understanding of a) CRT staff have access to and awareness of materials to give to of staff report awareness and use of psycho-educational service users regarding diagnosis and the nature of their mental materials illness and health problems Criterion B: score based on case note review: if apparently medication and b) Side effects are monitored with evidence of review or met, check no disagreement from service users, family and addresses concerns response to identified side effects with at 80% of service staff interviews about medication users on psychotropic medication; Criteria C and D: Score as met if there is consensus from c) Service users and involved carers are provided with written staff, service users and carers and case notes. Do not score details of the current medication regime; this item as met if CRT staff only alert service users to the d) Service users and involved carers are provided with written information provided within medication packets: evidence of and oral information about the rationale, desired effect and use of more user-friendly explanatory materials is required. possible side effects of prescribed medication Criterion E: score based on case note review e) Service users’ current adherence to prescribed medication is Criterion F: Examples of adherence strategies include: documented for at least 80% of service users simplified medication regimes, choice in the form in which f) Strategies to aid medication adherence are implemented when medication is provided (e.g. liquid forms of medication, non-adherence is identified. injections, smaller or fewer tablets; motivational interviewing or Adherence Therapy; personalised adherence 5. All criteria are met strategies (e.g. support from family, set alarm on mobile 4: 5 criteria are met phone): Evidence of at least two strategies being used must 3: 4 criteria are met be available to score this criterion as met. Use of dosette 2: At least 2 criteria are met boxes is not sufficient as evidence of adherence strategies 1: 1 or 0 criteria are met being used. Criterion F requires all-source agreement from CRT manager, staff team and case notes.
understanding of illness and medication and addresses concerns about medication a) CRT staff have access to and awareness of materials to give to service users regarding diagnosis and the nature of their mental health problems b) Side effects are monitored with evidence of review or response to identified side effects with at 80% of service users on psychotropic medication; c) Service users and involved carers are provided with written details of the current medication regime; d) Service users and involved carers are provided with written and oral information about the rationale, desired effect and possible side effects of prescribed medication e) Service users’ current adherence to prescribed medication is documented for at least 80% of service users f) Strategies to aid medication adherence are implemented when non-adherence is identified. 5. All criteria are met 4: 5 criteria are met 3: 4 criteria are met 2: At least 2 criteria are met 1: 1 or 0 criteria are met of staff report awareness and use of psycho-educational materials Criterion B: score based on case note review: if apparently met, check no disagreement from service users, family and staff interviews Criteria C and D: Score as met if there is consensus from staff, service users and carers and case notes. Do not score this item as met if CRT staff only alert service users to the information provided within medication packets: evidence of use of more user-friendly explanatory materials is required. Criterion E: score based on case note review Criterion F: Examples of adherence strategies include: simplified medication regimes, choice in the form in which medication is provided (e.g. liquid forms of medication, injections, smaller or fewer tablets; motivational interviewing or Adherence Therapy; personalised adherence strategies (e.g. support from family, set alarm on mobile phone): Evidence of at least two strategies being used must be available to score this criterion as met. Use of dosette boxes is not sufficient as evidence of adherence strategies being used. Criterion F requires all-source agreement from CRT manager, staff team and case notes.
CORE-Fidelity-Scale-guidance-scoring-V2-FINAL-080714.docx