The flexible assertive community treatment fidelity scale:Description of the development in the Netherlands and adaptation in Denmark and Sweden

Assertive Community Treatment (ACT) is the most common ambulatory service delivery model for people with severe mental illness worldwide. Flexible ACT, a Dutch modification of ACT, provides comprehensive care for the entire population of people with severe mental illness (SMI). FACT combines the principles of individual case management with ACT services. Researchers found an association between model fidelity and treatment outcome. Consequently, scholars formulated fidelity scales based on previous research and expert opinion (operationalizations of multiple criteria of team structure, organization and treatment processes). The first FACT model fidelity scale from 2008 facilitated the dissemination of FACT and prevented programme drift. Ten years later, an update was necessary to address relevant local variations in implementation, due to specific population profiles and available regional network services, and to improve recovery-oriented and evidence-based practices. Authors and stakeholders tested and updated a new FACT-model fidelity scale in the Netherlands, Denmark and Sweden. The resulting scale assesses 16 quantitative items and 8 qualitative, descriptive topics on 5-point Likert scales. The scale includes FACT-criteria that evidently work and still allow a team to diversify. The FACTs 2017 is a new standard to assess FACT-team model fidelity for the care of people with severe mental illness in The Netherlands and Scandinavia

ProScale - A life cycle oriented method to assess toxicological potentials of product systems (2017) : Guidance Document version 1.5

The ProScale method was developed in an industrial consortium with expertise both from the Life Cycle Assessment and Risk Assessment areas. ProScale is intended as an easy-to-use and widely applicable method that can cover both human and eco-toxicity aspects. Currently available in this report is a module for assessing direct exposure related Human Toxicity Potentials in a life cycle perspective compatible with Life Cycle Assessments including Product Environmental Footprint (PEF). The ProScale methodology is based on chemical hazard described by substance classification (H-phrases) in the GHS/CLP classification system, occupational exposure limits (OEL) or Derived No Effect Levels (DNEL), and an exposure dose based on ECETOC Tiered Risk Assessment (TRA). ProScale scores are derived separately for inhalative, oral and dermal exposure routes. The document provides scientific background as well as practical guidance to the practitioner to carry out a ProScale assessment.ProScale utvecklades i ett industriellt samarbetsprojekt med experter inom livscykelanalys och riskbedömningtoxikologi. ProScale är avsett att vara enkel att använda och omfatta bedömning av kemikalierisker för både människa och miljö. Hittills och i denna rapport omfattar metoden direktexponeringsrelaterad riskinformation för användning inom livscykelanalyser såsom i Europeiska Kommissionens metodik för produkters miljöavtryck (PEF). ProScale-metoden bygger på en kombination av faroklassning enligt det globala harmoniserade systemet (GHS), gränsvärden i arbetsmiljö, och en exponeringsdos baserat på ECETOC TRA (Tiered Risk Assessment). ProScale värden tas fram separat för oral exponering, hudexponering och inandning. Rapporten omfattar en kort bakgrundsbeskrivning och en guide för den som vill arbeta praktiskt med metoden

ProScale - A life cycle oriented method to assess toxicological potentials of product systems (2017) : Guidance Document version 1.5

The ProScale method was developed in an industrial consortium with expertise both from the Life Cycle Assessment and Risk Assessment areas. ProScale is intended as an easy-to-use and widely applicable method that can cover both human and eco-toxicity aspects. Currently available in this report is a module for assessing direct exposure related Human Toxicity Potentials in a life cycle perspective compatible with Life Cycle Assessments including Product Environmental Footprint (PEF). The ProScale methodology is based on chemical hazard described by substance classification (H-phrases) in the GHS/CLP classification system, occupational exposure limits (OEL) or Derived No Effect Levels (DNEL), and an exposure dose based on ECETOC Tiered Risk Assessment (TRA). ProScale scores are derived separately for inhalative, oral and dermal exposure routes. The document provides scientific background as well as practical guidance to the practitioner to carry out a ProScale assessment.ProScale utvecklades i ett industriellt samarbetsprojekt med experter inom livscykelanalys och riskbedömningtoxikologi. ProScale är avsett att vara enkel att använda och omfatta bedömning av kemikalierisker för både människa och miljö. Hittills och i denna rapport omfattar metoden direktexponeringsrelaterad riskinformation för användning inom livscykelanalyser såsom i Europeiska Kommissionens metodik för produkters miljöavtryck (PEF). ProScale-metoden bygger på en kombination av faroklassning enligt det globala harmoniserade systemet (GHS), gränsvärden i arbetsmiljö, och en exponeringsdos baserat på ECETOC TRA (Tiered Risk Assessment). ProScale värden tas fram separat för oral exponering, hudexponering och inandning. Rapporten omfattar en kort bakgrundsbeskrivning och en guide för den som vill arbeta praktiskt med metoden