Supported Employment Fidelity Scale
New Hampshire-Dartmouth Psychiatric Research Center

overview
staffing
organization
services
interview protocol

Directions: Circle one anchor number for each criterion.

Criterion
Data Source *
Anchor
Staffing

1. Employment specialists manage vocational caseloads of up to 30 clients.

VL, MIS, DOC, INT 1 = Ratio of 81 or more clients/employment specialist. Or cannot rate due to no fit.
2 = Ratio of 61-80 clients/employment specialist.
3 = Ratio of 41-60 clients/employment specialist.
4 = Ratio of 26-40 clients/employment specialist.
5 = Ratio of 25 or less clients/employment specialist.
9 = Insufficient data to rate.
2. Vocational services staff: Employment specialists provide only vocational services. MIS, DOC, INT 1 = Employment specialists provide nonvocational services such as case management 80% of the time or more. Or cannot rate due to nofit.
2 = Employment specialists provide nonvocational services such as case management about 60% time.
3 = Employment specialists provide nonvocational services such as case management about 40% time.
4 = Employment specialists provide nonvocational services such as case management about 20% time.
5 = Employment specialists provide only vocational services.
9 = Insufficient data to rate.
3. Vocational generalists: Each employment specialist carries out all phases of vocational service, including engagement, assessment, job placement, and follow-along supports. 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 face to face contatct per month. Or can not rate due to no fit.
2 = Employment specialist maintains caseload but refers clients to other programs for vocational service.
3 = Employment specialist provides one aspect of the vocational service (e.g. engagement, assessment, job development, job placement, job coaching, and follow-along supports).
4 = Employment specialist provides two or more phases of vocational service but not the entire service.
5 = Employment specialist carries out all phases of vocational service (e.g. engagement, assessment, job development, job placement, job coaching, and follow-along supports).
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