Ips Supported Employment Fidelity Chart Review Form Page 2
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7IPS SUPPORTED EMPLOYMENT FIDELITY
CHART REVIEW FORM
Evidence that the program is
serving people with serious
mental illness (diagnosis, active
symptoms)? Is the program
serving people with substance
use disorders? Is the program
willing to help people with
multiple jobs, regardless of the
reason for job loss?
Zero exclusion criteria.
Does the intial intake for the
mental health agency include
questions about interest in
employment? Annual forms
(e.g., mental health assessments,
treatment plans) include
questions about employment?
Agency focus on competitive
employment.
Indication that client was
offered help with benefit
planning? Did ES check back
with person to make sure s/he
was able to access the
appointment and that the
information was helpful…? Are
any clients helped to report
earnings?
Work incentives planning.
The IPS Employment Center at The Rockville Institute
March 2008; Revised April 2017
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