JCAMP Pilot Debrief Form

OMB Control # xxxx-xxxx and Expiration Date: xx/xx/xxxx

JCAMP Pilot Debrief Form

Title: Judicial, Court, and Attorney Measures of Performance (JCAMP) Study

Protocol No.: None

IRB Protocol #

Sponsor: Children’s Bureau, ACF DHHS

InvestigatorS: Alicia Summers, PhD, MS

682 Talus Way

Reno, Nevada 89503

United States

Sophia Gatowski, PhD, MA

2-6988 177 Street

Surrey, BC V3S 2K1

Canada

STUDY-RELATED

PHONE NUMBER(S): Alicia Summers, Ph.D.

(775) 686-8545

Sophia Gatowski, Ph.D.

(604) 807-4617

The Capacity Building Center for Courts has received Children's Bureau funding to review existing child welfare court performance measures, with the goal of developing a set of measures which not only builds on lessons learned from past performance measurement, but also incorporates the best and latest thinking on judicial, attorney and court performance measures for child welfare cases.

Understanding your experiences piloting the performance measures will help improve the final measures and identify areas that require more guidance. As a pilot site, you have been invited to complete a survey about implementation of the judicial, attorney and court performance measures in child welfare cases in your jurisdiction.

The survey should take 15 minutes to complete. Your participation in the survey is voluntary. You may refuse to take part in the research or exit the survey at any time without penalty or loss of otherwise entitled benefits. You may decline to answer any question you do not wish to answer for any reason. There are no foreseeable risks involved in participating in the survey. Your alternative is to not participate. You will receive no direct benefits from participating in this research study. However, your responses will help us learn more about child welfare court data capacity in your state.

Your survey responses will be sent to a link on the Qualtrics survey platform where data will be stored in a password protected electronic format. People overseeing the study such as the IRB may review records. Survey responses you provide may be associated with the name of your state and included in a report shared within the Children’s Bureau and the Administration for Children and Families (ACF) and may be shared in public reports, articles, and presentations. Information from this study may be securely shared with qualified researchers to help guide future research and support program improvement.

Your responses to this survey will remain private to the extent permitted by law.

If you have questions or concerns, or complaints about the survey or study, or to report a research-related problem, you may contact Co-Principal Investigators Dr. Alicia Summers and Dr. Sophia Gatowski.

Co-Principal Investigator

Alicia Summers, Ph.D.

Data Savvy Consulting

682 Talus Way, Reno, NV 89503

(775) 686-8545

Co-Principal Investigator

Sophia Gatowski, Ph.D.

Systems Change Solutions Inc.

2-6988 177 Street, Surrey, BC., Canada, V3S 2K1

(604) 807-4617

This research is being overseen by WCG IRB. An IRB is a group of people who perform independent review of research studies. You may talk to them at 855-818-2289 or researchquestions@wcgirb.com if:

• You have questions, concerns, or complaints that are not being answered by the research team.

• You are not getting answers from the research team.

• You cannot reach the research team.

• You want to talk to someone else about the research.

• You have questions about your rights as a research subject.

• The Paperwork Reduction Act Statement: The described collection of information is voluntary and will be used to help us gather feedback on the pilot of court performance measures. Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, 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. The OMB number and expiration date for the described collection are OMB #: xxxx-xxxx, Exp: xx/xx/20xx. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Dr. Alicia Summers; alicia.d.summers@gmail.com and Dr. Sophia Gatwoski; sgatowski@ymail.com.

Please select ”agree” or “disagree” below. You may print a copy of this consent form for your records. Clicking on the “Agree” button indicates that:

• You have read the above information;

• You voluntarily agree to participate;

• You are 18 years of age or older

Consider the most recent performance measures data collection in your state….

1. Which of the measures were easiest for you to collect? <<insert list of all measures>>

2. Which ones were the hardest? <<insert list of all measures>>

   1. Why?__________________

3. If you only had sufficient resources and time for a subset of measures, which ones would you prioritize?

4. Given your current resources, how likely are you to continue collecting these same data in the future?

5. What challenges arose during the data collection process?

   1. What challenges did you have accessing needed data from your case management system (if applicable)?

   2. Did you have all the right people involved for this data collection effort? If not, who would you involve in the future?

6. What worked well for data collection?

7. Do you have recommendations for ways to improve data collection efforts in the future?

8. What technical assistance do you feel you would need to implement this process on your own?

9. Do you have any other comments you would like to share about the pilot process?

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