Version: Feburary 8, 2012
We have developed a variety of fidelity and quality improvement tools for working with community transition sites in the implementation and sustaining of the Transition to Independence Process (TIP) model%reg;. The TIP Institute toolkit assists sites in building on the strengths of their agencies, while ensuring that the transition system is effective in improving the progress and outcomes of youth and young adults with emotional/behavioral difficulties (EBD) -- and its responsiveness to their families.
A given site does not need to use all of these tools; rather, we guide sites in selecting tools that can meet their current program development and fidelity assessment needs as cost-effectively as possible. Some tools are less resource demanding (e.g., administered locally at relatively low cost), while others require more external assessment and data analyses (e.g., fidelity for Site Certification is conducted by two TIP Institute Certified Transition Fidelity Assessors).
The following fidelity and quality improvement tools are available for use at sites where TIP Institute faculty are actively collaborating with sites on implementing and sustaining transition programs or on the assessment of their transition sites.
The above three Fidelity QI Tools yield fidelity percentage ratings on the extent of TIP model® implementation, and together, the tools point the way to continuing quality improvement. Pilot study findings on the Tools have shown that these instruments discriminate between transition sites that are TIP ® Certified and others which are in various stages of implementation (Dresser, Clark, & Lee, 2012).
Following the administration of one or more of these Fidelity QI Tools, an exit progress report is provided. If time permits, this is typically done as a power point presentation prior to the Assessor leaving the site, or if necessary, the ppt report can be sent later or presented as a webinar to site Transition Program Personnel. This sets the occasion for site personnel to celebrate where they are doing well with TIP model® implementation and examine possible areas that may need additional attention or corrective action planning.
These Fidelity QI Tools can be administered by TIP Institute TIP Model® Consultants or Assessors who have been trained on these instruments. Similarly, an agency’s or community collaborative’s quality assurance personnel and/or other external interviewers (e.g., evaluator from a local university or state department) may be engaged to administer the tools after they have been trained on them.
Our evaluation and fidelity assessment efforts assist sites with continuing quality improvement of their transition service and support system. As indicated previously, we encourage sites to use selected fidelity and quality improvement tools that best meet their needs at a given point in time.
In order to provide a complete picture of the quality and effectiveness of a site, it is optimal to use the fidelity and quality improvement tools in conjunction with other data sources such as:
For more information, please visit our website or contact one of us listed below:
Website: Transition to Independence Process (TIP) model®: www.TIPstars.org
Hewitt B. “Rusty” Clark, Ph.D., BCBA, Senoir Consultant, Stars Training Academy
Karyn Dresser, Ph.D., Research Director, Stars Training Academy
Dresser, K., Clark, H. B., & Lee, C. (2012, March). Community Transition Programs: Fidelity Tools for Continuing Quality Improvement – Reliability and Implementation Fidelity Findings. Twenty-Fifth Children’s Mental Health Research & Policy Conference, Tampa, Florida.
Dresser, K., Clark, H. B., & Lee, C. (2012, July). Validation of the Fidelity QI Tools: Findings Related to TIPness of Developing and Certified Sites. Training Institutes, Orlando, Florida.