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Comparison of Assertive Community Treatment Fidelity Assessment Methods: Reliability and Validity
Angela L Rollins1,2, John H McGrew3, Marina Kukla4,5
1HSR&D Center for Health Information and Communication, Richard L. Roudebush VAMC, 1481 W. 10th Street, 11-H, Indianapolis, IN, 46202, USA. alrollin@iupui.edu.
Abstract:
Assertive community treatment is known for improving consumer outcomes, but is difficult to implement. On-site fidelity measurement can help ensure model adherence, but is costly in large systems. This study compared reliability and validity of three methods of fidelity assessment (on-site, phone-administered, and expert-scored self-report) using a stratified random sample of 32 mental health intensive case management teams from the Department of Veterans Affairs. Overall, phone, and to a lesser extent, expert-scored self-report fidelity assessments compared favorably to on-site methods in inter-rater reliability and concurrent validity. If used appropriately, these alternative protocols hold promise in monitoring large-scale program fidelity with limited resources.
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