Why is there more emphasis on flexibility than fidelity if we are convinced that higher fidelity means better outcomes for consumers?
The ACT Workgroup struggled to balance fidelity and flexibility required to make the certification standard accessible statewide. Fidelity to an evidence-based practice is a QI process that is achieved over time using a fidelity scale combined with consumer outcome data. Agencies are required to be in compliance with the Certification standards, which is the fidelity to the ACT model. Wherever possible, agencies are 5 allowed flexibility in determining how to best meet the standards. Flexibility in meeting standards does not detract from fidelity to the model.
