This webinar series is presented by the Fidelity Monitoring in Ontario Community of Interest in collaboration with Evidence Exchange Network (EENet).
About this webinar series
Ontario invests significant funds to deliver evidence-based practices (EBPs). In mental health and addictions, there is growing awareness of the value of routine fidelity monitoring to determine if EBPs are being implemented as intended. Such monitoring can support more consistent delivery of care across the province and better client outcomes.
The Ontario Fidelity Community of Interest formed to advance routine fidelity monitoring in the Ontario mental health and addictions system. The Community of Interest includes researchers, clinicians, managers and policymakers with expertise in fidelity measurement and quality improvement.
The COI, in collaboration with Evidence Exchange Network (EENet), is presenting this three part webinar series to share learning from Ontario fidelity initiatives regarding:
- What has been learned from research and practice about conducting fidelity monitoring in mental health and addictions services.
- The experiences of Ontario programs in receiving and using fidelity assessments.
- Why fidelity matters in a learning health care system, with key takeaways for Ontario Health Teams and community mental health and addictions organizations.
The first three webinars will highlight work in one of three program areas – Strength-based Case Management, Early Psychosis Intervention and Assertive Community Treatment. A final webinar will discuss the role of fidelity in a learning health care system. The sessions will draw on experiences in Ontario and other jurisdictions.
Target audience: government policymakers, program planners, agency leaders, Ontario Health Teams, researchers.
Webinar #1: Implementing strength-based case management: The value of fidelity monitoring
Presenters will share findings and lessons learned from a three-year study of implementation of Strength-based Case Management in seven organizations across three Canadian provinces. Fidelity assessments of local practice implementation was a core component of this work.
Date: Wednesday, December 8, 2021
Time: 1:00 – 2:00 p.m.
Webinar objectives:
- Discuss the role of fidelity in the implementation of evidence-based practices in community mental health.
- Introduce the Strengths-based Case Management model.
- Describe facilitators and obstacles to achieving fidelity in delivery of the model.
- Explain the relationship between fidelity and client outcomes.
The presenters:
- Tim Aubry is a Full Professor in the School of Psychology and Senior Researcher at the Centre for Research on Educational and Community Services at the University of Ottawa. His research focuses on housing, homelessness, and community mental health services. He was a co-investigator of a CIHR-funded, multi-provincial project examining the implementation and evaluation of strength-based case management in Canada.
- Eric Latimer is a Research Scientist at the Douglas Mental Health University Institute and Professor in the Department of Psychiatry at McGill University. His research interests focus on community-based supports for people with severe mental illness, particularly their economic aspects. He was the principal investigator of a CIHR-funded study of the implementation and evaluation of strength-based case management in several sites in Ontario, Québec, and Newfoundland.
- Donna Pettey is the Director of Operations at the Ottawa branch of the Canadian Mental Health Association (CMHA). She has worked for CMHA Ottawa for 30 years and has been instrumental in developing the organization’s Housing First program, as well as other evidence-based practices. She is trained in conducting fidelity assessments in strength-based case management programs.
- Maryann Roebuck is a Postdoctoral Research Fellow at the Ottawa branch of the Canadian Mental Health Association and the Centre for Research on Educational and Community Services at the University of Ottawa. For her doctoral thesis she examined the working alliance as a mediator between level of fidelity of strength-based case management and subjective quality of life outcomes.
Webinar #2: The role of fidelity in assertive community treatment: Better fidelity means better outcomes
Presenters will provide an overview of what the decades of experience with ACT fidelity assessments have taught about the value and necessity of continuing fidelity support for ACT teams, both new and old. Evolving assessment tools and protocols that support high fidelity teams as they operate in accordance with the Ontario provincial operational standards will be considered.
Data (January 2022) and details to come.
Webinar objectives:
- Discuss why fidelity is critical for best outcomes.
- Describe the actual fidelity assessment process and its attendant assessment tools.
- Consider challenges teams face in achieving and maintaining fidelity.
Webinar #3: Fidelity as part of a learning health care system: Lessons learned in Early Psychosis Intervention
Presenters will review what they have learned through five years of work, including refining fidelity assessment methodologies, building understanding of current quality of Early Psychosis Intervention service delivery and using the fidelity results to inform program and system improvement.
Date (February 2022) and details to come.
Webinar objectives:
Discuss different approaches for conducting fidelity reviews, considering tradeoffs between efficiency, feasibility and value.
Hear about client, family and program perspectives on the value and challenges of fidelity monitoring.
Describe common practice challenges, including those where a system level policy or practice support would be helpful.
Webinar #4: Fidelity as part of a learning health care system: International and local perspectives
A final webinar will discuss the role of fidelity in a learning health care system. The session will draw on experiences from other jurisdictions.
Date (March 2022) and details to come.
Webinar objectives:
Describe the role of intermediary organizations in building evidence-based health care services and systems.
Describe the role of fidelity monitoring in the work of an intermediary organization.
Discuss Ontario progress and opportunities in this area.
For more information about the webinar series, contact Rossana Coriandoli, EENet Knowledge Broker, or Janet Durbin, Co-Lead, Fidelity COI.
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