Enhancing therapeutic gains: Examination of fidelity to the model for the intensive mental health program

Camille J. Randall, Bridget K. Biggs

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Given that the development of treatment fidelity assessment protocol is an integral but too frequently ignored aspect of clinical trials for psychological treatments, the Intensive Mental Health Program (IMHP) sought to build fidelity activities into training, program evaluation, and clinical recordkeeping from the outset of a 3 year study period. We describe (a) operational definitions and measurement of the IMHP treatment model, (b) planned fidelity-promoting activities, (c) evaluation methods, and (d) fair to appreciable accomplishment of IMHP fidelity targets. Discussion of the circumstances and processes possibly hindering better fidelity for several IMHP treatment features accompanies presentation of fidelity data. We summarize pitfalls and compensatory strategies identified during IMHP program evaluation and offer practical suggestions to enhance accountability and evaluative activity in future clinical research.

Original languageEnglish (US)
Pages (from-to)191-205
Number of pages15
JournalJournal of Child and Family Studies
Volume17
Issue number2
DOIs
StatePublished - Apr 1 2008

Keywords

  • Program evaluation
  • Serious emotional disturbances
  • Treatment fidelity

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Life-span and Life-course Studies

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