Intermediary Organizations Can Support Integration of Fidelity Self-assessment and Quality Improvement

Fidelity scales demonstrate whether practices are delivered as intended. Typically, these assessments conducted by independent raters, which can be expensive and difficult to resource in large systems. We piloted an intermediary organization could (1) train programs conduct a self-assessment using established reliable valid measure, the Dual Diagnosis Capability Mental Health Treatment (DDCMHT) Index, (2) use results of that assessment drive quality improvement process through six month learning collaborative, (3) repeat measure progress. To assess reliability second self-assessment, we invited also participate objective DDCMHT with rater. Participating rated themselves similarly rater demonstrated significant improvements following participation process. These findings suggest organizations may positioned provide expert training technical assistance help integrate self-assessments activities.