Community Mental Health Journal

, Volume 50, Issue 1, pp 46–50 | Cite as

Is High Fidelity to Supported Employment Equally Attainable in Small and Large Communities?

  • Alison Luciano
  • Gary R. Bond
  • Robert E. Drake
  • Deborah R. Becker
Original Paper


Individual Placement and Support (IPS) is an evidence-based model to help people with serious mental illness achieve employment. This study examined variation in model adherence in small and large communities. We compared program-level ratings on a standardized 25-item IPS fidelity scale (range = 25–125) for 79 sites in eight states categorized by local community size. Programs in large and small communities achieved comparable fidelity scores (mean = 100 and 104, respectively). Fidelity-outcome correlations within the two groups were both of moderate size. As a practical guide, the IPS fidelity scale is suitable for use in both small and large communities.


Severe mental illness Supported employment Fidelity Evidence-based practice Implementation 


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Alison Luciano
    • 1
  • Gary R. Bond
    • 1
  • Robert E. Drake
    • 1
  • Deborah R. Becker
    • 1
  1. 1.Dartmouth Psychiatric Research Center, Geisel School of Medicine at DartmouthRivermill Commercial CenterLebanonUSA

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