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Oregon Supported Employment Center for Excellence. Individual Placement and Support Fidelity Overview. Oregon EASA Conference November 10, 2010. Jeff Krolick jkrolick@optionsonline.org. In Partnership with Oregon AMH, OVRS and RRI at PSU. What is an EBP?.
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Oregon Supported Employment Center for Excellence Individual Placement and Support Fidelity Overview Oregon EASA Conference November 10, 2010 Jeff Krolick jkrolick@optionsonline.org In Partnership with Oregon AMH, OVRS and RRI at PSU
What is an EBP? • An EBP is a set of interventions that have demonstrated consistently positive outcomes in methodologically rigorous research studies, typically randomized controlled trials. (Bond, Becker and Drake 2010 in press)
What is a Fidelity Scale? • A fidelity scale is an assessment procedure to measure the extent to which an intervention or practice is implemented as intended. (Bond, Becker and Drake 2010 in press)
IPS Fidelity Scale • Reliability • Content Validity • Discriminative Validity • Sensitivity to Change • Predictive Validity
IPS Fidelity Scale Description • 25 items • Each item rated using a 1-5 score • 115-125 exemplary fidelity • 100-114 good fidelity • 74-99 fair fidelity • 73 and below not IPS • Oregon requires minimum score of 100
Highly Correlated Fidelity Items • Community based services • Full time employment specialists (Becker et al 2001) • Rapid job search • Focus on competitive employment (McGrew 2007)
Other Key Factors • Job selection, integration with treatment team, quality of job development and vocational staffing most strongly differentiate IPS from other employment models. (Bond et al 2001) • Consumer surveys indicate the quality of relationships with IPS staff and “practice assistance” are experienced as the most important aspects. (Johnson et al., 2009; Taylor, 2007)
Other Key Factors • For successful implementation (high fidelity) strong leadership and mastery of key skills are positive factors • Lack of leadership and negative attitudes about the IPS model correlate with unsuccessful implementation (low or no fidelity). (Marshal et al 2008)