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Feedback Readiness Index and Fidelity Measure (FRIFM)

The Feedback Readiness Index and Fidelity Measure (FRIFM) is an organizational readiness checklist and evaluation tool for behavioral health agencies, services and/or systems of care specifically designed to assist in the implementation of FIT. The FRIFM addresses six realms:

  1. Clinical Implications: Components related to counselors/therapists; supervision of clinicians; training of staff
  2. Administrative: Components related to the agency’s structures and levels of commitment
  3. Information Systems/Paperwork/Documentation/IT: Components related to modalities for data collection
  4. Regulatory and Accreditation: Components related to regulatory and accreditation entities
  5. Consumers: Components related to consumers as stakeholders
  6. Funders: Components related to funding agencies

Each of the realms form an important organizational component in evaluating a system’s readiness to implement or fidelity to a feedback- informed approach to services. Below you'll find an electronic version of the FRIFM. If you have any further questions about the survey or interpreting the results feel free to get in touch.

Preparing to take the FRIFM

The following is a summary of key information to gather before planning an implementation of FIT service delivery in agencies: 

The Feedback Readiness Index and Fidelity Measure (FRIFM) is an organizational readiness checklist and evaluation tool for behavioral health agencies, services and/or systems of care specifically designed to assist in the implementation of FIT. The FRIFM addresses six realms:

Agency goals and history of the initiative

  • How did the agency come to the decision that they want to implement FIT?
  • Whose idea is it, top-down or bottom-up?
  • What work has been done already on the initiative?
  • How will FIT contribute to overall agency agenda?
  • Current levels of support from management and clinical staff

Current levels of support from management and clinical staff

  • Is there management buy-in and support for the implementation initiative
  • Identify potential risks, barriers and challenges to implementation (current work load, physical set up of the agency,
  • confidentiality/privacy issues )
  • Attitudes of clinicians regarding FIT and outcome measurement
  • How involved are management willing to be in terms of supporting and ensuring staff are using the measures?
  • Is management willing to make statements of intent—why they want to implement FIT and how will they use the outcome data (i.e. as proof of program effectiveness; for program planning; for identifying staff training needs?)

 Previous training/exposure to FIT

  • Level of understanding by management, supervisory, and frontline staff (previous training in FIT, staff access to written resources re: FIT?)

Capacity for follow-up consults

  • Is management able and willing to allocate resources needed for implementation (i.e. funds for training, funds for data management systems, staff time to attend meetings and follow-up sessions etc.)

Mode(s) of administration and data collection (Outcomes Software, Excel spreadsheets?)

  • What are staff job roles and responsibilities?
  • What counseling modalities will be employing outcome measurement (e.g., individual/couple/family/group/inpatient/outpatient/intensive day programs?)
  • How will paperwork be maintained (in client files?)
  • Does the agency plan to trial an Outcome Measurement Platform?
  • What IT systems are in place—are they compatible with data collection programs?
  • Who will be responsible for set up and maintenance of IT System?