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Assessing Program Fidelity Patterns within the IPS for Young Adults in Norway.

Ira Malmberg-Heimonen¹, Anne Grete Tøge², Magne Bråthen²

¹Department of Social Work, Child Welfare and Social Policy, Oslo Metropolitan University, Oslo, Norway.

Journal of Evidence-Based Social Work (2019)

|July 4, 2025

Summary

The Individual Placement and Support (IPS) fidelity scale for young adults (IPS-Y) effectively measures program fidelity and offers learning opportunities for practitioners. Regular assessments ensure the quality of IPS services for young adults with mental health conditions.

Keywords:

IPS mental health program fidelity young adults

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Area of Science:

Mental Health Services Research
Implementation Science
Supported Employment

Background:

Evidence-based practices necessitate fidelity scales for successful implementation.
Individual Placement and Support (IPS) is a proven supported employment model for adults with mental health conditions.
Norway launched a nationwide IPS program for young adults in 2021, using the IPS-Y fidelity scale.

Purpose of the Study:

To evaluate the variability of IPS-Y fidelity at scale and item levels.
To determine the internal consistency of the IPS-Y fidelity scale.
To understand the experiences of IPS specialists and supervisors with fidelity assessments.

Main Methods:

Conducted 52 fidelity assessments (independent and self-assessed) of IPS young adult services.
Analyzed 58 open-ended responses from IPS specialists and supervisors.
Examined fidelity ratings at scale and item levels, including specific service collaborations.

Main Results:

Fidelity ratings varied across items and services, with lower scores for collaboration and outreach.
The IPS-Y scale and its subscales demonstrated good internal consistency.
Practitioners viewed fidelity assessments positively, recognizing their necessity for learning, despite some finding them time-consuming.

Conclusions:

Fidelity assessments effectively measure program fidelity in the IPS young adults program.
Practitioners perceive fidelity assessments as crucial for professional development and learning.
Regular fidelity assessments are vital for maintaining the quality of IPS services for young adults.