Fidelity Reviews

Trevor has conducted fidelity reviews for several models including: Motivational Interviewing (MI), Assertive Community Treatment (ACT), Integrated Dual Diagnosis Treatment (IDDT), Supported Education (SEd)

Motivational Interviewing (MI)

Trevor was a consultant and trainer for the Washington State Department of Vocational Rehabilitation in their effort to implement motivational interviewing system wide. It was the vision of this department to utilize MI as a means to assist in a statewide cultural shift towards more strengths-based strategies. In order to ensure fidelity to the intervention, Trevor provided individualized coaching and feedback to vocational rehabilitation counselors across the state. This was accomplished by coding audio-tapes of actual interviews with clients and then providing constructive coaching through telephone calls and further training. Trevor has since provided this service to others in Washington, Kansas, Wisconsin and elsewhere.

Assertive Community Treatment (ACT)

Trevor was one of the piloting agents that assisted Maria Monroe-DeVita (2011) to develop the TMACT (The Measure of Assertive Community Treatment) fidelity scale. Trevor conducted fidelity reviews and provided consultation/technical assistance for ACT teams across the state of Washington.

Monroe-DeVita, M., Teague, G. B., & Moser, L. L. (2011). The TMACT: A new tool for measuring fidelity to assertive community treatment. Journal of the American Psychiatric Nurses Association. 17(1), 17-21.

Integrated Dual Diagnosis Treatment (IDDT)

Trevor has assisted in conducting several fidelity reviews in Washington state and Kansas for IDDT.

Supported Education (SEd)

Trevor has conducted several fidelity reviews on SEd. Trevor also took the lead in developing the latest version of the SEd fidelity scale used in Kansas:

Manthey, T., Coffman, M., Goscha, R., Bond, G., Mabry, A., Carlson, L., Davis, J., Rapp, C., Holter, M., and McDiarmid, D. (2012). The University of Kansas Supported Education Fidelity Scale, The Office of Mental Health Research and Training, The University of Kansas School of Social Welfare.

The evidence for supported education thus far does not constrain program development into one narrow model. Therefore, the aim of the KU SEd fidelity scale is to provide a principle-driven model that is likely to be of use in a variety of settings and programs. As used here “fidelity” means concordance with principles rather than adherence to key elements of programs proven effective.

The KU Supported Education fidelity scale was initially developed through using an expert panel of six researchers, a review of other fidelity scales currently available, individual interviews (with general consumers, students with psychiatric disabilities, community mental health staff, and community college staff), three large focus group interviews, and a review of the literature. The KU SEd fidelity scale was initially piloted at three separate community mental health agencies and revised based on the piloting process in these agencies. The scale has also been adopted by SAMHSA and has been utilized by other supported education agencies across the country.

Current revisions to the scale are based on a national study of integrated supported education and supported employment programs (Manthey et al., 2012), a focus group of SEd providers in Kansas, and a panel of seven KU researchers. The aim of the latest revision was to make the scale more adaptable to a variety of integrated models (such as an integrated supported education/employment model) which is consistent with the original adaptability goals of the scale.

Manthey, T. J., Rapp, C. A., Carlson, L., Holter, M. C., & Davis, J. K. (2012). The perceived importance of integrated supported education and employment services. Journal of Rehabilitation, 78(1), 16-24.