Site Coordinator (checklist)

Pre-Test of Instruments of Psychosocial Care for the Treatment of Adults with PTSD

20987 ID_Site Coordinator Survey-ATTACHMENT 4

Site Coordinator (checklist)

OMB: 0990-0418

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ATTACHMENT 4

Site Coordinator’s Checklist to Obtain Site of Care Characteristics



Site Coordinator’s Checklist to Obtain Site of Care Characteristics



      1. Does the facility have clinicians providing evidence based psychotherapy to adults with PTSD?

        1. If so, how many?

        2. How many adult clients with PTSD does an average clinician see per week?

        3. What is your facility’s attrition rate for clients with PTSD?

        4. How long (in weeks) are your treatment programs?

        5. On average, how many sessions do clients with PTSD complete?

        6. How many licensed vs. non-licensed clinicians do you have on staff?



      1. Does the facility have licensed clinicians providing routine supervision to other clinicians via audio, videotape or direct observation?

        1. If so, what is the mode of observation?

        2. How often is supervision provided?



      1. Does the facility have a staff person available to coordinate data collection activities with clinicians, supervisors, and clients?



      1. Does the facility have concerns with the data collection timeline?



      1. Does the facility give the clinicians access to computers?

        1. Will filling the survey out after each session be an issue due to computer access?

        2. Does the facility have electronic records?



      1. Can the facility provide a list of clinicians and clients for Mathematica to sample from?



      1. Will the facility need to get approval from the facility’s institutional review board?

        1. If so, what is the timeline for submission and approval?



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