Role of context, resources, and target population in the fidelity of critical time intervention

Stacey L. Barrenger, Liat S. Kriegel, Beth Angell, Jeffrey Draine

Research output: Contribution to journalArticlepeer-review


Objective: The goal of this study was to understand departures from a model program, critical time intervention (CTI), when used with a population of men with mental illness who were leaving prison, a new population for the intervention. Methods: A fidelity study was conducted with the CTI Fidelity Scale Manual, and six program staff participated in semistructured interviews. Thematic analysis of interviews supplemented information on departures from the model. Results: The overall fidelity score indicated awell-implemented program, but low scores on early engagement, early linkingwith community resources, monitoring the transfer of services from CTI to community services, and nine-month followup were related to the context of the prison setting, the population of men leaving prison, and environmental resources. Conclusions: The setting in which evidence-based practices are applied, the environmental resources available, and the target population may affect program fidelity.

Original languageEnglish (US)
Pages (from-to)115-118
Number of pages4
JournalPsychiatric Services
Issue number1
StatePublished - Jan 1 2016

ASJC Scopus subject areas

  • Psychiatry and Mental health


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