Survey of County Respondents - screenshots

Form Approved
OMB No. 0920-XXXX
Exp. Date:
Public  Reporting  burden  of  this  collection  of  information  is  estimated  at  15  minutes  per  response, 
including  the  time  for  reviewing  instructions,  searching  existing  data  sources,  gathering  and 
maintaining  the  data  needed,  and  completing  and  reviewing  the  collection  of  information.    An 
agency  may  not  conduct  or  sponsor,  and  a  person  is  not  required  to  respond  to  a  collection  of 
information unless it displays a currently valid OMB control number.  Send comments regarding this 
burden  estimate  or  any  other  aspect  of  this  collection  of  information,  including  suggestions  for 
reducing  this  burden  to  CDC/ATSDR  Reports  Clearance  Officer,  1600  Clifton  Road  NW,  MS  D‐74, 
Atlanta, GA  30333; Attn:  PRA (0920‐XXXX).

Informed Consent

ICF International is working with the Centers for Disease Control and Prevention (CDC) on a study to understand how 
Temporary Assistance to Needy Families (TANF)/Colorado Works and child welfare work together to assist families and 
how their policies and practices may affect rates of child maltreatment. The findings from this project may be used to 
inform other agencies throughout the country. 

• Your participation in this survey is voluntary. Whether or not you take part in this survey will not affect your job or your 
relationship with your colleagues. Your supervisor will not be made aware of your participation in this survey and they will 
not have access to the information in the survey.  
• All of the information that we collect from you is secure and the only people that will have access to this information are 
the researchers who are conducting this project. 
• The survey should take about 10­15 minutes to complete.  
• If you have questions about this survey or project, you may contact the project director, Cathy Lesesne, at (404) 321­
3211, or at Catherine.Lesesne@icfi.com.  

By advancing to the next screen, you are agreeing to complete this survey.  

Respondent Information

*1. Department or agency name

*2. County
6  

*3. Job title

4. In what year did you begin working at the Department of Human/Social Services (e.g.,
"1998")?

Survey Introduction

In this survey, we will be asking questions about service integration. We define service integration as the coordination of 
TANF/Colorado Works and child welfare policies and processes that link services across service boundaries for newly 
identified clients, dual­system clients, or clients with multiple co­occurring needs. Integration can be used to describe a 
range of activities, such as several agencies providing a service at one location and the creation of shared planning and 
budgeting. We use the term integration here to describe the activities taking place between TANF/Colorado Works 
(“welfare”) and child welfare agencies or divisions.  

Section I

This section asks several questions about the overall relationship between TANF/Colorado Works and Child Welfare in 
your organization.  

*5. In your county, which of the following best describes the physical location

relationship of your Child Welfare and TANF/Colorado Works programs? (Check all that
apply.)
c They are located in the same building and share physical space.
d
e
f
g

c They are located in the same building but do not share physical space (such located on different floors or separate areas of the building).
d
e
f
g
c They are located in different buildings.
d
e
f
g

c Our County Department of Human Services has satellite offices in other locations in the county.
d
e
f
g
c Other (please describe)
d
e
f
g

*6. Has your county worked to develop or implement a plan to integrate TANF/Colorado

Works and Child Welfare activities?
j No
k
l
m
n

j Don't know
k
l
m
n

j Yes
k
l
m
n

7. In what year did this work begin (to the best of your knowledge)? Please select the year.
6  

*8. In what year did this work end (to the best of your knowledge)? Please select the year.
6  

*9. Given the reality that your county has many priorities, how do you rank the integration

of TANF/Colorado Works and Child Welfare activities?
j Not a priority
k
l
m
n
j Low priority
k
l
m
n

j Medium priority
k
l
m
n
j High priority
k
l
m
n

*10. Is there a formal committee or other structure that oversees the integration of the

planning and service activities between TANF/Colorado Works and Child Welfare?
j No
k
l
m
n

j Don't know
k
l
m
n

j Yes
k
l
m
n

*11. Is such a committee being considered?
j No
k
l
m
n

j Don't know
k
l
m
n

j Yes
k
l
m
n

12. In what year did this committee or structure begin (to the best of your knowledge)?
Please select the year.
6  

*13. In what year did this committee or structure end (to the best of your knowledge)?

Please select the year.
6  

*14. Have there been any discussions at the management level, or elsewhere within your

agency, to increase coordinated case planning for TANF/Colorado Works and Child
Welfare clients?
j No
k
l
m
n

j Don't know
k
l
m
n

j Yes
k
l
m
n

*15. Has there been…
j Considerable discussion?
k
l
m
n
j Limited discussion?
k
l
m
n

*16. Has coordinated case planning (between Child Welfare and TANF/Colorado Works)

been implemented?
j No
k
l
m
n

j Don't know
k
l
m
n

j Yes
k
l
m
n

*17. In what year did coordinated case planning begin (to the best of your knowledge)?
6  

*18. In what year did coordinated case planning end (to the best of your knowledge)?

Please select the year.
6  

*19. Does your county have any protocols that require Child Welfare workers to

determine if their clients are concurrently in the TANF/Colorado Works system?

j Yes
k
l
m
n
j No
k
l
m
n

*20. Does your county have any protocols in place that direct Child Welfare workers to

determine if a client has a possible need for Colorado Works cash assistance and/or
employment services?

j Yes
k
l
m
n
j No
k
l
m
n

*21. Now, we will be asking a series of questions about the time period from 1995­2014.
On a scale of zero to four (0 = not integrated at all, 4 = highly integrated), how integrated do
you consider your county’s TAN/Colorado Works and Child Welfare services during the
following time period (2010­2014)?
As a reminder, we define integration as the coordination of TANF/Colorado Works and
Child Welfare policies and processes that link services across service boundaries for
newly identified clients, dual­system clients, or clients with multiple co­occurring needs.
Integration can be used to describe a range of activities, such as several agencies
providing a service at one location and the creation of shared planning and budgeting. We
use the term integration here to describe the activities taking place between
TANF/Colorado Works (“welfare”) and child welfare agencies or divisions.
Select one number for each year below. You may indicate “Don’t know” if you were not
working with your county’s TANF/Colorado Works or Child Welfare agencies/divisions at
the time, or if you do not know.
0 ­Not integrated at 
all

1

2 ­Somewhat 
integrated

3

4 ­Highly 
integrated

Don't know

2014

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

2013

j
k
l
m
n

j
k
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m
n

j
k
l
m
n

j
k
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m
n

j
k
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n

j
k
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m
n

2012

j
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n

j
k
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n

j
k
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n

j
k
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n

j
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n

j
k
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n

2011

j
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n

j
k
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n

j
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n

j
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n

j
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n

j
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n

2010

j
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n

j
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n

j
k
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n

j
k
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n

j
k
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n

j
k
l
m
n

*22. On a scale of zero to four (0 = not integrated at all, 4 = highly integrated), how

integrated do you consider your county’s TANF/Colorado Works and Child Welfare
services during the following time period (2005­2009)?
0 ­Not integrated at 
all

1

2 ­Somewhat 
integrated

3

4 ­Highly 
integrated

Don't know

2009

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
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m
n

j
k
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m
n

2008

j
k
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m
n

j
k
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m
n

j
k
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m
n

j
k
l
m
n

j
k
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m
n

j
k
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m
n

2007

j
k
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m
n

j
k
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m
n

j
k
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m
n

j
k
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m
n

j
k
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m
n

j
k
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m
n

2006

j
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m
n

j
k
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m
n

j
k
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n

j
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n

j
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n

j
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n

2005

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n

j
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n

j
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n

j
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n

j
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n

j
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n

*23. On a scale of zero to four (0 = not integrated at all, 4 = highly integrated), how

integrated do you consider your county’s Colorado Works and Child Welfare services
during the following time period (2000­2004)?
0 ­Not integrated at 
all

1

2 ­Somewhat 
integrated

4 ­Highly 

3

Don't know

integrated

2004

j
k
l
m
n

j
k
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m
n

j
k
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m
n

j
k
l
m
n

j
k
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m
n

j
k
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m
n

2003

j
k
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m
n

j
k
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m
n

j
k
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m
n

j
k
l
m
n

j
k
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m
n

j
k
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n

2002

j
k
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m
n

j
k
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m
n

j
k
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m
n

j
k
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n

j
k
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m
n

j
k
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m
n

2001

j
k
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m
n

j
k
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m
n

j
k
l
m
n

j
k
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m
n

j
k
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n

j
k
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m
n

2000

j
k
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m
n

j
k
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m
n

j
k
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m
n

j
k
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m
n

j
k
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n

j
k
l
m
n

*24. On a scale of zero to four (0 = not integrated at all, 4 = highly integrated), how

integrated do you consider your county’s Colorado Works and Child Welfare services
during the following time period (1995­1999)?
0 ­Not integrated at 
all

1

2 ­Somewhat 
integrated

4 ­Highly 

3

Don't know

integrated

1999

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

1998

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

1997

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

1996

j
k
l
m
n

j
k
l
m
n

j
k
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m
n

j
k
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m
n

j
k
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m
n

j
k
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n

1995

j
k
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m
n

j
k
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m
n

j
k
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m
n

j
k
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m
n

j
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n

j
k
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m
n

*25. To what extent does the leadership in your county’s agency support integration

between TANF/Colorado Works and Child Welfare?

j Leadership does not show support for integration between TANF/Colorado Works and Child Welfare
k
l
m
n
j Leadership shows some support for integration between TANF/Colorado Work and Child Welfare
k
l
m
n

j Leadership shows a high degree of commitment and investment in TANF/Colorado Works and Child Welfare integration
k
l
m
n

Section II

The next set of questions looks at areas that could present barriers to collaboration or services integration between Child 
Welfare and TANF/Colorado Works. Whether or not you view collaboration and integration between these systems as 
desirable or useful, your assessment of barriers to integration efforts is extremely helpful.  

*26. On a scale of zero to four (0 = not a barrier, 4 = substantial barrier), what is your

perception of how much each of the following items serve as a barrier to collaboration
between and integration of Colorado Works and Child Welfare services in your county?
0 ­Not a barrier

1

2 ­Moderate barrier

3

4 ­Substantial barrier

j
k
l
m
n

j
k
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m
n

j
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n

j
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n

j
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n

A common assessment tool

j
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n

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n

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n

j
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A common client 

j
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n

j
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n

j
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n

j
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n

Extent of agency consensus 
on appropriate integration 
model

information system
Ability to share client 
information between 
programs
High staff workloads 
(difficult to add additional 
tasks)
Difficulty in hiring new staff 
(lack of availability)
Human resources 
classification limitations 
and/or union constraints
Middle manager or 
supervisor commitment to 
integration
Line staff commitment to 
integration
Extent of line staff 
understanding of need for 
services integration

*27. On a scale of zero to four (0 = not a barrier, 4 = substantial barrier), what is your

perception of how much each of the following items serve as a barrier to collaboration
between and integration of TANF/Colorado Works and Child Welfare services in your
county?
0 ­Not a barrier

1

2 ­Moderate barrier

3

4 ­Substantial barrier

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
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m
n

Lack of funding

j
k
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m
n

j
k
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m
n

j
k
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m
n

j
k
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m
n

j
k
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n

Colorado Works client’s fear 

j
k
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n

j
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n

j
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n

j
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n

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j
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j
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j
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j
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n

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j
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n

j
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n

j
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n

j
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n

j
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n

Lack of adequate training

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
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n

Other (please specify 

j
k
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m
n

j
k
l
m
n

j
k
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m
n

j
k
l
m
n

j
k
l
m
n

Challenges with blending 
Colorado Works and Child 
Welfare funding

of potential Child Welfare 
involvement
Integration not a high 
priority for executive staff
Competing/conflicting 
goals for the two programs
Competing/conflicting 
client timelines for the two 
programs
Colorado Works restrictions 
on serving families while 
the child is out of the home
Extent of flexibility in the 
Colorado TANF Plan
Extent of flexibility in 
Colorado Child Welfare 
laws / regulations
Public perception or 
spotlight on social services 
agencies

below)
If "Other", please specify response here.  

28. Please provide any additional comments you want us to know about the level or nature
of integration between Child Welfare and TANF/Colorado Works services.
5
6  
Thank you very much for taking the time to fill out this survey! If you have any questions about this survey or the study, please feel free to contact 
Cathy Lesesne at (404) 321­3211 or Catherine.Lesesne@icfi.com.