A fidelity assessment of Early Psychosis Intervention Services in British Columbia, Canada.

A fidelity assessment of Early Psychosis Intervention Services in British Columbia, Canada. | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 16 February 2025 V1 Latest version Share on A fidelity assessment of Early Psychosis Intervention Services in British Columbia, Canada. Authors : Shandel Riedlinger , Tom Ehmann , Sarah Tamburri , and Donna J. Lang 0000-0001-9373-1555 [email protected] Authors Info & Affiliations https://doi.org/10.22541/au.173974370.01817633/v1 713 views 410 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Established standards and guidelines for early psychosis intervention (EPI) in British Columbia (BC) and across Canada define the intent and scope of individual EPI programs. EPI programs are a critical mental health service both in BC and internationally, based on widely affirmed theoretical and empirical foundations. If EPI principles and practices are applied, positive outcomes are expected, including greater reduction of psychotic symptoms compared to standard treatment, improved treatment adherence, fewer recurrent episodes of psychosis, and greater client satisfaction. Failure to adhere to practices associated with the EPI model may jeopardize attaining these desired outcomes. As such, fulsome evaluation of program fidelity to established EPI practice standards and guidelines was conducted at 16 mental health service sites across the province of BC and was performed via utilization of the EPI Fidelity Scale (EPI-FS). Based on the EPI-FS, two sites (12.5%) met criteria for high fidelity, nine (56.3%) attained moderate fidelity, three (18.8%) low fidelity and two (12.5%) very low fidelity. Fidelity varied between sites, with some programs experiencing challenges with staffing levels, as well as insufficient expertise, training and infrastructure. Specialized EPI programs were linked to higher fidelity, while many generic mental health and service centres had difficulty following the EPI model. Sites with higher fidelity were more likely to have sufficient resources and a multidisciplinary team. The current findings indicate a need for greater levels of support within individual programs in BC and contribute to the international literature identifying the importance of specialized EPI services. Supplementary Material File (a fidelity assessment of early psychosis intervention services in british columbia (final sr).docx) Download 49.08 KB File (epi paper figures and tables (final sr).docx) Download 308.47 KB Information & Authors Information Version history V1 Version 1 16 February 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords early psychosis intervention fidelity assessment fidelity scale first episode psychosis program evaluation Authors Affiliations Shandel Riedlinger The University of British Columbia Department of Psychiatry View all articles by this author Tom Ehmann British Columbia Ministry of Health View all articles by this author Sarah Tamburri British Columbia Ministry of Health View all articles by this author Donna J. Lang 0000-0001-9373-1555 [email protected] The University of British Columbia View all articles by this author Metrics & Citations Metrics Article Usage 713 views 410 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Shandel Riedlinger, Tom Ehmann, Sarah Tamburri, et al. A fidelity assessment of Early Psychosis Intervention Services in British Columbia, Canada.. Authorea . 16 February 2025. DOI: https://doi.org/10.22541/au.173974370.01817633/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . Format Please select one from the list RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks Direct import Tips for downloading citations document.getElementById('citMgrHelpLink').addEventListener('click', function() { popupHelp(this.href); return false; }); $(".js__slcInclude").on("change", function(e){ if ($(this).val() == 'refworks') $('#direct').prop("checked", false); $('#direct').prop("disabled", ($(this).val() == 'refworks')); }); View Options View options PDF View PDF Figures Tables Media Share Share Share article link Copy Link Copied! Copying failed. 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