Family Response evaluation

FAMILY RESPONSE DATA COLLECTION INSTRUCTIONS

Collect and submit client service documentation, including Crisis Assessment Tools and safety plans

We will collect documentation for each youth/family served through the Family Response program. Documentation will include records maintained by Family Response staff between referral and discharge, along with results from the Crisis Assessment Tool and a copy of the safety plan completed for each youth/family.

Submission datePeriod coveredSubmission datePeriod covered
January 5November-DecemberJuly 5May-June
February 5December-JanuaryAugust 5June-July
March 5January-FebruarySeptember 5July-August
April 5February-MarchOctober 5August-September
May 5March-AprilNovember 5September-October
June 5April-MayDecember 5October-November

Resources

MONTHLY SERVICE DATA VARIABLE LIST

CRISIS ASSESSMENT TOOL

Data submission

Upload monthly service data (or email file to evaluation@community-research.solutions)

Upload individual Crisis Assessment Tool and/or safety plan (if not already included in monthly tracking file)

Enter Crisis Assessment Tool responses (if not already included in monthly tracking file)

Collect 30-day follow-up survey

Feedback from families should be collected 30-days post-discharge. Project staff can collect the information from each family using a variety of approaches based on convenience to staff and the family. Surveys can be completed via email or text, or completed over the phone.

Resources

30-DAY FOLLOW-UP SURVEY

Data submission

Upload 30-day follow-up surveys (if not already included in monthly tracking file)

Enter the data for each 30-day follow-up as they are completed (if not already included in monthly tracking file)

Stabilization Services evaluation

STABILIZATION SERVICES DATA COLLECTION INSTRUCTIONS

EVALUATION TRAINING SLIDES (February 2023)

Collect consent forms

A signed consent form is needed in order for families to participate in the Stabilization Services discharge interviews. Please review the consent form with the family at intake, and answer any questions that they may have about the interview. Families may decline the interview if desired. Their choice to be interviewed or not does not impact any of the services that they will receive. A copy of the consent form should be submitted regardless of whether they have provided consent or declined.

Resources

Blank consent form: SUMMIT GUIDANCE, CHANGE INC., NEXUS-FACTS

Data submission

Completed consent forms should be scanned or photographed and uploaded to Community Research Solutions within 7 days of intake.

Conduct baseline interviews with parents/ caregivers and submit intake data

SAMHSA requires some consistent information be collected at the time that a family enters Stabilization Services. The baseline interviews include some information about the youth/family background and presenting concerns.  Some information is completed by the Stabilization Services provider on their own; other information is collected from the family.

Resources

BASELINE INTERVIEW

INTAKE INTERVIEW QUESTION-BY-QUESTION GUIDE [NOTE: Questions in this guide may be in a different order than in the baseline interview]

Data submission

All intake interviews should be completed and submitted to the evaluation team within 7 days of intake. There are two options for submitting this interview.

Option 1:         Upload a completed copy of the intake interview.

Option 2:         Manually enter the data for each intake interview as they are completed.

Submit discharge information

The discharge documentation provides information about the services received and notifies the evaluation team that a family has completed services.

Resources

DISCHARGE SUMMARY

Data submission

All discharge summaries should be completed and submitted to the evaluation team within 2 days of discharge. There are two options for submitting this summary.

Option 1:         Upload a completed copy of the discharge summary.

Option 2:         Manually enter the data for each discharge summary as they are completed.

Collect 30-day follow-up surveys

Feedback from families should be collected 30-days post discharge. Project staff can collect the information from each family using a variety of approaches based on convenience to staff and the family. Surveys can be completed via email or text, or completed over the phone. If desired, the evaluation team can set up an online form for families to submit responses directly.

Resources

30-DAY FOLLOW-UP SURVEY

Information submission

All completed 30-day follow-ups should be submitted to the evaluation team as completed. There are two options for submitting information:

Option 1:         Complete the follow-up survey on paper and then upload a copy.

Option 2:         Manually enter the data for each 30-day follow-up as they are completed.