CommonGround Fidelity Scale Center for Mental Health Research and Innovation University of Kansas School of Social Welfare

Transcription

1 Ground Fidelity Scale 1 Ground Fidelity Scale Center for Mental Health Research and Innovation University of Kansas School of Social Welfare I. Structural Components Onsite Ground Program Item 1. support specialists and/or Support Coordinator are available to support clients in their use of Ground whenever there are scheduled psychiatric appointments. 24% 2549% 5079% 8089% 90100% Item 2. The Ground Program is part of the medication clinic: The Ground Program is located in close proximity to the medication clinic. The Ground Program and medication clinic appointments are scheduled as one appointment time or concurrent appointments. Prescribers and peer support specialists collaborate to provide an integrated service for the client. No for each Yes, but inconsistent application for one or more. Yes for one Yes for two Yes for all

2 Ground Fidelity Scale 2 II. Ground Process Ground Report Item 3. % of clients who attend an appointment with their prescriber have completed a Health Report within the same day of their appointment with Power Statement Item 4. % of clients who use Ground that have Power Statements that meet criteria entered into the program. 24% 25-49% 50-79% 8089% 90100% 24% 25-49% 50-79% 8089% 90100% Item 5. Information from the client s Power Statement is included within goals and/or objectives of their treatment plan. 24% 25-49% 50-79% 8089% 90100% Personal Medicine Item 6. % of clients who use Ground that have Personal Medicine that meet criteria entered into the program. 24% 25-49% 5079% 8089% 90100%

3 Ground Fidelity Scale 3 Shared Decision Item 7. % of completed Ground Health Reports that have a decision that was written with client present. Item 8. % have a decision that meets criteria: 24% 25-49% 5079% 8089% 90100% The Shared Decision is written in the client's own voice and is unique being served. Shared decision indicates what specific, concrete action (e.g. take, call, list, write, go pick up, etc.) the client will take before their next medical appointment rather than use of vague language (e.g. continue to take medications as prescribed, follow appropriate treatment regime, return in one month to review progress). 24% 25-49% 5079% 8089% 90100%

4 Ground Fidelity Scale 4 III. Support Item 9. Specialists offer to do the following things with clients prior to completing the Health Report: Introduce the Homepage and point out new information. Review the Personal Medicine and updates if needed. Review the Power Statement and update if needed. Review the psychiatric medications and update if needed. Review My Wellness and update as needed Explain options for completing the report (listen, read, have peer support read questions, etc.) and offer assistance as needed. Specialists do 2 or less of the activities listed with most of at least 3 of the listed activities at least 4 of the at least 5 of the all of the

5 Ground Fidelity Scale 5 Item 10. After clients have completed their Health Reports, Specialists offer to do the following activities prior meeting with their prescriber: Review the How I Am Doing (HIAD) Scale and look for areas of concern. Review Concerns about Medications and look for areas of concern. Review My Wellness and look for areas of concern. Assist client in identifying a goal for the appointment with their prescriber and type in any specific questions or comments into the goal section. Review auto suggestions generated for the client and offer assistance in using and other resources in the Ground Library. Specialists do 2 or less of the activities listed with most of at least 3 of the at least 4 of the at least 5 of the all of the Invite the client to return to the Ground Program following their prescriber visit if they would like additional support in using the and self-help aids.

6 Ground Fidelity Scale 6 IV. Direct Service Staff Item 11. staff review a client s Health Report within 48 hours after it is completed and respond to areas of concern and action needed prior to the next appointment. This includes: Reviewing How I Am Doing (HIAD) Scale and noting areas of concern. Reviewing Concerns about Medications and noting areas of concern. Reviewing the decision and following up on any actions needed. Reviewing Power Statement and Personal Medicines to see if any changes or support is needed. 59% or less of the clients on their caseload using 60-69% of the 70-79% of the 80-89% of the % of the Item 12. staff regularly use a variety of decision aids/self-help tools from the Ground program with a specific goal, barrier, or challenge related to medications. There is no evidence that direct service staff regularly use a variety of Less than half of the direct service staff regularly use a variety of Half of the direct service staff regularly use a variety of Most direct service staff regularly use a variety of All direct services staff regularly use a variety of

7 Ground Fidelity Scale 7 V. Item 13. s review Health Reports each week and: Prompt direct service staff to follow up with Health Reports. Provide field mentoring to model, observe, and prompt use of Ground related skills. Provide feedback to direct services staff on Ground skills and performance. does none of these activities each does at least one of the does at least two of the does at least three of the does all four Health Reports are used in clinical meetings, case presentations, etc.