Supported Employment Fidelity Scale
overview
staffing
organization
services
interview protocol

Directions: Circle one anchor number for each criterion.

Criterion
Data Source *
Anchor
ORGANIZATION

1. Integration of rehabilitation with mental health treatment: Employment specialists are part of the mental health treatment teams with teams with shared decision making. They attend regular treatment team meetings (not replaced by administrative meetings) and have once per month frequent contact with treatment team members.

 VL, MIS, DOC, INT 1 = Employment specialists are part of a vocational program, separate from the mental health treatment. No regular direct contact with mental health staff, only telephone or one face to face contact per month. Or Cannot rate due to no fit.
2 = Employment specialists attend treatment team meetings once per month.
3 = Employment specialists have several contacts with treatment team members each month and attend one treatment team meeting per month.
4 = Ratio of 26-40 clients/employment specialist.
5 = Employment specialists are attached to one or more case management treatment teams with shared decision making. Attend weekly treatment team meetings.
9 = Insufficient data to rate.
2. Vocational unit: Employment specialists function as a unit rather than a group of practitioners. They have group supervision, share information, and help each other with cases. MIS, INT 1 = Employment specialists are not part of a vocational unit. Or cannot rate due to no fit.
2 = Employment specialists have the same supervisor but do not meet as a group.
3 = Employment specialists have the same supervisor and discuss cases between each other. They do not provide services for each other's cases.
4 = Employment specialists form a vocational unit and discuss cases between each other. They provide services for each other's cases.
5 = Employment specialists form a vocational unit with group supervision at least weekly. Provide services for each other's cases and backup and support for each other.
9 = Insufficient data to rate.
3. Zero exclusion criteria: No eligibility requirements such as job readiness, lack of substance abuse, no history of violent behavior, minimal intellectual functioning, and mild symptoms. DOC, INT 1 = Clients are screened out on the basis of job readiness, substance use, history of violence, low level of functioning, etc. Referrals first screened by case managers. Or Cannot rate due to no fit.
2 = Some eligibility criteria. Screened by vocational staff who make client referrals to other vocational programs.
3 = Some eligibility criteria. Screened by vocational staff of the program that will provide the vocational service.
4 = All adult clients with severe mental disorders are eligible, including dual disorders of substance abuse and mental illness. Services are voluntary.
5 = All clients are encouraged to participate. Referrals solicited by several sources (self-referral, family members, self-help groups, etc.).
9 = Insufficient data to rate.

*Data sources:
VL Vocational Logs
MIS Management Information System
DOC Document review: clinical records; agency policy and procedures
INT Interviews with clients, employment specialists, mental health staff
ISP Individualized Service Plan