Screen # II.B.06.01 MEDC01 Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING Our next questions are about Medication for Comorbid Psychiatric Conditions. Medication for Comorbid Psychiatric Conditions involves the use of medications to treat mental health problems that often accompany substance use problems. Examples include use of antidepressants for depression and Posttraumatic Stress Disorder, mood stabilizers for Bipolar Disorder, and antipsychotics for Psychotic Disorders (such as Schizophrenia). MEDC01. Are you familiar with Medication for Comorbid Psychiatric Conditions? 1 yes [GO TO QUESTION MEDC01_1a] 0 no [GO TO QUESTION MEDRP01] Screen # II.B.06.03 MEDC01_1aa MEDC01_1ab MEDC01_1ac MEDC01_1ad MEDC01_1ae MEDC01_1af MEDC01_1ag MEDC01_1ah MEDC01_1ai MEDC01_1ai_ spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_1a. How did you and your staff learn about Medication for Comorbid Psychiatric Conditions? Choose all that apply a. in school b. by attending a seminar, conference, or workshop c. by reading journal articles d. by finding information on the internet e. by working with a consultant f. by discussing it with colleagues and other treatment programs that have experience with it g. through a clinical supervisor or training program h. by participating in research i. Other (please specify): ________________ Screen # II.B.06.02 MEDC01_1b Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_1b. Which of these choices best summarizes your knowledge and experience with Medication for Comorbid Psychiatric Conditions? Choose one of the following a We are not interested in Medication for Comorbid Psychiatric Conditions and do not think it would be effective in our program. [IF SELECTED, GO TO QUESTION MEDC01_2b] b We have considered Medication for Comorbid Psychiatric Conditions but see many pros and cons. [IF SELECTED, GO TO QUESTION MEDC01_3b] c We are planning on using Medication for Comorbid Psychiatric Conditions in our program, but we haven’t used it yet. [IF SELECTED, GO TO QUESTION MEDC01_4b] d We are using Medication for Comorbid Psychiatric Conditions in our program, but we haven’t decided whether we are going to make it a permanent part of our program. [IF SELECTED, GO TO QUESTION MEDC01_5b] e We have made Medication for Comorbid Psychiatric Conditions a permanent part of our program. [IF SELECTED, GO TO QUESTION MEDC01_6b] f We have used Medication for Comorbid Psychiatric Conditions in our program in the past, but don’t use it currently. [IF SELECTED, GO TO QUESTION MEDC01_7b] Screen # II.B.06.04 MEDC01_2ba MEDC01_2bb MEDC01_2bc MEDC01_2bd MEDC01_2be MEDC01_2bf MEDC01_2bg MEDC01_2bh MEDC01_2bi MEDC01_2bi_ spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_2b. What are the reasons you think Medication for Comorbid Psychiatric Conditions would not be effective in your program? Choose all that apply a it isn’t consistent with our program’s treatment approach and philosophy b it isn’t culturally appropriate c it is too structured and we need more flexibility it hasn’t been studied enough with American Indians or Alaska d Natives e it doesn’t fit well with the other treatments we use in our program f it is too expensive and/or time consuming g we don’t have the appropriate staff to do this in our program some of my staff would refuse to use it h i Other (please specify): ________________ Screen # II.B.06.05 MEDC01_2c Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_2c. Do you feel any pressure to use Medication for Comorbid Psychiatric Conditions in your program? 1 yes [GO TO QUESTION MEDC01_2d] 0 no [GO TO QUESTION MEDRP01] Screen # II.B.06.06 MEDC01_2da MEDC01_2db MEDC01_2dc MEDC01_2dd MEDC01_2de MEDC01_2df MEDC01_2dg MEDC01_2dh MEDC01_2dh _spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_2d. From what sources do you feel this pressure to use Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a your clients b your program’s clinical staff c your supervisor tribal/program leadership d e state accreditation organization/Single State Authorities f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please specify): ________________ [GO TO QUESTION MEDRP01] Screen # II.B.06.08 MEDC01_3ba MEDC01_3bb MEDC01_3bc MEDC01_3bd MEDC01_3be MEDC01_3bf MEDC01_3bg MEDC01_3bh MEDC01_3bi MEDC01_3bj MEDC01_3bj_ spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_3b. What do you see as the “pros” of Medication for Comorbid Psychiatric Conditions? Choose all that apply a. it is consistent with our program’s treatment approach and philosophy b. it is culturally appropriate c. the existing research base proves it is effective d. it is innovative and promotes good practice e. it fits with the expertise and training of our staff f. it ensures consistent and standardized treatment within our program g. it is a billable service h. it can be marketed for political purposes and/or funding requests i. its raises the reputation of our program j. Other (please specify): ________________ Screen # II.B.06.09 MEDC01_3ca MEDC01_3cb MEDC01_3cc MEDC01_3cd MEDC01_3ce MEDC01_3cf MEDC01_3cg MEDC01_3ch MEDC01_3ci MEDC01_3ci_ spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_3c. What do you see as the “cons” of Medication for Comorbid Psychiatric Conditions? Choose all that apply a it isn’t consistent with our program’s treatment approach and philosophy b it isn’t culturally appropriate c it is too structured and we need more flexibility it hasn’t been studied enough with American Indians or Alaska d Natives e it doesn’t fit well with the other treatments we use in our program f it is too expensive and/or time consuming g we don’t have the appropriate staff to do this in our program some of my staff would refuse to use it h i Other (please specify): ________________ Screen # II.B.06.10 MEDC01_3d II.B.06.11 MEDC01_3ea MEDC01_3eb MEDC01_3ec MEDC01_3ed MEDC01_3ee MEDC01_3ef MEDC01_3eg MEDC01_3eh MEDC01_3eh _spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Condition) MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_3d. Do you feel any pressure to use Medication for Comorbid Psychiatric Conditions in your program? 1 yes [GO TO QUESTION MEDC01_3e] 0 no [GO TO QUESTION MEDRP01] INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_3e. From what sources do you feel this pressure to use Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a your clients b your program’s clinical staff c your supervisor d tribal/program leadership e state accreditation agency/Single State Authority f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please specify): ________________ [GO TO QUESTION MEDRP01] Screen # II.B.06.13 MEDC01_4ba MEDC01_4bb MEDC01_4bc MEDC01_4bd MEDC01_4be MEDC01_4bf MEDC01_4bg MEDC01_4bh MEDC01_4bi MEDC01_4bj MEDC01_4bj_ spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_4b. What do you and your staff like about Medication for Comorbid Psychiatric Conditions? Choose all that apply a. it is consistent with our program’s treatment approach and philosophy b. it is culturally appropriate c. the existing research base proves it is effective d. it is innovative and promotes good practice e. it fits with the expertise and training of our staff f. it ensures consistent and standardized treatment within our program g. it is a billable service h. it can be marketed for political purposes and/or funding requests i. its use raises the reputation of our program j. Other (please specify): ________________ Domain/Co Screen # nstructs II.B.06.14 MEDC • Specific MEDC – Dissemina tion and MEDC01_4ca Follow-up MEDC01_4cb Questions MEDC01_4cc (Medicatio MEDC01_4cd n for MEDC01_4ce Comorbid MEDC01_4ce_ Psychiatri spec c Conditions MEDC01_4c_ ) 1 II.B.06.15 MEDC01_4e Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_4c. What type of provider will you use to include Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a psychiatrist b other physician (e.g., family practitioner, internist) c advanced practice nurse (APN) or nurse practitioner (NP) d physician assistant (PA) e Other (please specify): ________________ MEDC01_4c_1. Will this provider be a member of your program’s staff, or will this provider be an outside consultant? Choose one of the following 1 a member of our program’s staff 0 an outside consultant INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC • Specific MEDC – MEDC01_4e. How do you plan on using Medication for Comorbid Psychiatric Dissemina Conditions in your program? tion and Choose one of the following Follow-up a it will be a core component of our program and every client will Questions receive it (Medicatio b it will be used with clients that will be most likely to benefit from it n for c we haven’t decided how we are going to use it in our program Comorbid Psychiatri c Condition) Screen # II.B.06.16 MEDC01_4fa MEDC01_4fb MEDC01_4fc MEDC01_4fd MEDC01_4fe MEDC01_4ff MEDC01_4fg MEDC01_4fh MEDC01_4fi MEDC01_4fj MEDC01_4fj_ spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_4f. Do you and your staff have any of the following concerns about using Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a we are concerned that it isn’t fully consistent with our program’s treatment approach and philosophy b we are concerned about its cultural appropriateness c we worry that it is too structured and we need more flexibility we are concerned that it hasn’t been studied enough with American d Indians or Alaska Natives e we aren’t sure if it will fit well with the other treatments we use in our program f we are concerned it is too expensive and/or time consuming to use we are concerned that we may not have the appropriate staff to g implement it effectively h we are concerned that some of our staff would refuse to use it i we have no concerns about it Other (please specify): ________________ j Screen # II.B.06.17 MEDC01_4g Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_4g. Do you feel any pressure to use Medication for Comorbid Psychiatric Conditions in your program? 1 yes [GO TO QUESTION MEDC01_4h] 0 no [GO TO QUESTION MEDRP01] Screen # II.B.06.18 MEDC01_4ha MEDC01_4hb MEDC01_4hc MEDC01_4hd MEDC01_4he MEDC01_4hf MEDC01_4hg MEDC01_4hh MEDC01_4hh _spec MEDC01_4i Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_4h. From what sources do you feel this pressure to use Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a your clients b your program’s clinical staff c your supervisor d tribal/program leadership state accreditation organization/Single State Authority e f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please specify): ________________ MEDC01_4i. Are these pressures part of the reason you are considering using Medication for Comorbid Psychiatric Conditions in your program? 1 yes 0 no [GO TO QUESTION MEDRP01] Screen # II.B.06.20 MEDC01_5b II.B.06.21 MEDC01_5c Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_5b. How long have you used Medication for Comorbid Psychiatric Conditions in your program? Choose one of the following a less than 6 months b 6 months to 1 year c 2 to 5 years d more than 5 years INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_5c. Did you feel any pressure to use Medication for Comorbid Psychiatric Conditions in your program? 1 yes [GO TO QUESTION MEDC01_5d] 0 no [GO TO QUESTION MEDC01_5f] Screen # II.B.06.22 MEDC01_5da MEDC01_5db MEDC01_5dc MEDC01_5dd MEDC01_5de MEDC01_5df MEDC01_5dg MEDC01_5dh MEDC01_5dh _spec MEDC01_5e Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_5d. From what sources did you feel this pressure to use Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a your clients b your program’s clinical staff c your supervisor d tribal/program leadership state accreditation organization/Single State Authority e f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please specify): ________________ MEDC01_5e. Are these pressures part of the reason you are using Medication for Comorbid Psychiatric Conditions in your program? 1 yes 0 no Screen # II.B.06.23 MEDC01_5fa MEDC01_5fb MEDC01_5fc MEDC01_5fd MEDC01_5fe MEDC01_5ff MEDC01_5fg MEDC01_5fh MEDC01_5fi MEDC01_5fj MEDC01_5fk MEDC01_5fl MEDC01_5fl_ spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_5f. What were the other reasons that you and your staff decided to use Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a. it is consistent with our program’s treatment approach and philosophies b. it is culturally appropriate c. the existing research base proves it is effective d. it is innovative and promotes good practice e. it fits with the expertise and training of our staff f. it ensures consistent and standardized treatment within our program g. it is a billable service h. it can be marketed for political purposes and/or funding requests i. its use raises the reputation of our program j. No other reasons k. don’t know – we made this decision before I joined the program l. Other (please specify): ________________ Screen # II.B.06.24 MEDC01_5ga MEDC01_5gb MEDC01_5gc MEDC01_5gd MEDC01_5ge MEDC01_5ge _spec MEDC01_5g_ 1 Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_5g. What type of provider do you use to include Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a psychiatrist b other physician (e.g., family practitioner, internist) c advanced practice nurse (APN) or nurse practitioner (NP) d physician assistant (PA) e Other (please specify): ________________ MEDC01_5g_1. Is this provider a member of your program’s staff, or is this provider an outside consultant? Choose one of the following 1 a member of our program’s staff 0 an outside consultant Screen # II.B.06.25 MEDC01_5i Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_5i. How do you and your staff use Medication for Comorbid Psychiatric Conditions in your program? Choose one of the following a it is a core component of our program and every client receives it b we use it with clients that will most likely benefit from it Screen # II.B.06.27 MEDC01_5ja MEDC01_5jb MEDC01_5jc MEDC01_5jd MEDC01_5je MEDC01_5jf MEDC01_5jf_ spec MEDC01_5k Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_5j. How do you evaluate the outcomes of Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a staff meetings and discussions b client satisfaction questionnaires c client outcomes surveys and interviews d treatment record audits/reviews we haven’t evaluated it e f Other (please specify): ________________ MEDC01_5k. How effective has Medication for Comorbid Psychiatric Conditions been in your program? Choose one of the following a not effective at all b somewhat effective c very effective Screen # II.B.06.28 MEDC01_5l_1 MEDC01_5l_2 MEDC01_5l_3 Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_5l_1. How satisfied are you with Medication for Comorbid Psychiatric Conditions? Choose one of the following a not satisfied b somewhat satisfied c very satisfied MEDC01_5l_2. How satisfied are your staff with Medication for Comorbid Psychiatric Conditions? Choose one of the following a not satisfied b somewhat satisfied very satisfied c MEDC01_5l_3. How satisfied are your clients with Medication for Comorbid Psychiatric Conditions? Choose one of the following a not satisfied somewhat satisfied b c very satisfied Screen # II.B.06.30 MEDC01_5oa MEDC01_5ob MEDC01_5oc MEDC01_5od MEDC01_5oe MEDC01_5of MEDC01_5og MEDC01_5og _spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_5o. How do you monitor your staff’s use of Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a staff meetings b individual discussions with clinical supervisor c treatment record audits/reviews d reviews of audio or video recordings of sessions direct observation of sessions by clinical supervisor e f we haven’t monitored our staff’s use of Medication for Comorbid Psychiatric Conditions g Other (please specify): ________________ Screen # II.B.06.31 MEDC01_5pa MEDC01_5pb MEDC01_5pc MEDC01_5pd MEDC01_5pe MEDC01_5pf MEDC01_5pg MEDC01_5ph MEDC01_5pi MEDC01_5pj MEDC01_5pj_ spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_5p. Do you and your staff have any of the following concerns about using Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a it isn’t fully consistent with our program’s treatment approach and philosophy b we are concerned about its cultural appropriateness c it is too structured and we need more flexibility in treating our clients we are concerned that it hasn’t been studied enough with American d Indians or Alaska Natives e it doesn’t fit well with the other treatments we use in our program f it is expensive and/or time consuming we are concerned that we really don’t have the appropriate staff to g use it effectively in our program h some of our staff refuse to use it i we have no concerns about it Other (please specify): ________________ j Screen # II.B.06.32 MEDC01_5qa MEDC01_5qb MEDC01_5qc MEDC01_5qd MEDC01_5qe MEDC01_5qf MEDC01_5qg MEDC01_5qh MEDC01_5qi MEDC01_5qi_ spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_5q. Why are you unsure whether you will make Medication for Comorbid Psychiatric Conditions a permanent part of your program? Choose all that apply a it isn’t consistent with our program’s treatment approach and philosophy b it isn’t culturally appropriate c it is too structured and we need more flexibility in treating our clients it hasn’t been studied enough with American Indians or Alaska d Natives e it doesn’t fit well with the other treatments we use in our program f it is too expensive and/or time consuming we don’t have the appropriate staff to do this in our program g h some of my staff would refuse to use it i Other (please specify): ________________ [GO TO QUESTION MEDRP01] Screen # II.B.06.34 MEDC01_6b II.B.06.35 MEDC01_6c Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_6b. How long have you used Medication for Comorbid Psychiatric Conditions in your program? Choose one of the following a less than 6 months b 6 months to 1 year c 2 to 5 years d more than 5 years INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_6c. Did you feel any pressure to use Medication for Comorbid Psychiatric Conditions in your program? 1 yes [GO TO QUESTION MEDC01_6d] 0 no [GO TO QUESTION MEDC01_6f] Screen # II.B.06.36 MEDC01_6da MEDC01_6db MEDC01_6dc MEDC01_6dd MEDC01_6de MEDC01_6df MEDC01_6dg MEDC01_6dh MEDC01_6dh _spec MEDC01_6e Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_6d. From what sources did you feel this pressure to use Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a your clients b your program’s clinical staff c your supervisor d tribal/program leadership state accreditation organization/Single State Authority e f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please specify): ________________ MEDC01_6e. Are these pressures part or all of the reason you are using Medication for Comorbid Psychiatric Conditions in your program? 1 yes 0 no Screen # II.B.06.37 MEDC01_6fa MEDC01_6fb MEDC01_6fc MEDC01_6fd MEDC01_6fe MEDC01_6ff MEDC01_6fg MEDC01_6fh MEDC01_6fi MEDC01_6fj MEDC01_6fk MEDC01_6fl MEDC01_6fl_ spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_6f. What were the other reasons that you and your staff decided to use Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a. it is consistent with our program’s treatment approach and philosophies b. it is culturally appropriate c. the existing research base proves it is effective d. it is innovative and promotes good practice e. it fits with the expertise and training of our staff f. it ensures consistent and standardized treatment within our program g. it is a billable service h. it can be marketed for political purposes and/or funding requests i. its use raises the reputation of our program j. No other reasons k. don’t know – we made this decision before I joined the program l. Other (please specify): ________________ Screen # II.B.06.38 MEDC01_6ga MEDC01_6gb MEDC01_6gc MEDC01_6gd MEDC01_6ge MEDC01_6ge _spec MEDC01_6g_ 1 Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_6g. What type of provider do you use to include Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a psychiatrist b other physician (e.g., family practitioner, internist) c advanced practice nurse (APN) or nurse practitioner (NP) d physician assistant (PA) e Other (please specify): ________________ MEDC01_6g_1. Is this provider a member of your program’s staff, or is this provider an outside consultant? Choose one of the following 1 a member of our program’s staff 0 an outside consultant Screen # II.B.06.39 MEDC01_6i Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_6i. How do you and your staff use Medication for Comorbid Psychiatric Conditions in your program? Choose one of the following a it is a core component of our program and every client receives it b we use it with clients that are most likely to benefit from it Domain/Co Screen # nstructs II.B.06.41 MEDC • Specific MEDC – Dissemina tion and Follow-up MEDC01_6ka Questions MEDC01_6kb (Medicatio MEDC01_6kc n for MEDC01_6kd Comorbid MEDC01_6ke Psychiatri MEDC01_6kf c MEDC01_6kf_ Conditions spec ) MEDC01_6l Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_6k. How do you evaluate the outcomes of Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a staff meetings and discussions b client satisfaction questionnaires c client outcomes surveys and interviews d treatment record audits/reviews we haven’t evaluated it e f Other (please specify): ________________ MEDC01_6l. How effective has Medication for Comorbid Psychiatric Conditions been in your program? Choose one of the following a not effective at all b somewhat effective c very effective Screen # II.B.06.43 MEDC01_6l_1 MEDC01_6l_2 MEDC01_6l_3 Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_6l_1. How satisfied are you with Medication for Comorbid Psychiatric Conditions? Choose one of the following a not satisfied b somewhat satisfied c very satisfied MEDC01_6l_2. How satisfied are your staff with Medication for Comorbid Psychiatric Conditions? Choose one of the following a not satisfied b somewhat satisfied very satisfied c MEDC01_6l_3. How satisfied are your clients with Medication for Comorbid Psychiatric Conditions? Choose one of the following a not satisfied somewhat satisfied b c very satisfied Screen # II.B.06.44 MEDC01_6oa MEDC01_6ob MEDC01_6oc MEDC01_6od MEDC01_6oe MEDC01_6of MEDC01_6og MEDC01_6og _spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_6o. How do you monitor how well your staff uses Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a staff meetings b individual discussions with clinical supervisor c treatment record audits/reviews d reviews of audio or video recordings of sessions direct observation of sessions by clinical supervisor e f we haven’t monitored our staff’s use of Medication for Comorbid Psychiatric Conditions g Other (please specify): ________________ Screen # II.B.06.45 MEDC01_6pa MEDC01_6pb MEDC01_6pc MEDC01_6pd MEDC01_6pe MEDC01_6pf MEDC01_6pg MEDC01_6ph MEDC01_6pi MEDC01_6pj MEDC01_6pj_ spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_6p. Do you and your staff have any of the following concerns about using Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a it isn’t fully consistent with our program’s treatment approach and philosophy b we are concerned about its cultural appropriateness c it is too structured and we need more flexibility in treating our clients we are concerned that it hasn’t been studied enough with American d Indians or Alaska Natives e it doesn’t fit well with the other treatments we use in our program f it is expensive and/or time consuming to use we are concerned that we really don’t have the appropriate staff to g use it effectively in our program h some of our staff refuse to use it i we have no concerns about it Other (please specify): ________________ j Screen # II.B.06.46 MEDC01_6qa MEDC01_6qb MEDC01_6qc MEDC01_6qd MEDC01_6qe MEDC01_6qf MEDC01_6qg MEDC01_6qh MEDC01_6qi MEDC01_6qj MEDC01_6qk MEDC01_6ql MEDC01_6ql_ spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_6q. Why did you decide to make Medication for Comorbid Psychiatric Conditions a permanent part of your program? Choose all that apply a it is effective b our clients like it c it is billable d it is consistent with our program’s treatment approach and philosophy it is culturally appropriate e f it fits with the expertise and training of our staff g it fits well with the other treatments we use in our program h it is innovative and promotes good practice it ensures consistent and standardized treatment within our program i j it can be marketed for political purposes and/or funding requests k its use raises the reputation of our program l Other (please specify): ________________ Screen # II.B.06.48 MEDC01_7b MEDC01_7c Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_7b. How long did you use Medication for Comorbid Psychiatric Conditions in your program? Choose one of the following a less than 6 months b 6 months to 1 year c 2 to 5 years d more than 5 years MEDC01_7c. How long ago did you stop using Medication for Comorbid Psychiatric Conditions in your program? Choose one of the following a less than 6 months ago 6 months to 1 year ago b c 2 to 5 years ago d more than 5 years ago Screen # II.B.06.49 MEDC01_7d Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_7d. Did you feel any pressure to use Medication for Comorbid Psychiatric Conditions in your program? 1 yes [GO TO QUESTION MEDC01_7e] 0 no [GO TO QUESTION MEDC01_7g] Screen # II.B.06.50 MEDC01_7ea MEDC01_7eb MEDC01_7ec MEDC01_7ed MEDC01_7ee MEDC01_7ef MEDC01_7eg MEDC01_7eh MEDC01_7eh _spec MEDC01_7f Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_7e. From what sources did you feel this pressure to use Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a your clients b your program’s clinical staff c your supervisor d tribal/program leadership state accreditation organization/Single State Authority e f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please specify): ________________ MEDC01_7f. Are these pressures part or all of the reason you used Medication for Comorbid Psychiatric Conditions in your program? 1 yes 0 no Screen # II.B.06.51 MEDC01_7ga MEDC01_7gb MEDC01_7gc MEDC01_7gd MEDC01_7ge MEDC01_7gf MEDC01_7gg MEDC01_7gh MEDC01_7gi MEDC01_7gj MEDC01_7gj_ spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_7g. What were the other reasons that you and your staff decided to use Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a it is consistent with our program’s treatment approach and philosophy b the existing research base proves it is effective c it is innovative and promotes good practice it ensures consistent and standardized treatment within our program d e it is a billable service f it can be marketed for political purposes and/or funding requests g its use raises the reputation of our program h No other reasons don’t know – we made this decision before I joined the program i j Other (please specify): ________________ Screen # II.B.06.52 MEDC01_7ha MEDC01_7hb MEDC01_7hc MEDC01_7hd MEDC01_7he MEDC01_7he _spec MEDC01_7h_ 1 Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_7h. What type of provider did you use to include Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a psychiatrist b other physician (e.g., family practitioner, internist) c advanced practice nurse (APN) or nurse practitioner (NP) d physician assistant (PA) e Other (please specify): ________________ MEDC01_7h_1. Was this provider a member of your program’s staff, or was this provider an outside consultant? Choose one of the following 1 a member of our program’s staff 0 an outside consultant Screen # II.B.06.53 MEDC01_7j Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_7j. How did you and your staff use Medication for Comorbid Psychiatric Conditions in your program? Choose one of the following a it is a core component of our program and every client receives it b we use it with clients that are most likely to benefit from it Screen # II.B.06.55 MEDC01_7la MEDC01_7lb MEDC01_7lc MEDC01_7ld MEDC01_7le MEDC01_7lf MEDC01_7lf_ spec MEDC01_7m Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_7l. How did you evaluate the outcomes of Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a staff meetings and discussions b client satisfaction questionnaires c client outcomes surveys and interviews d treatment record audits/reviews we didn’t evaluate it e f Other (please specify): ________________ MEDC01_7m. How effective was Medication for Comorbid Psychiatric Conditions in your program? Choose one of the following a not effective at all b somewhat effective c very effective Screen # II.B.06.56 MEDC01_7l_1 MEDC01_7l_2 MEDC01_7l_3 Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_7l_1. How satisfied were you with Medication for Comorbid Psychiatric Conditions? Choose one of the following a not satisfied b somewhat satisfied c very satisfied MEDC01_7l_2. How satisfied were your staff with Medication for Comorbid Psychiatric Conditions? Choose one of the following a not satisfied b somewhat satisfied very satisfied c MEDC01_7l_3. How satisfied were your clients with Medication for Comorbid Psychiatric Conditions? Choose one of the following a not satisfied somewhat satisfied b c very satisfied Screen # II.B.06.58 MEDC01_7pa MEDC01_7pb MEDC01_7pc MEDC01_7pd MEDC01_7pe MEDC01_7pf MEDC01_7pg MEDC01_7pg _spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_7p. How did you monitor your staff’s use of Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a staff meetings and discussions b clinical supervision c treatment record audits/reviews d reviews of audio or video recordings of sessions direct observation of sessions by clinical supervisor e f we haven’t monitored our staff’s use of Medication for Comorbid Psychiatric Conditions g Other (please specify): ________________ Screen # II.B.06.59 MEDC01_7qa MEDC01_7qb MEDC01_7qc MEDC01_7qd MEDC01_7qe MEDC01_7qf MEDC01_7qg MEDC01_7qh MEDC01_7qi MEDC01_7qj MEDC01_7qj_ spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_7q. Did you and your staff have any of the following concerns about using Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a it wasn’t fully consistent with our program’s treatment approach and philosophy b we were concerned about its cultural appropriateness c it was too structured and we need more flexibility in treating our clients we were concerned that it hasn’t been studied enough with d American Indians or Alaska Natives e it didn’t fit well with the other treatments we use in our program f it was too expensive and/or time consuming to use we were concerned that we really don’t have the appropriate staff to g use it effectively in our program h some of our staff refused to use it i we had no concerns about it Other (please specify): ________________ j Screen # II.B.06.60 MEDC01_7ra MEDC01_7rb MEDC01_7rc MEDC01_7rd MEDC01_7re MEDC01_7rf MEDC01_7rg MEDC01_7rh MEDC01_7ri MEDC01_7rj MEDC01_7rj_ spec Domain/Co nstructs MEDC • Specific MEDC – Dissemina tion and Follow-up Questions (Medicatio n for Comorbid Psychiatri c Conditions ) Questions INTRODUCTION > BACKGROUND > WORKFORCE > ASSESSMENT/TREATMENT > EVIDENCE-BASED TREATMENTS > QUALITY & LEARNING MEDC01_7r. Why did you stop using Medication for Comorbid Psychiatric Conditions in your program? Choose all that apply a it wasn’t effective for our clients b our clients didn’t like it c it was too expensive and/or too time consuming to use d it wasn’t fully consistent with our program’s treatment approach and philosophy we were concerned about its cultural appropriateness e f it was too structured and we need more flexibility in treating our clients g it didn’t fit well with the other treatments we use in our program we didn’t have the appropriate staff to continue to use it in our h program i some of our staff refused to use it j Other (please specify): ________________ [GO TO QUESTION MEDRP01]
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