Attachment A: SAMHSA Consolidated HIV Evaluation Project Director Survey
Introduction
As part of the SAMHSA HIV Consolidated Evaluation, Abt Associates is conducting a survey with Project Directors to gather contextual information on programming efforts for the Targeted Capacity Expansion (TCE) and Minority AIDS Initiative (MAI) grantees including:
TCE-HIV High Risk Racial and Ethnic Minority grantees (TI-12-007);
TCE-HIV High Risk Minority Women grantees (TI-13-011);
MAI Continuum of Care (MAI-CoC) grantees (TI-14-003); and
TCE-HIV High Risk Racial and Ethnic Minority grantees (TI-15-006).
Through these surveys, SAMHSA hopes to gain insight into the successes and challenges of implementing your grantee project and providing HIV, Hepatitis, behavioral health, and primary care services to historically underserved and high-risk populations. Your participation in the survey, as an individual, is voluntary. Surveys are to be completed in each grant program’s final year. If you are Project Director for more than one of these SAMHSA grants, you will be asked to complete a Project Director Survey for each of the grants during their final year of funding.
INSTRUCTIONS AND GUIDANCE TO COMPLETE THE ONLINE SURVEY
Please keep the following in mind as you complete the survey:
The navigation bar at the top of the screen will give you an indication of how much of the survey you have left to complete.
Once you reach the last question of the survey, you will see a “Submit” button. After clicking this button, your survey will be complete and you may close your browser.
Once you have clicked “Submit,” you will not be able to return to it without contacting someone at Abt Associates (i.e., email).
If
you have questions about this study, please contact the help desk at
(844) 282-5881
or email Project_HIVConsolidatedEval@abtassoc.com
Thank
you so much for taking the time to complete the survey.
Douglas
Fuller, PhD
Project Director
HIV Consolidated Evaluation
OMB No. 0930-####
Expiration Date: ##/##/####
SAMHSA HIV CONSOLIDATED EVALUATION
PROJECT DIRECTOR SURVEY
Grantee ID # |
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Project name |
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Respondent 1 (Full name, degrees/credentials, Project Role) |
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a. How long have you been involved with the project? (Pick one)
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Less than 1, 1 year, 2 years, 3 years, More than 3 years |
Respondent 2 (if applicable) (Full name, degrees/credentials, Project role, Organization if different from grantee) |
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a. How long have you been involved with the project?
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Less than 1, 1 year, 2 years, 3 years, More than 3 years |
Public Burden Statement: 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. The OMB control number for this project is 0930-XXXX. Public reporting burden for this collection of information is estimated to average 60 minutes per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to SAMHSA Reports Clearance Officer, 5600 Fishers Lane Rockville, MD 20857
Grantee Organization
The following questions focus on your grantee organization.
What type of organization holds the grant? (Check only one.)
Substance Use Disorder Treatment Agency
Community Mental Health Center
Other Community-based Not for Profit Organization
Faith-based Organization
Public/State Controlled Institution of Higher Education
Federally Recognized Tribes and Tribal Organizations
Urban Indian Organization
Nonprofit Educational Corporation
Public/State Controlled Institution of Higher Education
Private Institution of Higher Education
Public Non-profit Agency
Federally Qualified Health Center
Non-profit Hospital
Other (Please specify)_____________
What is the number of organizations with which your grantee organization currently has formal ACTIVE partnerships for the SAMHSA grant-funded project? Examples of a formal partnership include having a Memorandum of Agreement, Memorandum of Understanding, a Business Associate Agreement or contract to provide services to your clients for this project.
____ (number) Note: pick list 0 to 20.
Population(s) of Focus
The following questions address your population(s) of focus for the SAMHSA grant-funded project. Questions ask how the population(s) of focus might have changed over time.
What is your population(s) of focus for this project? (Check all that apply.)
Racial/ethnic minority women only
Racial/ethnic minority men and women
Men who have sex with Men (MSM), unspecified ages
Young men who have sex with men (YMSM)
Lesbian, gay, bisexual, and transgender (LGBT) populations
Persons at high risk for developing a mental and/or substance use disorder
Persons living with a mental and/or substance use disorder
Persons at risk for HIV/AIDS
Persons living with HIV/AIDS
Persons at risk for Hepatitis
Persons living with Hepatitis
Other (Please specify) _______________
Has the population(s) of focus changed since the beginning of your project?
Yes
No (Skip to Q. 6)
Added population
Expanded age range of individuals seen
Dropped population
Other (Please specify)______________________
Outreach and Engagement
The following questions ask about the outreach and engagement strategies used as part of your SAMHSA grant-funded project. Think of the life of your project when answering the questions in this section.
The first five questions ask about outreach activities.
What outreach strategies have your organization used over the life of the project to identify and engage your population(s) of focus? (Check all that apply.)
Social media
Public service announcements (PSAs)
Mobile/community outreach (examples: street outreach, mobile van(s))
Outreach through websites
Written information made available at community locations
Presentations to community groups (examples: faith organizations, community centers)
Co-location of outreach staff at organizational partner sites (examples: health centers, mental health centers, homeless shelters, vocational programs, withdrawal management/detoxification, residential treatment centers, soup kitchens, etc.)
Other (Please specify) _______________________
Over the life of the project, has your grantee organization tracked whether or not you have reached your intended population(s) of focus through your outreach efforts?
Yes
No (Skip to Q. 9)
How have you tracked whether project outreach activities have reached your intended population(s) of focus? (Check all that apply.)
Likes and comments on social media
Outreach worker logs or tracking forms
Other (Please specify)
How successful are you in reaching your population(s) of focus? (Check only one.)
Very successful
Successful
Somewhat successful
Not successful
What challenges have you faced in outreaching to your population(s) of focus? (Check all that apply.)
Can’t find the population(s) for outreach
Lack of staff safety during outreach
Community mistrust of services
Other (Please specify) ______________________________________________
The next two questions ask about engaging the population(s) of focus in project services.
What challenges have you faced in engaging your population(s) of focus in project services? By “engaging,” we mean are members of the population participating in project activities and services. (Check all that apply.)
People take or view information but do not engage in the project
People refuse HIV testing
People refuse Hepatitis testing
People refuse mental health and/or substance use disorder screening
People identify that they have other life priorities instead of project participation
People are identified, but they need a higher level of care than the project can provide such as inpatient hospitalization or acute treatment for mental health or behavioral or physical health
People indicate that they receive services elsewhere
No challenges faced (Skip to Q. 13)
Other (Please specify) ______________________________________________
What strategies have you tried to address those challenges? (Check all that apply.)
Involved individuals with lived experience/peers to identify and address engagement problems
Used performance evaluation data to improve engagement efforts
Implemented a quality improvement project to improve engagement
Other (Please specify) _________________________
Services Provision
This section focuses on the services funded by this specific SAMHSA grant over the life of the project. DO NOT include other services provided by your organization and/or your partners if the services were not provided with this SAMHSA grant funding.
What types of services has your project provided over the life of this SAMHSA grant? Please include only services SUPPORTED THROUGH THE SAMHSA GRANT. Do not enter services you or your partners are providing with other funding sources. Please check all services that apply. If service is not provided leave the row blank.
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Services your organization provides in-house with SAMHSA grant funding: |
Services your organization co-locates at another site with SAMHSA grant funding: |
Services that your partner organization(s) provide(s) at their own site with SAMHSA grant funding: |
Services that your partner organization(s) co-locates at your site with SAMHSA grant funding: |
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HIV Services |
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Outreach |
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HIV Prevention Information & Resources |
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HIV Prevention Education |
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Pre-Exposure Prophylaxis (PrEP) Services |
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Post-Exposure Prophylaxis (PEP) Services |
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Other HIV Prevention (Specify): _____________ |
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Rapid HIV Testing & Pre/Post Counseling |
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HIV Counseling |
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Primary Care for HIV-related Issues |
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Antiretroviral Therapy (ART) |
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HIV/AIDS Medication Prescriptions |
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Other HIV-related Services (Specify): ______________ |
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HEPATITIS SERVICES |
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Hepatitis Prevention (Specify): ______________ |
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Hepatitis Medical Care |
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Other Hepatitis-related Services (Specify): ____________ |
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MEDICAL SERVICES |
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Medical Care for Non- HIV or non-Hepatitis needs |
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Medical Screenings |
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Other Medical Services (Specify): ____________ |
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CASE MANAGEMENT SERVICES |
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Education/ Employment Services |
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Individual Services Coordination |
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Care Coordination |
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Transportation Assistance |
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Family Services |
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Child Care |
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Supportive Transitional Drug-free Housing Services |
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Other (Specify): __________ |
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MENTAL HEALTH SERVICES |
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Outreach |
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Mental Health Screening |
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Psychological Assessment |
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Treatment/ Recovery Planning |
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Individual Counseling |
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Group Counseling |
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Family/Marriage Counseling |
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Outpatient |
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Intensive Outpatient |
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Day Treatment |
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Support Groups |
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Pharmacological Interventions |
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Trauma Services (e.g. TF-CBT) |
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Recovery Support |
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Aftercare |
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Spiritual Support |
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Self-Help |
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Other (specify): ______________ |
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SUBSTANCE USE DISORDER SERVICES |
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Outreach
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Substance Abuse Prevention Education (Specify): ______________ |
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Screening, Brief Intervention and Referral to Treatment (SBIRT) |
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Substance Use Disorder Screening |
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Substance Use Disorder Assessment |
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Treatment/ Recovery Planning |
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Individual Counseling |
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Group Counseling |
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Medication Assisted Treatment (e.g. Methadone, Suboxone/ Buprenorphine, Naltrexone, Vivitrol, Acomprosate) |
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Outpatient |
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Intensive Outpatient |
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Day Treatment |
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Withdrawal Management (detoxification) |
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Recovery Support |
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Self-Help |
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Continuing Care |
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Relapse Prevention |
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Spiritual Support |
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Aftercare |
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Other (specify): ______________ |
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Peer-to-Peer Recovery Support Services |
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Peer Coaching or Mentoring |
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Housing Support |
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Alcohol and Drug-Free Social Activities |
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Information and Referral |
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Other Recovery Support Services (Specify): _________ |
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What approximately is the intended length of participation for individuals enrolled in project services? By “enrolled” we mean individuals with whom you completed a GPRA interview. (Check only one.)
1 month
3 months
6 months
9 months
12 months
Other (Please specify)____________________________________________
Coordination of Care
The following questions ask about the ways you have coordinated care for individuals enrolled in this project over the course of the grant. By “enrolled,” we mean individuals with whom you completed a GPRA interview.
Are there formal mechanisms for sharing client records between behavioral health and medical care providers?
Yes
No (Skip to Q. 17 )
What mechanisms have you been using to share client records with both internal providers and external providers? (Check all that apply.)
Shared EHR system
Health Information Exchange
Providers access each other’s paper records per Business Associate Agreement or other legal agreement
Assessments and reports are shared according to client consent
Other (Please specify)_____________________________________
How are clients referred between behavioral health and medical care providers? (Check all that apply.)
Referral made electronically through shared EHR
Formal written referral (e.g. State or Managed Care Referral Form or locally developed form)
Verbal communication/phone calls to providers to make referral
Case conferences
Utilization management meetings attended by behavioral health and medical care providers
Warm handoffs
Other (Please specify)_______________________________________________
How are client services and identified problems tracked between behavioral health and medical care providers? (Check all that apply.)
Shared EHR
Verbal communication/phone calls to providers to discuss progress/needs
Case conferences
Utilization management meetings attended by behavioral health and primary/medical care providers
Other (Please specify)_______________________________________________
Are there other routine communications between behavioral health and medical care providers about clients enrolled in your project or to coordinate project services?
Yes
No (Skip to Q. 21)
How often have these communications occurred?
Less than once per month
About once per month
Once per month or more often
Other (Please specify): _____________
Integration of Services
Integrated Practice Assessment Tool (IPAT) Version 2.0 © 2014 Colorado Access, ValueOptions®, Axis Health System
To respond to the next set of questions, choose only one project service delivery site/clinic where the most services are delivered for this grant.
Please insert the name and location of the project service delivery site/clinic where most of the behavioral and medical care is delivered:
Name of service delivery site/clinic referred to for the IPAT questions. |
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Is the service delivery location the same as the location of the grantee organization?
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Yes No (if no enter location of service delivery site/clinic _____________________ |
IPAT Q1. Do you have behavioral health and medical providers physically or virtually located at your facility? “Virtual” refers to the provision of telehealth services; and the “virtual” provider must provide direct care services to the patient, not just a consult, meaning that the provider visually sees the patient via televideo and vice versa.
“No” - Go to question 4
“Yes” - Go to question 2
IPAT Q2. Are medical and behavioral health providers equally involved in the approach to individual patient care and practice design? EXAMPLE: Is there a team approach for patient care that involves both behavioral health and medical health providers?
“No” - Go to question 7
“Yes” - Go to question 3
IPAT Q3. Are behavioral health and medical providers involved in care in a standard way across ALL providers and ALL patients? EXAMPLE: Does the practice use the PHQ-9 to systematically screen for depression, and then assure that every patient with a PHQ-9 > or = 15 receives behavioral health treatment and medical care?
(All get the tools and resources (including staff) needed to practice.)
“No” - Go to question 7
“Yes” - Go to question 8
IPAT Q4. Do you routinely exchange patient information with other provider types (primary care, behavioral health, other)? EXAMPLE: Behavioral health provider and medical provider engage in a “two way” email exchange or a phone call conversation to coordinate care.
No, STOP – Go to next section
“Yes” - Go to question 5
IPAT Q5. Do providers engage in discussions with other treatment providers about individual patient information?
In other words, is the exchange interactive?
“No”, STOP – Go to next section
“Yes” - Go to question 6
IPAT Q6. Do providers personally communicate on a regular basis to address specific patient treatment issues? EXAMPLE: Some form of ongoing communication via weekly/monthly calls or conferences to review treatment issues regarding shared patients: use of a registry tool to communicate which patients are not responding to treatment, so that behavioral health providers can adjust treatment accordingly based on evidenced based guidelines.
“No”, STOP – Go to next section
“Yes”, STOP – Go to next section
IPAT Q7. Do provider relationships go beyond increasing successful referrals with an intent to achieve shared patient care?
EXAMPLES can include: coordinated service planning, shared training, team meetings, use of shared patient
“No”, STOP – Go to next section
“Yes”, STOP – Go to next section
IPAT Q8. Has integration been sufficiently adopted at the provider and practice level as a principal/ fundamental model of care so that the following are in place?
a. Are resources balanced, truly shared, and allocated across the whole practice?
NOTE: In other words, all providers (behavioral health AND medical) receive the tools and resources they need in order to practice.
b. Is all patient information equally accessible and used by all providers to inform care?
EXAMPLE: All providers can access the behavioral health record and medical record.
c. Have all providers changed their practice to a new model of care?
EXAMPLES: Primary Care Providers (PCPs) are prescribing antidepressants and following
evidenced based depression care guidelines; PCPs are trained in motivational interviewing;
behavioral health providers are included in the PCP visit.
d. Has leadership adopted and committed to integration as the model of care for the whole system?
EXAMPLES: Leadership ensures that system changes are made to document all PHQ-9 scores in
the electronic health record (EHR); leadership decides to hire a behavioral health provider for a
primary care clinic after grant funding ends.
e. Is there only 1 treatment plan for all patients and does the care team have access to the treatment plan?
NOTE: Treatment plan includes behavioral AND medical health information.
EXAMPLE: Even though there may be a medical record and a behavioral health record (separate
EHRs), the treatment plan is included in both and is accessible in real time by all providers.
f. Are all patients treated by a team? A care team requires membership from all disciplines.
g. Is population-based screening standard practice, and is screening used to develop interventions for both populations and individuals?
EXAMPLE: All patients are screened for tobacco use, and then offered tobacco cessation at the
facility. All patients are screened for body mass index (BMI) and then offered weight loss
interventions by their primary care provider, or referred to a health coach or wellness program.
EXAMPLE: Facility reviews cardio-metabolic monitoring for all patients on atypical antipsychotics
and determines which patients need screening and additional supports to reduce cardio
metabolic risk factors; primary care clinic screens all diabetics for depression and refers to
behavioral health provider, then primary care provider.
h. Does the practice systematically track and analyze outcomes related for accountability and quality improvement?
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The following questions ask about implementation of integrated behavioral health/medical care over the life of this SAMHSA grant-funded project at all service locations. You do not need to refer to one location when answering the following questions.
What have been the primary facilitators of behavioral health/medical care integration as implemented in your SAMHSA grant-funded project? (Check all that apply.)
Good working relationships with external providers
Trust between internal and external providers
Outside funding support
Support from external partner leadership
Support from internal leadership
Support from internal providers
Shared values
Organizations have shared interests
Mutual reliance for future organizational stability
Environmental factors (e.g., healthy economy, increased attention to behavioral health issues like opioid epidemic, heightened awareness of behavioral health and health as one)
Supportive state leadership (e.g., governor support for integration)
Regulatory changes supported integration
Opportunity to become a Medicaid Health Home
Our payers required the organization to integrate services (e.g., managed care vendor, grant funder, etc.)
Other (Please specify): _____________
What were the primary barriers to achieving behavioral health/medical care integration as implemented over the life of your SAMHSA grant-funded project? (Check all that apply.)
Unproductive working relationships with external providers
Resistance to change among internal providers
Resistance to change among external providers
Scarce or reduced funding support
Lack of support from external partner leadership
Lack of support from internal leadership
Lack of shared values
Organizations have competing interests
Environmental factors (e.g., poor economy, seeking services for mental and/or substance use disorders is stigmatized, community and media attention on other issues)
Unsupportive state leadership
Lack of regulatory support for integration
Our payers won’t support integrated services (e.g., same day billing rules, mental health and/or substance use disorder screenings not covered)
Other (Please specify): _____________
Funding & Project Sustainability
The following questions ask about external funding to support grant project services and any plans you have to sustain project services after the end of your grant funding. First, you will be asked about external funding you may use to supplement SAMHSA grant funding for project services.
Have you supplemented SAMHSA grant funding with other funding sources to support project services?
Yes
No (Skip to Q. 26)
What other sources of funding have you used to support project services? (Check all that apply.)
Third party billing Medicaid
Third party billing Medicare
Third party billing to private insurance
Foundation funding
State Substance Abuse Block Grant funding
Centers for Disease Control and Prevention (CDC) funding
Health Resources and Services Administration (HRSA) funding
Other SAMHSA funding
City/local funding
Fundraising/donations by grantee or partner organizations
Other (Please specify): _____________
The next two questions ask about your plans to sustain project services once the SAMHSA grant funding ends.
What components of the project do you plan to sustain after grant funding ends? (Check all that apply.)
Outreach
Integrated Behavioral Health/Medical Care
Care Coordination across Behavioral Health/Medical Care Providers
Case Management
HIV Testing, Counseling, and Linkage
Hepatitis Testing
Hepatitis Vaccinations
Mental Health and/or Substance Use Disorders Screening
Intimate Partner Violence Screening
Family Services
Education/Employment Services
Trauma-informed Care
Peer Recovery Support Services
Evidence-based Practices (Please list) ________________________
Partnerships
Staff Training/Workforce Development
Other (Please specify): ____________________
What efforts have you and your partner organizations made to secure funding to continue project services once the SAMHSA grant funding ends? (Check all that apply.)
Applied for public grants to continue project services
Obtained public grant funding to continue project services
Applied for foundation grants to continue project services
Obtained foundation grant funding to continue project services
Grantee organization pursuing Health Home status under our state’s Medicaid program
Grantee organization became a Health Home under our state’s Medicaid program
Grantee and partners joined an Accountable Care Organization (ACO)
Pursuing National Committee for Quality Assurance (NCQA) Patient Centered Medical Home Certification
Became a National Committee for Quality Assurance (NCQA) Certified Patient Centered Medical Home
Worked to have peer support services reimbursed by Medicaid or other insurance
Other (Please specify) ________________________________________________
We have not pursued funding to sustain the project services
Staffing & Staff Development
The questions in this section ask about SAMHSA grant-funded project staffing over the life of your project. Questions also address any staff training and development your project provided with SAMHSA funding over the life of the grant.
The next eight questions ask about staffing over the life of your project. We are interested in positions, not FTEs. For questions 28 through 36, pick the number of each type of provider when your project is fully staffed. For example, you may have had four case managers when the project was fully staffed but you may now have three case managers because it is the end of the project and you will not replace an open position. In such a case, you would enter four for question 29.
How many behavioral health clinicians work on the project when it is fully staffed? (Enter only those supported by SAMHSA grant funding.) By behavioral health clinicians we mean social workers, addictions counselors, professional counselors, and others who provide therapy for mental health conditions and/or substance use disorders.
_________ Note: picklist 0 through 20
How many case managers work on the project when it is fully staffed? (Enter only those supported by SAMHSA grant funding.)
____________ Note: picklist 0 through 20
How many peer recovery support staff work on the project when it is fully staffed? (Enter only those supported by SAMHSA grant funding.)
__________ Note: picklist 0 through 20
How many nurses work on the project when it is fully staffed? (Enter only those supported by SAMHSA grant funding.)
__________ Note: picklist 0 through 20
How many physicians work on the project when it is fully staffed? (Enter only those supported by SAMHSA grant funding.)
__________ Note: picklist 0 through 20
How many outreach workers/specialists work on the project when it is fully staffed? (Enter only those supported by SAMHSA grant funding.)
___________ Note: picklist 0 through 20
How many other staff work on the project when it is fully staffed? (Enter only those supported by SAMHSA grant funding.)
__________ Note: picklist 0 through 20
____________ (Enter position title/s)
Approximately, what percent of SAMHSA grant-funded direct service staff /providers have professional degrees, licensure, or certification? For example, MSWs, PhDs, LICSWs, Certified Addiction Specialists or Licensed Professional Counselor. (Please enter a percent.)
____________% Format picklist 0 to 100% by fives (0, 5, 10, 15, 20, etc.)
What is the approximate average caseload for SAMHSA grant-funded direct service staff /providers staff? Do not include MDs or Psychiatric Nurse Specialists/APRNs. (Enter a number below.)
____________ Format picklist 0 to 100
The next questions ask about staff training and development activities implemented over the life of your SAMHSA grant-funded project. Only include trainings and activities paid for with SAMHSA grant funds. You should include activities that might also have in-kind support for food, training facilities, and CEUs. For example, SAMHSA paid for the TF-CBT trainer and staff time but your partner, HIV Care, provided training space and lunch for the training.
What staff training and development efforts have been implemented with SAMHSA grant funding over the life of your project? (Check all types of staff training and development activities that have been provided through this grant.)
Staff Training & Development |
(Check all that apply.)
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Number of Staff Trained (Picklist 1-50) |
Behavioral Couples Therapy for Alcoholism and Drug Abuse |
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Behavioral Health/Medical Care Integration |
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Boston Consortium Model: Trauma-Informed Substance Abuse Treatment for Women Program |
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Cognitive Behavioral Therapy (CBT) |
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Counseling, Testing and Referral (CTR) |
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Dialectical Behavioral Therapy (DBT) |
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HIPAA and Privacy Practices |
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Intimate Partner Violence |
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SAMHSA’s Trauma-informed Approach |
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Matrix Model |
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Mental Health and/or Substance Use Disorder Screening |
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Motivational Interviewing (MI) |
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Quality Improvement/ Process Improvement |
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Rapid HIV testing |
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Rapid Hepatitis testing |
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Referral Processes and Resources |
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Recovery-Oriented Systems of Care |
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Recovery-Oriented Practices |
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Relapse Prevention Therapy |
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RESPECT |
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Screening, Brief Intervention, and Referral to Treatment (SBIRT) |
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Seeking Safety |
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Self-Help in Eliminating Life-threatening Diseases (SHIELD) |
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Sisters Informing Sisters on Topics about AIDS (SISTA) |
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Sister to Sister |
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Special Issues in Treating Transgender Individuals |
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Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) |
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Using Data to Inform Services |
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Wellness Recovery Action Planning (WRAP) |
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Women Involved in Life Learning from Other Women (WILLOW) |
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Working with Couples/Partners of HIV-positive Individuals |
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Other (Please specify) _______________________________ |
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Other (Please specify) _______________________________ |
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Other (Please specify) _______________________________ |
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Other (Please specify) _______________________________ |
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What is the unduplicated number of providers (clinicians, peer recovery support specialists, counselors, case managers, etc.) who have been trained with funds from this SAMHSA grant?
__________ (enter number)
Do not know
Is there anything we did not ask about that you think we should know about this project? (Please describe.)
_______________________________________________________________
THANK YOU!
If you have questions about this study, please contact the help desk at (844) 282-5881 or email Project_HIVConsolidatedEval@abtassoc.com
Thank you so much for taking the time
to complete the survey.
SAMHSA
HIV Consolidated Evaluation Project Director Survey
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Bill Villalba |
File Modified | 0000-00-00 |
File Created | 2021-01-23 |