General Guidelines
Background
The First Episode Psychosis Services Fidelity Scale (FEPS-FS 1.0)
FEPS-FS-1.0 Manual
Overview of the Scale
Training Fidelity Assessors
Fidelity Assessment Process

Component Criteria and Ratings
Practicing Team Leader
Patient-to-Provider Ratio
Services Delivered by Team
Assigned Case Manager
Psychiatrist Caseload
Psychiatrist Role on Team
Weekly Multi-Disciplinary Team Meetings
Explicit Diagnostic Admission Criteria
Population Served
Age Range Served
Duration of First Episode Psychosis (FEP) Program
Targeted Education to Health/Social Service/Community Groups
Early Intervention
Timely Contact with Referred Individual
Family Involvement in Assessments
Comprehensive Clinical Assessment
Comprehensive Psychosocial Needs Assessment
Clinical Treatment Plan/Care Plan After Initial Assessment
Antipsychotic Medication Prescription
Antipsychotic Dosing Within Recommendations for Individuals with FEP
Clozapine for Medication Resistant Symptoms

Patient Psychoeducation
Family Education and Support
Cognitive Behavioral Therapy (CBT)
Supporting Health
Annual Formal Comprehensive Assessment
Services for Patients with Substance Use Disorders
Supported Employment
Supported Education
Active Engagement and Retention
Patient Retention
Crisis Intervention Services
Communication between FEPS and Inpatient Services
Timely Contact After Discharge from Hospital
Assuring Fidelity

Appendix A: Preparing for a Fidelity Assessment
The Fidelity Team Will Work With You
Determine Primary Contact Person and Other Key Personnel
Establish Process and Obtain Approvals for Ethics/Privacy Oversight
Schedule the Fidelity Assessment Dates
Prepare Materials for the Assessment
Prepare Health Record Review Checklists
Plan Interview Schedule
Confidentiality Forms and Other Permissions
Appendix B: Health Record Review
Appendix C: Fidelity Interview Guide
Appendix D: Scoring Sheet
Appendix E: Feedback Report
Appendix F: Fist Episode Psychosis Services Fidelity Scale (FEPS-FS 1.0)
Appendix G: Individual Patient Variations
Appendix H: Self-Assessment Instructions
Appendix I: Quality Improvement Step-by-Step Guide
Appendix J: Medication Dosing Guidelines

References