First Episode Psychosis Services Fidelity Scale (FEPS-FS 1.0) and Manual

Donald Addington is a professor in the Department of Psychiatry in the Cumming School of Medicine at the University of Calgary. He is also a member of the Mathison Centre for Mental Health Research and Education and the Hotchkiss Brain Institute. He has developed tools that have had a broad impact on the quality of health care delivery, including clinical practice guidelines, psychiatric status rating scales, fidelity scales, risk adjustment models, and performance measures. He is the author of Calgary Depression Scale for Schizophrenia, the internationally recognized gold standard for the assessment of depression in schizophrenia.

General Guidelines
Background
The First Episode Psychosis Services Fidelity Scale (FEPS-FS 1.0)
FEPS-FS-1.0 Manual
Overview of the Scale
Training Fidelity Assessors
Fidelity Assessment Process

Data Collection and Data Sources

How to Rate Components and Triangulate Across Data Sources
After Your Fidelity Review Component Criteria and Ratings


Practicing Team Leader
Patient-to-Provider Ratio
Services Delivered by Team
Assigned Case Manager
Psychiatrist Caseload
Psychiatrist Role on Team
Weekly Multi-Disciplinary Team Meetings
Explicit Diagnostic Admission Criteria
Population Served
Age Range Served
Duration of First Episode Psychosis (FEP) Program
Targeted Education to Health/Social Service/Community Groups
Early Intervention
Timely Contact with Referred Individual
Family Involvement in Assessments
Comprehensive Clinical Assessment
Comprehensive Psychosocial Needs Assessment
Clinical Treatment Plan/Care Plan After Initial Assessment
Antipsychotic Medication Prescription
Antipsychotic Dosing Within Recommendations for Individuals with FEP
Clozapine for Medication Resistant Symptoms Patient Psychoeducation


Family Education and Support
Cognitive Behavioral Therapy (CBT)
Supporting Health
Annual Formal Comprehensive Assessment
Services for Patients with Substance Use Disorders
Supported Employment
Supported Education
Active Engagement and Retention
Patient Retention
Crisis Intervention Services
Communication between FEPS and Inpatient Services
Timely Contact After Discharge from Hospital
Assuring Fidelity Appendix A: Preparing for a Fidelity Assessment


The Fidelity Team Will Work With You
Determine Primary Contact Person and Other Key Personnel
Establish Process and Obtain Approvals for Ethics/Privacy Oversight
Schedule the Fidelity Assessment Dates
Prepare Materials for the Assessment
Prepare Health Record Review Checklists
Plan Interview Schedule
Confidentiality Forms and Other Permissions
Appendix B: Health Record Review
Appendix C: Fidelity Interview Guide
Appendix D: Scoring Sheet
Appendix E: Feedback Report
Appendix F: Fist Episode Psychosis Services Fidelity Scale (FEPS-FS 1.0)
Appendix G: Individual Patient Variations
Appendix H: Self-Assessment Instructions
Appendix I: Quality Improvement Step-by-Step Guide
Appendix J: Medication Dosing GuidelinesReferences