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Festschrift: Gary Bond and Fidelity Assessment
Published Online: 1 August 2012

Introduction to the Festschrift

Abstract

Evidence-based practices are complex combinations of services and supports, provided in well-researched sequences, with attention to a person's needs and preferences. Such interventions lose effectiveness when they are not delivered with fidelity to established models. No one in the field of psychiatric rehabilitation can talk for long about fidelity without referring to the work of Gary R. Bond, Ph.D. A special section in this month's issue honors the career of Dr. Bond and presents a sample of current work in this area.
In 2009, our university hosted a conference to honor Gary R. Bond, Ph.D., as he retired from Indiana University-Purdue University Indianapolis (IUPUI) after 34 years of academic service. This celebration brought together researchers, students, policy makers, administrators, clinicians, family members, and consumers who had been influenced by his work in psychiatric rehabilitation. Bond has been a champion of what people with severe mental illness can achieve, particularly in the employment domain, and his contributions to our field have been vast. Through it all, he has emphasized the role of rigorous research methods to improve quality of care.
One line of his work that has had far-reaching impact across a number of service domains is fidelity of program implementation. Bond pioneered the use of fidelity scales in psychiatric rehabilitation, with early work denoting the need for and uses of fidelity (1). He has remained a staunch advocate for measuring implementation and has provided numerous examples of how to best assess program fidelity, including (in this issue) refining a fidelity scale for supported employment (2).
In this Festschrift, we present a sampling of current work in fidelity, some of which came from the conference—and all of which has been influenced by Bond. Teague and colleagues (3) provide an overview of current issues in fidelity assessment, highlighting the complexity of assessment and the need to balance the often competing goals of effectiveness and efficiency. They describe four examples of fidelity scales.
Fidelity assessment in psychiatric services began at the level of the program but, as Teague points out, should also involve assessment of quality at the level of the clinician. Other Festschrift articles are related to clinician-level instruments. McGuire and colleagues (4) present a clinician-level fidelity tool for illness management and recovery. Preliminary work supports the reliability and validity of the tool. Future work is needed to assess how this aspect of program fidelity is related to fidelity to the larger program and to consumer outcomes. Similarly, I and my colleagues (5) present psychometric analyses for a scale to assess shared decision making in psychiatric care. This scale assesses the quality of the dyadic interaction in terms of how the consumer and provider work together to make decisions about the best course of treatment. Finally, Lu and colleagues (6) also present a fidelity scale at the level of the clinical interaction and demonstrate the utility of fidelity assessment and feedback within the context of a comprehensive training program.
The term fidelity has become an integral part of our language in psychiatric services today, in large part because of Bond's work. Fidelity to evidence-based practices is an important driver of high-quality care leading to improved consumer outcomes. However, as Bond and his colleagues Monroe-DeVita and Morse (7) remind us, program fidelity is one tool. A comprehensive approach, in addition to assessing fidelity, is needed to implement and sustain implementation of evidence-based practices.
For Bond, retirement from IUPUI has meant not the end of a career but relocation (to Dartmouth Medical School). In this issue alone he shows us that his career is still in full gear, with three new articles. We have no doubt that his work will continue to have a large influence in our field for years to come.

References

1.
Bond GR, Evans L, Salyers MP, et al.: Measurement of fidelity in psychiatric rehabilitation. Mental Health Services Research 2:75–87, 2000
2.
Bond GR, Peterson AE, Becker DR, et al.: Validation of the revised Individual Placement and Support Fidelity Scale (IPS-25). Psychiatric Services 63:758–763, 2012
3.
Teague GB, Mueser KT, Rapp CA: Advances in fidelity measurement for mental health services research: four measures. Psychiatric Services 63:765–771, 2012
4.
McGuire AB, Stull LG, Mueser KT, et al.: Development and reliability of a measure of clinician competence in providing illness management and recovery. Psychiatric Services 63:772–778, 2012
5.
Salyers MP, Matthias MS, Fukui S, et al.: A coding system to measure elements of shared decision making during psychiatric visits. Psychiatric Services 63:779–784, 2012
6.
Lu W, Yanos PT, Gottlieb JD, et al.: Use of fidelity assessments to train clinicians in the CBT for PTSD program for clients with serious mental illness. Psychiatric Services 63:785–792, 2012
7.
Monroe-DeVita M, Morse G, Bond GR: Program fidelity and beyond: multiple strategies and criteria for ensuring quality of assertive community treatment. Psychiatric Services 63:743–750, 2012

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Cover: Girl With Ball, by Roy Lichtenstein, 1961. Oil on canvas. Gift of Philip Johnson. The Museum of Modern Art, New York. Digital image © The Museum of Modern Art/Licensed by SCALA/Art Resource, New York.
Psychiatric Services
Pages: 764
PubMed: 22854722

History

Published online: 1 August 2012
Published in print: August 2012

Authors

Details

Michelle P. Salyers, Ph.D.
Dr. Salyers is affiliated with the Department of Psychology, Indiana University-Purdue University Indianapolis, LD124, 402 N. Blackford, Indianapolis, IN 46202 (e-mail: [email protected]). She served as guest editor for the special section, Festschrift: Gary Bond and Fidelity Assessment.

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