Instrument 8 – LifeSet Specialist Survey_Clean

OPRE Study: Evaluation of LifeSet [Impact and Implementation Evaluation]

Instrument 8 – LifeSet Specialist Survey_Clean

OMB: 0970-0577

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LifeSet Staff Survey

INSTRUCTIONS:

We would like to invite you to participate in an online survey that will take about 20 minutes to complete. As part of our efforts to understand how the LifeSet program operates we are asking LifeSet specialists to complete this survey. Your answers will help us learn more about some features of the services you provide. The time you take to answer these questions will also help us to prepare for the in-person focus groups we will be conducting [month year].

After asking you about your educational and employment background, most of the questions will ask you to provide some details about the time you spend with supervisors and your work with LifeSet participants. This is not an audit, nor are we “checking up” on you. We are simply interested in getting a better idea of who you are and what your position entails.

Your participation in this survey is voluntary. You can choose not to answer any question or not participate in the interview at all. There will be no consequences to you if you choose not to participate. All information will be kept private by the research team and will not be shared with your employer, the New Jersey Department of Children and Families, or Youth Villages. Additionally, federal law states that 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 for this data collection is 0970-0577 and the expiration date is XX/XX/XXXX. Thank you in advance for your time!

Staff Member Background

We will ask you a few questions about your educational and work background.

What is the highest degree you have earned?
1. High school diploma/GED
2. Associate’s
3. Bachelor’s
4. Master’s
5. Doctorate
[If 1 ≠ A] What field or area of study is it in?

(write in answer)

When did you receive your degree?
1. (drop down month, drop down year)
What is the name of your current employer?

(Drop down of LS provider agencies, option to choose one)

When did you start working as a LifeSet Specialist with [response from 7]?
1. (drop down month, drop down year )
Including your current position, how many years have you been employed in a social services setting?
1. ____ years [validation check, whole number between 0-40]

Prior to becoming a LifeSet Specialist, did you have experience working with adolescents or young adults?
1. Yes
2. No

Supervision

Group meetings with LifeSet Team Supervisors

How many times per week do you have regular group meetings with your team supervisor?

____ / week – Drop down number (range 0-7)

How long do these meetings typically last?

____ minutes / meeting (validation check that anything over 240 is invalid)

Briefly describe the goals of these meetings: ____________________________________________

_____________________________________________________________________________________

____________________________________________________________________________________

How often do you find these meetings useful?

Never only sometimes usually always

1 2 3 4 5 6 7

Briefly describe your usefulness rating for group supervision: _____________________________________

_____________________________________________________________________________________

____________________________________________________________________________________

Individual meetings with LifeSet Team Supervisors

How many times per week do you have regular individual meetings with your team supervisor?

____ / week – drop down number (range 0-14)

How long do these meetings typically last?

____ minutes / meeting (validation check that anything over 120 is invalid)

Briefly describe the goals of these meetings: ____________________________________________

_____________________________________________________________________________________

____________________________________________________________________________________

How often do you find these meetings useful?

Never Half of the time Always

1 2 3 4 5 6 7

Briefly describe your usefulness rating for individual supervision: ___________________________________

_____________________________________________________________________________________

____________________________________________________________________________________

Meetings with LifeSet Licensed Program Experts

How frequently do you have regular meetings with your Licensed Program Expert?

____ / week – drop down number (range 0-7)

How long do these meetings typically last?

____ minutes / meeting (validation check that anything over 240 is invalid)

Briefly describe the goals of these meetings: ____________________________________________

_____________________________________________________________________________________

____________________________________________________________________________________

How often do you find these meetings useful?

Never Half of the time Always

1 2 3 4 5 6 7

Briefly describe your usefulness rating for meetings with LifeSet Program Experts: _____________________

_____________________________________________________________________________________

____________________________________________________________________________________

LS Sessions

Approximately how many youth are on your current caseload?

Thinking about those young adults in your current caseload, where do you most frequently conduct LifeSet sessions? (option to select one)

School

Youth’s home

At youth’s work

At your offices

By phone (not using video)

By video chat (Zoom, Facetime, etc.)

In the community, please specify type of location:______________

Other: ________________

Thinking about your current caseload, select the three topic areas that you cover with clients most frequently:

Financial issues Community safety

High school/GED education Post-secondary education

Physical health Behavioral/mental health

Housing Domestic violence

Employment Transportation

Legal issues Delinquent/criminal behavior

Substance use/abuse Sexual and reproductive health

Other life skills Parenting skills

Relationship management Community supports or connections to caring adults

Other: _____________________

About how often do you use assessment/diagnostic tools or interventions directly from the GuideTree Toolbox during weekly LifeSet sessions?

Never Half of the time Always

1 2 3 4 5 6 7

Select the three clinical tools that you use most frequently in LifeSet sessions:

Psychoeducation Cognitive Coping Challenging Automatic Thoughts Parenting Skills Preparing Adolescents for Young Adulthood (PAYA) Emotional Thermometer Positive Self Talk Transition Toolkit Functional Analysis Exit and Wait Plan

Other:__________

Outside Service Providers and Referrals

Please indicate how often you interact with the following individuals on behalf of youth in LifeSet

Probation officers, parole officers, or other staff from the juvenile or adult corrections systems:

Never Monthly Weekly Daily

1 2 3 4 5 6 7

Law Guardian, Deputy Attorney General, Court Appointed Special Advocate (CASA),or other court officials:

Never only sometimes somewhat frequently very frequently

1 2 3 4 5 6 7

Staff from the local high school (i.e. teachers, guidance counselors, principles):

Never Monthly Weekly Daily

1 2 3 4 5 6 7

Staff from a college, university, or trade school:

Never Monthly Weekly Daily

1 2 3 4 5 6 7

Staff from the local workforce development board:

Never Monthly Weekly Daily

1 2 3 4 5 6 7

Other outside service providers in the community (such as behavioral health services, employment services, etc.):

Never Monthly Weekly Daily

1 2 3 4 5 6 7

Youths’ CP&P caseworker

Never Monthly Weekly Daily

1 2 3 4 5 6 7

Youths’ CMO care manager

Never Monthly Weekly Daily

1 2 3 4 5 6 7

If there are other individuals (outside of other staff within your employer) with whom you interact frequently please give their role(s): _________________________________________________

Thinking about all the young adults that have been on your caseload, please indicate what percentage you have referred to outside service providers for the following service areas and to which provider you most frequently refer:

High School/GED Education:

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