Evidence map›Paper›PMID 41804934›Full record

ArticleEarly intervention in psychiatry2026

Adaptation of the First Episode Psychosis Services-Fidelity Scale for Use in New and Small Programs.

Mark Savill, Briana Sepulveda, Lindsay M Banks, Stephania L Hayes, Valerie L Tryon, Christopher Blay, Kathleen E Burch, Kristin LaCross, Sabrina Ereshefsky, Misha Carlson and 4 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Early intervention in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Mark SavillUniversity of California, Davis, California, USA.
Briana SepulvedaUniversity of California, Davis, California, USA.
Lindsay M BanksUniversity of California, Davis, California, USA.
Stephania L HayesUniversity of California, Davis, California, USA.
Valerie L TryonUniversity of California, Davis, California, USA.
Christopher BlayUniversity of California, San Francisco, California, USA.
Kathleen E BurchUniversity of California, Davis, California, USA.
Kristin LaCrossUniversity of California, San Francisco, California, USA.
Sabrina EreshefskyUniversity of California, Davis, California, USA.ORCID https://orcid.org/0000-0002-0348-1300
Misha CarlsonUniversity of California, San Francisco, California, USA.
Grace Eun LeeStanford University, Stanford, California, USA.ORCID https://orcid.org/0000-0001-9571-5794
Rachel L LoewyUniversity of California, San Francisco, California, USA.
Donald E AddingtonUniversity of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0002-0527-0275
Tara A NiendamUniversity of California, San Francisco, California, USA.

Funding

California Collaborative Network to Promote Data Driven Care and Improve Outcomes in Early Psychosis (EPI-CAL)R01MH120555 · NIMH · UNIVERSITY OF CALIFORNIA AT DAVIS · PI NIENDAM, TARA ANN · 2019 to 2024
$7.9M
California Department of Health Care ServicesLos Angeles CountyNapa CountyNevada CountyNIMH NIH HHS 1R01MH120555-01NIMH NIH HHS R01 MH120555One Mind
6 · The paper itself

Abstract

introductionFidelity assessments can support healthcare services to deliver care consistent with best practises. However, early psychosis (EP) fidelity assessment tools typically require a volume of service data that is often unavailable to small or new programmes. In this study, we pilot a formative fidelity assessment approach to address these challenges.

methodsA formative assessment approach to using the First Episode Psychosis Services-Fidelity Scale (FEPS-FS) was developed to enable the assessment of small and new EP programmes. Over 48 months, EPI-CAL EP learning health care network programmes completed standard FEPS-FS fidelity assessments, formative assessments for new programmes, or formative assessments for small programmes, depending upon programme eligibility.

resultsOf 27 remote fidelity assessments completed with EP programmes across California, nine (33.3%) had insufficient service data to complete a standard FEPS-FS assessment. Utilising the proposed formative assessment approach, one programme met the criteria for a new programme assessment, and seven for a small programme assessment. In the new programme assessment approach, 34 of 36 items could be assessed. In the small programme assessments, a median of 19 items was scored, with a mean FEPS-FS score range from 3.45 to 4.12.

conclusionThese findings suggest that a formative approach to fidelity assessment can generate a meaningful amount of data, capture known variability between programmes, and potentially identify areas for service improvement to enhance quality for small and new programmes. However, critical data regarding the delivery of pharmacological and psychosocial care were not captured, highlighting the limitations of the approach.

Indexed as

Mental Health ServicesProgram EvaluationPsychotic DisordersCaliforniaHumansPilot Projectscoordinated specialty careearly intervention servicesFEPS‐FSprogramme assessmentrural care

Identifiers

PMID41804934
PMCPMC12973343

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.