Dec 17, 2014 - Abstract. This study evaluated the sustainability of the Southern Area First Episode (SAFE) program Y an early intervention for psychosis ...
Australian e-Journal for the Advancement of Mental Health
ISSN: 1446-7984 (Print) (Online) Journal homepage: http://www.tandfonline.com/loi/ramh19
Factors predicting program fidelity and delivery of an early intervention program for first episode psychosis in rural Australia Richard O’Keamey, Graham Garland, Mark Welch, Len Kanowski & Sylvia Fitzgerald To cite this article: Richard O’Keamey, Graham Garland, Mark Welch, Len Kanowski & Sylvia Fitzgerald (2004) Factors predicting program fidelity and delivery of an early intervention program for first episode psychosis in rural Australia, Australian e-Journal for the Advancement of Mental Health, 3:2, 75-83 To link to this article: http://dx.doi.org/10.5172/jamh.3.2.75
Published online: 17 Dec 2014.
Submit your article to this journal
Article views: 11
View related articles
Full Terms & Conditions of access and use can be found at http://www.tandfonline.com/action/journalInformation?journalCode=ramh19 Download by: [Australian National University]
Date: 08 September 2016, At: 20:28
Australian e-Journal for the Advancement of Mental Health (AeJAMH), Vol. 3, Issue 2, 2004 ISSN: 1446-7984
Factors predicting program fidelity and delivery of an early intervention program for first episode psychosis in rural Australia
!"#
1. School of Psychology, The Australian National University, Canberra, ACT, Australia 2. Southern Area Health Service, Queanbeyan, New South Wales, Australia 3. Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada Abstract $ !% %! ! % !&!'! %! ( !)* + ( ),*#- ! ! ' * ' ! * !- !-# !-! **'% ! ! .$ !% ! !'! '! !! '% ! ' ! ' *# . ( ! * ! % ! ' ! ' ' * * & !
! # '/ /
&!
! % ! ! '! ! *# * ! .(!% !0'! /' %!& ' ( ) !%# 1%! ' ! !' ! ! ! ! !.$ & &! '! ! ! *! ! %!& ! . ! ' ' ! * ! ' # ' 23 ! 43 ! * ! ' ! ! % * %!#! -& %! ! %! !## '53! 3. ( ! # ' * ! * ! ! %& ' ! ! * ! &%! # # * ' ! ! * ! . # !! ( ) ! !# !* !' *#' !.$ %! ! !!! * !- !-# !-! **& '' ! ' ! ! ' * !!# ! * ! ! ! ***! * !!* ! !'!* ! % ! ## &!'! *# * . Keywords service evaluation, early intervention, psychosis, transportability, rural mental health
Introduction
$ # # !! * ' ! !*# '* * ' ! * ! ' * ! & % '%! ! * ! ! *# ' ! * * ! %! * + 6%# 7* !.558 &9 7 :
6%#55,.( # ;* ' ''%
! ! ' ' ! * * (% ! ! ! ! ) 7 7 ! , ! % ! & ' ! '
7.?. ? ! ' = $# ' 7 # $ (% ! @! A !=& (=$555(% ! . B%. %.% Citation:
. . . . : !"# . +550,. ! * !# *# ' ! ' ! !*#'' ! * * %(% !.Australian e-Journal for the Advancement of Mental Health+, .% !.CD%C C .* ' Published by: Australian Network for Promotion, Prevention and Early Intervention for Mental Health (Auseinet) .% !.CD% 5E%5508 F(%#% !5508( *! >(%#% !550 Contact:
O’Kearney et al.
! ! ## &%! '
! ! ! * %! ' * * * !# !* ! .
! ! *# ' * + : 6%# 55, '! & ! '' '% ! % '% ! *!! ! '
'' ! ! ! !*! ! ;! .
$ %! ( ! )* + ( ), *# ' ! )77,.
! ( ) *# ( !! -!- # *! ! !
! !! %* ! %! ( 9 ! .
O’Kearney et al.
' ' ! ( ) *!*! ** .
!! *! ! !'* !!& ! & !'# ! ! # ! '! '% !! ( )*#.
( % ! % ' +@K22, ! ( % ! ! ! %& ' * ! ! ( ) !# ! %& *' ! # ' ! ' !'# ***! ! '' ! * # ! * ! '! ( )*! ' *! %!"! ' %! * ! %* %**!.
Method Program components $ ( )*# ! 'H $# !'' ( ) ! ! *! * % & )77 ' $ C4 ' $ >C2'$ ȤK.>48*L.5,.
* ! ! % ' # # ! ! ! ' * *! % ! % ! ! !
! '' . $ '' & !
! ! ! ; ' !* ' ! ! *' . $ '' & !
! ! ! %! ! ' !
%! %* %**! !%!% * & ( ). ( #'! # **! ' $ *! % ' !-! * ! %* +F>3 % 03 Ȥ K .F *L.5/, ;* # !' ( ) ! +/23 % 53 ȤK0.0*L.5/,! ! ! ! ! . $ %& !! &%! ! #'! '' # ! ' * ! ' ( )!#+2F3 % /53ȤK.42. ., % ' ' %! %* +03 % 238 Ȥ K .55 . ., ' %# $ * ! ! ! ! . 9 ! ' !#'% ' % *! ! '' & !
$ ! ! ! !%#! ! '$ ! *! # '' #* %!!! !+!+,K.0*L.5>, =J$+!+,K.02*L.54,.
#% * ! ! * !# '' ' ! ! '! * !! ' ! ! ! ! *! + #% , ! ! ! ! ! *! + #% &,.
! ' 1% ! * ' !+43,* ! ! +23, ***! ! *! +23,
' ## ! ! ! +423, ! ! ! ! ( ) ! ! *! . 9 ! ( ) * ! ' 1% ! ! ! ' 3 '* ;!F3' !* %! 43 ' ' * - %! 3 ' #! -& % ! * 3 ' * * !.$ ! '% ' %! % % ! J7 (@ J?3 % >3ȤK2.58 *L.5/, & !
$ ' * - %! +F3 % /53 Ȥ K 0.8 *L.5/, & !
$ !+553 % 23ȤK0.008*L.5/, * - %! ! ! ! +3 % /23 Ȥ K 0.4>8 *L.5/, ! ' +3 % /53ȤK.F48*L.5/,.
Audit results ( !! ' / ' ! &%!
1% %& ' ' ! !
! +KF54 F0 * ! ,.$ !
D% # #
'FF3' ! ! !' *! ! # ' ! * * ! ' >3 ' ! ! !' ! ' ! * . ' ! % 053 %!& '! ( )*#.
* !% ! /!/ # #%*'* * * !# ! %! ! ! . (! ! > ! # ! * ! / ! ! # ' > ! # #. (! * !! ! %! *
0
O’Kearney et al.
Percentage of clients
100 80
Team 1 Team 2
60
Team 3 40
Total
20
st
te
st
s
or y
vi ew
no D
ia g
D
ru
g
st
ic
hi
re Ps yc h
al ic ys Ph
R is k
As se ss m en
t
Ex am
0
SAFE assessment component
(a) Percentage of clients with evidence of each SAFE assessment component
Percentage of clients
100 80 Team 1 60
Team 2 Team 3
40
Total
20
ve nt io n
BT ps e
Pr e
C R
el a
en t in vo lv em en t M ed ic at io C n lie nt Ps yc Fa hE m d ily Ps yc ho Ed G P
ge m En ga
ily m Fa
C
lie nt
En ga g
em
en
t
0
SAFE treatment component
(b) Percentage of clients with evidence of each SAFE treatment component
Figure 1. Percentage of clients overall and for each Team with evidence of the SAFE (a) assessment and (b) treatment components
! ! !%! % ! ! ' ## * - %! ' ! ! ' =J$ %! ! ! & ## * ! ! ! 7 *
;! ! ***! ! # # !! ! .
! ! !! ! ' ! # . = ! D% # & ! =@= ! & %! * ! ***! ! * ;! # ! ! ! ! ! D% # * . @ ' ! ! ( ) * ! '' # ! # * ' . = ! ! ' # !! ! ( ) *# *!% /
O’Kearney et al.
( !! ! ' ! ( ) * ! %! & %# ! % ' *! + ;% # * *# ! ' -%* &! ' # * ! ! #! '
## ! ! ! ,. $ * !! ! ! *! +$) +>,. .,.9 # !!! ( )*# #'! !#! ! * ! ' $)
7 ).: .+55,.7 %! ' "* += ! # ,. >>,.. 4
O’Kearney et al.
& . 9 (. 7 . : 6%# 7. +55,. $ '' ! ' ! ! ! ! ! ! ! ' ' !- * * . Australian e-Journal for the Advancement of Mental Health (AeJAMH), +, !!*HCC% !.' . %.%CD%C C & .* '+ 5 !& 55,.
! ! H ! !! I Psychiatric Services, /+>,>5->F. . ?. +55,. &!! % . $ %**! ' %!*#H ! ! '! '' .Psychiatric Services, /0+,/-F. .: .+55,.?#!# #! #! #!!#.7* * ! !! Early Intervention Psychosis Conference .
. . : 9# . +55,. )'' ! ! *!&! ! '
>
