Form Attachment 7 - Ins Attachment 7 - Ins Attachment 7 - Instruments

Attachment 7: Document 1 - Partner/Collaborator Semi-Structured Interview Guide
Form Approved
OMB No. ####-####
Expiration Date: ##/##/####

TARGETED CAPACITY EXPANSION PROGRAM FOR SUBSTANCE ABUSE
TREATMENT AND HIV/AIDS SERVICES (TCE-HIV)
MULTI-SITE EVALUATION PROJECT

PARTNERS/COLLABORATORS SEMI-STRUCTURED INTERVIEW GUIDE

CONDUCTED BY:
JBS International, Inc., Alliance for Quality Education, Battelle Memorial Institute, and the
Oregon Health & Science University

Grantee Name:

__________________________________________

Grantee ID Number:

__________________________________________

Date Completed:

_______ /

_______ /

Month

Day

_______
Year

Notice to Respondents
Public reporting time for this collection is estimated to average 60 minutes, 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 OMB Officer, 1
Choke Cherry Road Room 7-1044, Rockville, MD 20850. 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 XXXX-XXXX.

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Attachment 7: Document 1 - Partner/Collaborator Semi-Structured Interview Guide
Partner/Collaborator Interview
Introduction (2.5 minutes)

and HIV/AIDS Services (TCE-HIV) Project.
“Partner/collaborator” refers to agencies or
organizations that provide services and activities
related to the TCE-HIV program.
Partner/collaborator interviews will be conducted
one-on-one with a Multi-Site Evaluation Team
member. Each participant will complete a data
sheet and an informed consent.

CSAT has funded four organizations, JBS
International, the Alliance for Quality Education,
Battelle Memorial Institute, and the Oregon
Health & Science University, to conduct a MultiSite Evaluation of its national Targeted Capacity
Expansion Program for Substance Abuse
Treatment and HIV/AIDS Services. (Introduce
team members, give brief description of
qualifications, and describe functions during the
interview).

Members of the Multi-Site Evaluation Team will
conduct the interview in a private setting,
convenient to the interview participant(s). The
interview will last approximately 60 minutes.
The goal of partners/collaborators interviews
conducted during TCE-HIV Multi-Site Evaluation
site visits include:

As part of the Multi-Site Evaluation, we are
conducting interviews with partners/collaborators
of the TCE-HIV Grantees. As evaluators, we
would like to document and better understand
how your collaboration with [insert site name] has
developed over the course of the past year, and
how your partnership has facilitated improved
outcomes for clients.

(1) Documentation of the development of the
relationship between partners and the TCEHIV Grantee agency
(2) Improved understanding of the types of
services and activities collaborator provides to
the Grantee agency

Although the Multi-Site Evaluation Team is
funded by CSAT, we are not part of that federal
agency (or any other federal agency). We are
independent evaluators of the TCE-HIV program.

(3) Exploration of the partner’s perception of
improved client outcomes related to
collaboration with Grantee agency

We greatly value the information you are able to
provide about your relationship. We have
prepared some topic areas and questions on which
we would like your comments. Also, please note
that we are specifically interested in the services
and activities that you provide. Your name and
title will not appear in the report unless we
specifically ask for your approval. Although we
are taking detailed notes, we would also like to
tape record the interview in case we need to verify
our notes with the interview dialogue.

Final interview guides for each Grantee will be
customized based on the knowledge and role of
each individual interviewee and the nature of
individual Grantee’s program(s). The information
gathered from this interview will be used to better
understand how the TCE-HIV funded program
operates in this setting and will be synthesized
with information gathered from other TCE-HIV
Grantees to inform the Multi-Site Evaluation of
the TCE-HIV program.
Following completion of the partner/collaborator
interview, the interviewer should complete the
interviewer form at the end of this document to
validate that each interview section topic was
covered through during the interview. Space is
also provided to record other germane topics
discussed during the partner/collaborator
interview, a list of any documents received,
observations regarding interview proceedings,
and additional notes/comments relating to the
interview.

Are you comfortable with this approach? Do you
have any questions about what I have explained?
If you have no questions, let’s get started. We
expect this may take 1 hour.
Instructions to Interviewers

The purpose of this guide is to provide an
overview of the information that will be gathered
through interviews with Grantee
partners/collaborators involved with the Targeted
Capacity Expansion Program for Substance Abuse

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Attachment 7: Document 1 - Partner/Collaborator Semi-Structured Interview Guide

For ease of future qualitative analysis coding and
thematic content analysis, any key
findings/themes that appeared during the
interview should also be recorded in the post
interview summary form at the end of this

document. The associated page number note
references and a listing of respondents whose
statements support reported findings should also
be noted, if applicable.

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Attachment 7: Document 1 - Partner/Collaborator Semi-Structured Interview Guide
Partner/Collaborator Interview Guide

I.

Community Context (*Understand partner/collaborator perception of the service community) (5
minutes)

Before we discuss the TCE-HIV program and your relationship with
in more detail, we’d like to get a better understanding of the service community where the Grantee
agency operates. The first few questions are about the community serving the clients.
A. Please provide a brief overview of the service community including the organizations and
assistance available to clients where is located. The service
community could include: health department, medical facilities, substance abuse specialty
treatment programs, faith-based organizations, and others.

II.

PROBE 1:

How would you describe the service community where the Grantee agency
is located?

PROBE 2:

How would you describe the substance abuse treatment services?

PROBE 3:

How would you describe the HIV/AIDS services?

PROBE 4:

How do you think the current service community performs in meeting the
needs of the clients?

Program Description (Description of the partner/collaborating agency) (10 minutes)
Thank you. Now, we’d like to focus more specifically on your agency/organization. Please describe your
agency/organization and the services and activities that it provides, and then we’ll move onto a
discussion of the relationship between you and the Grantee agency.
A. We are very interested in the types of services and activities that your agency provides to the
community.
PROBE 1:

If you provide outreach/pretreatment services, please describe these
services.

PROBE 2:

If you provide treatment services, please describe these services.

PROBE 3:

Please describe any services and activities that you provide which target
HIV risk behaviors.

PROBE 4:

Does your agency/organization use a specific evidence-based practice
(EBP) in its service delivery? If so, please describe which EBP you use and
how it is practiced within your organization.

B. Were you offering similar services before you collaborated with
and the TCE-HIV program?
PROBE 1:

How long has your organization provided these services to the community?

PROBE 2:

Did the services you offer change at all as a result of your collaboration
with ?

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Attachment 7: Document 1 - Partner/Collaborator Semi-Structured Interview Guide

III.

Partnership Development (*Understand the development of the relationship between the partner
and Grantee agency) (15 minutes)

Thank you. Now let’s move onto a discussion of the development of your relationship with .
A. Were you aware of the Grantee agency and its mission prior to your partnership with it?
PROBE 1:

If yes, in what capacity did you interact with the Grantee agency prior to
your existing partnership?

PROBE 2:

What were your impressions of the Grantee agency prior to your
partnership?

PROBE 3:

If no, how did you become aware of the Grantee agency?

B. With your current collaboration, do you have a formal or informal partnership with the Grantee
agency?

IV.

PROBE 1:

Do you have a memorandum of understanding or memorandum of
agreement, or did you provide a letter of support for the grant application?

PROBE 2:

How did you determine the specific role(s) your agency would play when it
came to the provision of services after you partnered with the TCE-HIV
program? (Who does what?)

Partner/Collaborator Service Delivery (*Understand the type and scope of the services provided
by the partner/collaborator) (15 minutes)

Great, now that we have an idea of the basics regarding the relationship between you and the Grantee
agency, we’d like to know more about your service delivery to the clients from . Let’s talk specifically about the services that you provide to the Grantee agency as part of the
TCE-HIV program.
A. How involved have you been in the overall implementation of the TCE-HIV program?
PROBE 1:

Have you been involved in any type of planning or advisory committee for
the project? If so, please describe your involvement.

PROBE 2:

Has your collaborative role changed/developed over the past year? If so,
how has your role changed?

B. What systems are in place to ensure that agreed-upon services are provided?
PROBE 1:

Do you meet regularly with a representative from the Grantee agency to
review the level of service delivery?

PROBE 2:

Is documentation provided to the Grantee agency that specifies the type
and level of services being provided to Grantee clients?

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Attachment 7: Document 1 - Partner/Collaborator Semi-Structured Interview Guide

V.

Client and Community Impact (*Understand perception of impacts on clients and community)
(10 minutes)

The next topics we would like to discuss with you focus on the impact of the partnership/collaboration on
the clients and the community in which they live.
A. What are your impressions of the partnership and collaborative efforts that have formed
between your agency and the TCE-HIV program?
PROBE 1:

How do you think your partnership contributed to the overall success of the
TCE HIV Program?

PROBE 2:

In your opinion, how have the services your agency provided affected the
TCE-HIV clients?

B. Do you think the TCE-HIV program increased the treatment capacity for substance abuse and
mental health in the targeted community? If so, describe the changes in treatment capacity.
C. How, if at all, has your agency’s capacity to provide services been affected as a result of your
relationship with the TCE-HIV program?
VI.

Closing Comments (2.5 minutes)

Thank you for taking the time to speak with us. We have two final questions for you as we end this
discussion today.
A. Do you think you will continue your partnership with in the
coming year(s)? Why or why not?
B. Is there anything you’d like to add about your partnership or the multi-site evaluation?

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Attachment 7: Document 1 - Partner/Collaborator Semi-Structured Interview Guide

PARTNER/COLLABORATOR
INTERVIEWER FORM
The following form should be completed by the interviewer(s) and it is not part of the
partner/collaborator interview guide.

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Attachment 7: Document 1 - Partner/Collaborator Semi-Structured Interview Guide
Post-Interview Summary Documents [Completed by Interviewer]
Table: Discussion Topics Covered in Interview and Key Findings/Themes


Section

Key Interview Findings/Themes by Topic Area

Respondents
Supporting
Finding*

Supporting
Page(s) in
Notes

Community/
Contextual
Conditions

Program
Description

Partnership
Development

Service Delivery

Client and
Community
Impact
by* R1
supported
Key based
Themeon1)Face Sheet numbering: Respondent 1 as R1, Respondent 2 as R2, etc. (e.g., Statements
Code
respondents
by R1 supported Key Theme 1)

Other Topic Areas Discussed

List of Documents Obtained

Observations Regarding Interview Setting (e.g., description of location, disruptions, etc.)

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Attachment 7: Document 1 - Partner/Collaborator Semi-Structured Interview Guide

Observations Regarding Interview Respondents (e.g., engagement level, reluctance etc.)

Additional Notes and Comments

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Attachment 7: Document 2 - Partner Collaborator Data Sheet
Form Approved
OMB No. ####-####
Expiration Date: ##/##/####

TCE-HIV Multi-Site Evaluation
Partner / Collaborator
CSAT would like to learn more about you and your involvement in this organization/program. Please take a

few minutes to answer these questions before the interview begins. Your help in answering these questions is
greatly appreciated and your answers will be held in confidence.
Grantee ID Number: _____________________________

Date: ___________________________

Name: _________________________________________

Title: ___________________________

Organization: _______________________________

Phone #: ____________________

What is your gender?

Male

Female

Transgender

What is your age? ___________ years old
Are you Hispanic or Latino?
Yes
No
[IF YES] What ethnic group do you consider yourself? Please answer yes or no for each of
the following. You may say yes to more than one.
Central American
Yes
Cuban
Yes
Dominican
Yes
Mexican
Yes
Puerto Rican
Yes
South American
Yes
Other
Yes
(If you answered Yes to “Other”, please specify)

No
No
No
No
No
No
No
___________________________________

What is your race? Please answer yes or no for each of the following. You may check all
that apply.
Alaska Native
Yes
American Indian
Yes
Asian
Yes
Black or African American
Yes
Native Hawaiian
Yes
Other Pacific Islander
Yes
White
Yes
Other
Yes
(If you answered Yes to “Other”, please specify)

No
No
No
No
No
No
No
No
___________________________________

Length of partnership with Grantee organization: ______________________________

Notice to Respondents
Public reporting time for this collection is estimated to average 30–40 minutes 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 OMB
Officer, 1 Choke Cherry Road Room 7-1044, Rockville, MD 20850. 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
XXXX-XXXX.