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

Mauricio Alvarez-Monjaras; Melissa Lotmore; Russell Razzaque; Mark Steven Hopfenbeck; Stephen Pilling

doi:10.3389/fpsyg.2023.1076791

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

Front Psychol. 2023 Feb 22:14:1076791. doi: 10.3389/fpsyg.2023.1076791. eCollection 2023.

Authors

Mauricio Alvarez-Monjaras¹, Melissa Lotmore¹, Russell Razzaque², Mark Steven Hopfenbeck³, Stephen Pilling¹

Affiliations

¹ Department of Clinical Educational and Health Psychology, University College London, London, United Kingdom.
² North East London NHS Foundation Trust, London, United Kingdom.
³ Department of Health Sciences, Norwegian University of Science and Technology, Trondheim, Sør-Trøndelag, Norway.

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.

Keywords: community mental health; complex interventions; fidelity; implementation science; measure development; open dialogue; severe mental illness.