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Evidence-Based Practices: Shaping Mental Health Services Toward Recovery

Co-Occurring Disorders:
Integrated Dual Disorders Treatment

Integrated Dual Disorders Treatment Fidelity Scale

This document is intended to help guide you in administering the Integrated Dual Disorders Treatment (IDDT) Fidelity Scale. In this document you will find the following:

Introduction
The introduction gives an IDDT overview and a who/what/how of the scale. There is also a checklist of suggested activities for before, during, and after the fidelity assessment that should lead to the collection of higher quality data, more positive interactions with respondents, and a more efficient data collection process.

Protocol
The protocol explains how to rate each item. In particular, it provides:

  • A definition and rationale for each fidelity item. These items have been derived from comprehensive, evidence-based literature.
  • A list of data sources most appropriate for each fidelity item (e.g., chart review, program leader interview, team meeting observation). When appropriate, a set of probe questions is provided to help you elicit the critical information needed to score the fidelity item. These probe questions were specifically generated to help you collect information from respondents that is free from bias such as social desirability.
  • Decision rules will facilitate the correct scoring of each item. As you collect information from various sources, these rules will help you determine the specific rating to give for each item.

Cover sheet
This is a record form for background information on the study site. The data are not used in determining fidelity, but to provide important information for classifying programs, such as size and duration of program, type of parent organization, and community characteristics.

Checklist for multiple sources
The checklist is to be used to assess if each of the multiple sources provides evidence for the presence of critical ingredients specified in each item.

Score sheet
The score sheet provides instructions for scoring, including how to handle missing data, and identifies cut-off scores for full, moderate, and inadequate implementation.

Integrated Dual Disorders Treatment Fidelity Scale

Back to Co-Occurring Disorders: Integrated Dual Disorders Treatment

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