Form Concept Mapping Br Concept Mapping Br Concept Mapping Brainstorming Activity

Substance Abuse Mental Health Services Administration

Concept Mapping Brainstorming Activity

OMB No: XXXXX

Expiration Date: XXXX

Public Burden Statement: 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.  Public reporting burden for this collection of information is estimated to average 30 minutes per respondent, per year, 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 Reports Clearance Officer, 1 Choke Cherry Road, Room 2-1057, Rockville, Maryland, 20857.

Community Support Evaluation: BHTCC

Concept Mapping Brainstorming Activity

Description of Participation: The Substance Abuse and Mental Health Services Administration (SAMHSA) is sponsoring a national evaluation of Behavioral Health Treatment Court Collaborative (BHTCC) programs. Concept mapping is online activity to be used to identify ways that the BHTCC supports program participants in their recovery. It is anticipated that between 10-20 people will participate in this concept mapping activity. Participants will include BHTCC program participants, peer specialists, family members, judges, attorneys, court personnel, treatment providers, and case managers. The information you share will be combined with everyone else’s information at your BHTCC. The combined information is also expected to be used to identify the most important ways that the BHTCCs contribute to participant recovery and ways that programs can improve this support. We are asking you to take part in this activity because of your involvement in the BHTCC. Given your involvement, you can provide information about the components of the BHTCC that are most important to supporting recovery and ensuring BHTCC program outcomes.

Privacy: The information that you provide via this online activity will be kept private except as otherwise required by law. No identifying information is requested as part of this exercise. The information that we report to SAMHSA will not contain any identifying information.

Benefits: The research involves no prospect of direct benefit to individual respondents, but is likely to yield generalizable knowledge that could be relevant to the consumers of the BHTCC program and to the field.

Risks: Completion of this inventory poses few, if any, risks to you or your agency. You may choose to cease participation at any time, for whatever reason.

Contact information:

If you have any questions about this study, please contact:

Robin Davis, Project Director

ICF International

Telephone: (404)-592-2188

3 Corporate Square, NE, Suite 370, Atlanta, GA 30329

Brainstorming Instructions:

We need your assistance identifying the things that the BHTCC does to support participant recovery. These things can include any activities, supports, or services provided by the BHTCC to support program participants. Please read the statement below, and then type in the text box something that you believe completes the sentence (or focus prompt). You will be able to add as many statements as you want. Please keep each statement brief, just one thought. Select “add this statement” after you type each statement or idea. Your statement will be saved and added to the list of collected statements at the bottom of the page. Please review the other statements to see if your idea is already there so you don’t submit duplicate ideas. You may also search the list of statements using the search function to check if your idea is a duplicate.

FOCUS PROMPT: One way that the BHTCC helps participants in recovery is…

[NOTE: Grantees will be allowed to revise the exact wording of the focus prompt.]

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