What is it about?

The First Episode Psychosis Fidelity Scale is a measure of the quality of services delivered to patients with a first episode of psychosis. In this paper we show that it reliable and can be used to assess services remotely. It only takes about 10 to 15 hours to prepare for the assessment.

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Why is it important?

The first episode of psychosis is a time of high risk for bad outcomes ranging from suicide to difficulties maintaining normal social and occupational functioning. Research shows that specialized teams of mental health professionals can achieve the best outcomes and provide cost effective care. This new research shows that the First Episode Psychosis Fidelity Scale can be used to assess the quality of these services in the real world. This is important because we want the real world services to deliver the same outcomes as services provided in research projects.

Perspectives

This article was born under challenging circumstances that were overcome due to the expertise and hard work of the research team. The results represent an important step forward because it moves the First Episode Psychosis Fidelity Scale from being a specialized and complicated tool to one that can be used widely and on a regional, national or international level. It is also an important step along the way to demonstrating a link between quality of care and outcomes in the real world of clinical service delivery.

Donald Addington
University of Calgary

Read the Original

This page is a summary of: Reliability and Feasibility of the First-Episode Psychosis Services Fidelity Scale–Revised for Remote Assessment, Psychiatric Services, December 2020, American Psychiatric Association,
DOI: 10.1176/appi.ps.202000072.
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