Oregon Supported Employment
Center for Excellence
Individual Placement and Support Fidelity Overview
Oregon EASA Conference November 10, 2010
Jeff Krolick jkrolick@optionsonline.org
In Partnership with Oregon AMH, OVRS and RRI at PSU
What is an EBP?
► An
EBP is a set of interventions that have
demonstrated consistently positive
outcomes in methodologically rigorous
research studies, typically randomized
controlled trials. (Bond, Becker and Drake
2010 in press)
What is a Fidelity Scale?
►A
fidelity scale is an assessment procedure
to measure the extent to which an
intervention or practice is implemented as
intended. (Bond, Becker and Drake 2010 in
press)
IPS Fidelity Scale
► Reliability
► Content
Validity
► Discriminative Validity
► Sensitivity to Change
► Predictive Validity
IPS Fidelity Scale Description
► 25
items
► Each item rated using a 1-5 score
► 115-125 exemplary fidelity
► 100-114 good fidelity
► 74-99 fair fidelity
► 73 and below not IPS
► Oregon requires minimum score of 100
Highly Correlated Fidelity Items
► Community
based services
► Full time employment specialists (Becker et
al 2001)
► Rapid job search
► Focus on competitive employment (McGrew
2007)
Other Key Factors
► Job
selection, integration with treatment team,
quality of job development and vocational staffing
most strongly differentiate IPS from other
employment models. (Bond et al 2001)
► Consumer surveys indicate the quality of
relationships with IPS staff and “practice
assistance” are experienced as the most important
aspects. (Johnson et al., 2009; Taylor, 2007)
Other Key Factors
► For
successful implementation (high fidelity)
strong leadership and mastery of key skills
are positive factors
► Lack of leadership and negative attitudes
about the IPS model correlate with
unsuccessful implementation (low or no
fidelity). (Marshal et al 2008)