{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:00:21Z","timestamp":1791475221058,"version":"4.3.4"},"reference-count":44,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>In Australia, early implementation of headspace Early Psychosis (hEP) services was supported by fidelity assessments using the Early Psychosis Prevention and Intervention Centre (EPPIC) Model Integrity Tool (EMIT). Its suitability became limited by ceiling effects and limited sensitivity to evolving service contexts. This paper describes the redevelopment of EMIT into the Revised\u2010EMIT (REMIT) and testing implementation of the tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multi\u2010phase mixed\u2010methods, human\u2010centred design approach was used. Phases included reviewing international fidelity frameworks, stakeholder co\u2010design and iterative redevelopment of fidelity items, scoring and data sources. Testing of the REMIT occurred over 2\u2009years via face\u2010to\u2010face visits to hEP clusters, using semi\u2010structured interviews, review of organisational documents and clinical file audits. Routine data reporting via Tableau embedded Learning Health System principles within the process. National fidelity trends across fidelity item outcomes for all six hEP service clusters were descriptively analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The REMIT was found to reduce ceiling effects and improve sensitivity. National mean REMIT score increased from 3.99 (2023) to 4.19 (2024), with notable gains in caseload management, physical health monitoring and measuring key outcomes. Relational domains (such as continuous engagement and family involvement) remained persistently low across services and years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The REMIT offers a pragmatic, sensitive fidelity measure for contemporary hEP services. Findings support the use of REMIT as an active learning system rather than a static compliance mechanism. Psychometric evaluation of the tool is now required, and ongoing iterative refinement will be essential to maintain relevance within Australia's evolving youth mental health system.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/eip.70263","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T23:41:29Z","timestamp":1790293289000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Redesigning a Fidelity Measurement Tool for Early Psychosis Services: Responding to Evolving Service Landscapes in Australia"],"prefix":"10.1111","volume":"20","author":[{"given":"Carly S.","family":"Talarico","sequence":"first","affiliation":[{"name":"Centre for Youth Mental Health The University of Melbourne  Parkville Victoria Australia"},{"name":"Orygen The National Centre of Excellence in Youth Mental Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shona","family":"Francey","sequence":"additional","affiliation":[{"name":"Centre for Youth Mental Health The University of Melbourne  Parkville Victoria Australia"},{"name":"Orygen The National Centre of Excellence in Youth Mental Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Orygen The National Centre of Excellence in Youth Mental Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"Cleland","sequence":"additional","affiliation":[{"name":"Headspace National Youth Mental Health Foundation  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vidhi","family":"Oberoi","sequence":"additional","affiliation":[{"name":"Headspace National Youth Mental Health Foundation  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Skellern","sequence":"additional","affiliation":[{"name":"Headspace National Youth Mental Health Foundation  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Ly","sequence":"additional","affiliation":[{"name":"Headspace National Youth Mental Health Foundation  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Milton","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"},{"name":"ARC Centre of Excellence for Children and Families Over the Life Course  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1645-5443","authenticated-orcid":false,"given":"Ellie","family":"Brown","sequence":"additional","affiliation":[{"name":"Centre for Youth Mental Health The University of Melbourne  Parkville Victoria Australia"},{"name":"Orygen The National Centre of Excellence in Youth Mental Health  Melbourne Victoria Australia"},{"name":"ARC Centre of Excellence for Children and Families Over the Life Course  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12684"},{"key":"e_1_2_10_3_1","volume-title":"First Episode Psychosis Services Fidelity Scale (FEPS\u2010FS) and Manual","author":"Addington D. 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D.","year":"2007","journal-title":"Medical Journal of Australia"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12523"},{"key":"e_1_2_10_29_1","doi-asserted-by":"crossref","unstructured":"Milton A. E.Brown U.Arnautovska et\u00a0al.2026.\u201cProtocol for the MYPREP\u2010ED Trial: A Hybrid Type II Effectiveness\u2010Implementation Trial of a Peer\u2010Delivered Digital Self\u2010Management Tool (MyBRANCHES) for Young People Transitioning From Early Intervention Psychosis Services.\u201dhttps:\/\/papers.ssrn.com\/sol3\/papers.cfm?abstract_id=6397438.","DOI":"10.2139\/ssrn.6397438"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.2196\/19532"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.2196\/49110"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104\u2010017\u20102900\u20106"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010022\u201004413\u20100"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467\u20106427.12410"},{"key":"e_1_2_10_35_1","unstructured":"Orygen. n.d.\u201cKey Principles Underpinning Youth Mental Health Models.\u201dhttps:\/\/www.orygen.org.au\/Training\/Resources\/Psychosis\/Guidelines\/EPPIC\u2010Model\u2010Integrity\u2010Tool\u2010%E2%80%93\u2010Application\u2010Guide\/hYEPP\u2010model\u2010integrity\u2010tool\u2010Application\u2010guide?ext=."},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010024\u201005758\u20104"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12740"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0895\u20104356(00)00261\u20104"},{"key":"e_1_2_10_39_1","volume-title":"EPPIC Model and Service Implementation Guide","author":"Stavely H.","year":"2013"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.20220086"},{"key":"e_1_2_10_41_1","doi-asserted-by":"crossref","unstructured":"Vaughan P. 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