mental health
fidelity
Psychotic Disorders
Female
030217 neurology & neurosurgery
Antipsychotic Agents
Program Evaluation
Zdroj: Schizophrenia Research. 204:271-281
ISSN: 0920-9964
DOI: 10.1016/j.schres.2018.08.015
Popis: The NAVIGATE program was developed for the Recovery After Initial Schizophrenia Episode-Early Treatment Program (RAISE-ETP) study, which compared NAVIGATE to usual Community Care in a cluster randomized design involving 34 sites and 404 patients. This article describes the approach to training and implementing the NAVIGATE program at the 17 sites (including 134 practitioners) randomized to provide it, and to evaluating the fidelity of service delivery to the NAVIGATE model. Fidelity was evaluated to five different components of the program, all of which were standardized in manuals in advance of implementation. The components included four interventions (Individualized Resiliency Training, Family Education Program, Supported Employment and Education, Personalized Medication Management) and the overall organization (staffing and structure) of the NAVIGATE team. Most of the sites demonstrated acceptable or higher levels of fidelity in their implementation of the four interventions and the organization of the program, with all 17 sites demonstrating at least acceptable overall fidelity to the NAVIGATE program. The results indicate that the NAVIGATE program can be implemented with good fidelity to the treatment model in a diverse array of community mental health care settings serving persons with a first episode psychosis.
Databáze: OpenAIRE
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