F. TLP YouthSurvey Items-Sources

F. TLP_YouthSurvey_Items-Sources__20180502.xlsx

Transition Living Program Evaluation

F. TLP YouthSurvey Items-Sources

OMB: 0970-0383

Document [xlsx]
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Overview

Baseline_Items
6Mo_Items
12Mo_Items

Sheet 1: Baseline_Items
Item # Topic Source Citation
A1 Homelessness New item N/A
A2 Extent of Homelessness New item N/A
B1 Housing history New item N/A
B2 Housing history New item N/A
B3 Housing history New item N/A
B4 Housing history New item N/A
B5 Housing history New item N/A
B6 Housing history New item N/A
B7 Housing history New item N/A
B8 Housing history New item N/A
B9 Housing history New item N/A
B11 Housing history New item N/A
B12 Housing history New item N/A
B13 Housing history New item N/A
C1 Participation in a TLP New item N/A
C2 Participation in a TLP New item N/A
C3 Participation in a TLP-like program New item N/A
C4 Service receipt New item N/A
C5 Service receipt New item N/A
C8 Perceived importance of service New item N/A
D2 Depressive Symptoms Center for Epidemiologic Studies Short Depression Scale (CES-D 11) (Kohout et al., 1993) Kohout, F.J, L.F. Berkman, D.A. Evans, & J. Cornoni-Huntley. (1993). "Two Shorter Forms of the CES-D Depression Symptoms Index." Journal of Aging and Health, 5(2): 179-193.
D3 Traumatic stress Abbreviated PTSD Checklist (PCL-C) Lang, A.J., Stein, M.B. (2005). "An Abbreviated PTSD Checklist for Use as a Screening Instrument in Primary Care." Behaviour Research and Therapy, 43: 585-594
D4 Supportive relationships with adults Adapted form of the Adult Connectedness Scale Bernstein, L., Dun Rappaport, C., Olsho, L., Hunt, D., & Levin, M. (2009). Impact evaluation of the U.S. Department of Education’s Student Mentoring Program: Final report. Cambridge, Massachusetts: Abt Associates.
E1 Educational progress New item N/A
E2 Grade repetition, suspension, expulsion, drop out New item N/A
E3 Grade repetition, suspension, expulsion, drop out New item N/A
E4 Grade repetition, suspension, expulsion, drop out New item N/A
E5 Grade repetition, suspension, expulsion, drop out New item N/A
E6 Education history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
E7 Education history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
E8 Education history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
E9 Education history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F1 Employment status Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F2 Barriers to Employment New item N/A
F3 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F4 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F5 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F6 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F7 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F8 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F9 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F10 Money management Adapted from Youth Corps Baseline Survey; Abt Associates for Corporation for National and Community Service Price, C., Williams, J., Simpson, L., Jastrzab, J., and Markovitz, C. (2011). National Evaluation of Youth Corps: Findings at Follow-up. Prepared for the Corporation for National and Community Service. Cambridge, MA: Abt Associates Inc.
F11 Banked/unbanked New item N/A
F12 Banked/unbanked New item N/A
G1 Civic engagment New item N/A
G2 Civic engagment New item N/A
G3 Civic engagment New item N/A
H1 Exposure to violence Adapted from National Longitudinal Study of Adolescent Health (Add Health) Harris, K.M., C.T. Halpern, E. Whitsel, J. Hussey, J. Tabor, P. Entzel, & J.R. Udry. (2009). The National Longitudinal Study of Adolescent Health: Code book [WWW document]. URL: http://www.cpc.unc.edu/projects/addhealth/codebooks/wave1
H2 Delinquency Adapted from National Longitudinal Study of Adolescent Health (Add Health) Harris, K.M., C.T. Halpern, E. Whitsel, J. Hussey, J. Tabor, P. Entzel, & J.R. Udry. (2009). The National Longitudinal Study of Adolescent Health: Code book. [WWW document]. URL: http://www.cpc.unc.edu/projects/addhealth/codebooks/wave1
H3 Substance use Adapted from the National Substance Abuse, HIV, and Hepatitis Prevention Initiative, Cohort 6 Youth Baseline Questionnaire CSAP, HHS, & SAMHSA. (2006). National Substance Abuse, HIV, and Hepatitis Prevention Initiative Cohort 6 Youth Baseline Questionnaire. [WWW document] URL: https://www.samhsa.gov/sites/default/files/cohort6_youthbaseline.doc
H4 Substance use Adapted from the National Substance Abuse, HIV, and Hepatitis Prevention Initiative, Cohort 6 Youth Baseline Questionnaire CSAP, HHS, & SAMHSA. (2006). National Substance Abuse, HIV, and Hepatitis Prevention Initiative Cohort 6 Youth Baseline Questionnaire. [WWW document] URL: https://www.samhsa.gov/sites/default/files/cohort6_youthbaseline.doc
H5 Substance use Adapted from the National Substance Abuse, HIV, and Hepatitis Prevention Initiative, Cohort 6 Youth Baseline Questionnaire CSAP, HHS, & SAMHSA. (2006). National Substance Abuse, HIV, and Hepatitis Prevention Initiative Cohort 6 Youth Baseline Questionnaire. [WWW document] URL: https://www.samhsa.gov/sites/default/files/cohort6_youthbaseline.doc
H6 Risky sexual behavior Adapted from Personal Responsibility Education Program (PREP) Performance Measures (OMB Control Number 0970-0497) OMB Control Number 0970-0497 Collection of Performance Measures – Personal Responsibility Education Program (PREP)
H7 Risky sexual behavior Adapted from Personal Responsibility Education Program (PREP) Performance Measures (OMB Control Number 0970-0497) OMB Control Number 0970-0497 Collection of Performance Measures – Personal Responsibility Education Program (PREP)
H8 Risky sexual behavior Adapted from Personal Responsibility Education Program (PREP) Performance Measures (OMB Control Number 0970-0497) OMB Control Number 0970-0497 Collection of Performance Measures – Personal Responsibility Education Program (PREP)
H9 Risky sexual behavior Adapted from Personal Responsibility Education Program (PREP) Performance Measures (OMB Control Number 0970-0497) OMB Control Number 0970-0497 Collection of Performance Measures – Personal Responsibility Education Program (PREP)
H10 Risky sexual behavior Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H11 Gender identity, sexual orientation Adapted from 2013 National Health Interview Survey; U.S. Department of Health and Human Services. Draft 2013 National Health Interview Survey - Adult Questionnaire, U.S. Department of Health and Human Services (http://www.cdc.gov/nchs/nhis/quest_data_related_1997_forward.htm)
H15 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H16 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H17 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H18 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H19 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H20 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H21 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H22 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
I1 Race and ethnicity Adapted from American Community Survey (ACS); response categories from Supporting Healthy Marriages (SHM) for Department of Health and Human Services 2013 American Community Survey Questionnaire, U.S. Census Bureau; Hsueh, J, Alderson, D., et al. (2012). The Supporting Healthy Marriage Evaluation: Early Impacts on Low-Income Families, Technical Supplement. OPRE Report 2012-27. Washington, DC: Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.
I2 Race and ethnicity Adapted from American Community Survey (ACS); response categories from Supporting Healthy Marriages (SHM) for Department of Health and Human Services 2013 American Community Survey Questionnaire, U.S. Census Bureau; Hsueh, J, Alderson, D., et al. (2012). The Supporting Healthy Marriage Evaluation: Early Impacts on Low-Income Families, Technical Supplement. OPRE Report 2012-27. Washington, DC: Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.
I3 Nativity New item N/A
I4 Language New item N/A
I5a Marital status Adapted from American Community Survey (ACS) 2013 American Community Survey Questionnaire, U.S. Census Bureau
I5b Cohabitation New item N/A
I6 Child bearing Adapted from Youth Corps Baseline Survey; Abt Associates for Corporation for National and Community Service
Price, C., Williams, J., Simpson, L., Jastrzab, J., and Markovitz, C. (2011). National Evaluation of Youth Corps: Findings at Follow-up. Prepared for the Corporation for National and Community Service. Cambridge, MA: Abt Associates Inc.
I7 Child bearing Adapted from Youth Corps Baseline Survey; Abt Associates for Corporation for National and Community Service
Price, C., Williams, J., Simpson, L., Jastrzab, J., and Markovitz, C. (2011). National Evaluation of Youth Corps: Findings at Follow-up. Prepared for the Corporation for National and Community Service. Cambridge, MA: Abt Associates Inc.

Sheet 2: 6Mo_Items
Item # Topic Source Citation
A1 Homelessness New item N/A
A2 Extent of Homelessness New item N/A
B1 Housing history New item N/A
B2 Housing history New item N/A
B3 Housing history New item N/A
B4 Housing history New item N/A
B5 Housing history New item N/A
B6 Housing history New item N/A
B7 Housing history New item N/A
B8 Housing history New item N/A
B9 Housing history New item N/A
B11 Housing history New item N/A
B12 Housing history New item N/A
B13 Housing history New item N/A
C4 Service receipt New item N/A
C5 Employment services New item N/A
C6 Perceived importance of service New item N/A
C7 Offer of services New item N/A
C8 Perceived importance of service New item N/A
C9 Perceived importance of service New item N/A
D1 Self-efficacy Generalized Self-Efficacy Scale (Schwarzer & Jerusalem, 1995) Schwarzer, R. & Jerusalem, M. (1995). Generalized self-efficacy scale. In J. Weinman, S. Wright, & M. Johnston (Eds.), Measures in health psychology: A user’s portfolio. Causal and control beliefs. Windsor, UK: NFER-NELSON.
D2 Depressive symptoms Center for Epidemiologic Studies Short Depression Scale (CES-D 11) (Kohout et al., 1993) Kohout, F.J, L.F. Berkman, D.A. Evans, & J. Cornoni-Huntley. (1993). "Two Shorter Forms of the CES-D Depression Symptoms Index." Journal of Aging and Health, 5(2): 179-193.
D3 Traumatic stress Abbreviated PTSD Checklist (PCL-C) Lang, A.J., Stein, M.B. (2005). "An Abbreviated PTSD Checklist for Use as a Screening Instrument in Primary Care." Behaviour Research and Therapy, 43: 585-594
D4 Supportive relationships with adults Adapted form of the Adult Connectedness Scale Bernstein, L., Dun Rappaport, C., Olsho, L., Hunt, D., & Levin, M. (2009). Impact evaluation of the U.S. Department of Education’s Student Mentoring Program: Final report. Cambridge, Massachusetts: Abt Associates.
D5 Supportive relationships with peers Adapted form of the Adult Connectedness Scale Bernstein, L., Dun Rappaport, C., Olsho, L., Hunt, D., & Levin, M. (2009). Impact evaluation of the U.S. Department of Education’s Student Mentoring Program: Final report. Cambridge, Massachusetts: Abt Associates.
D6 Supportive relationships with peers Adapted form of the Adult Connectedness Scale Bernstein, L., Dun Rappaport, C., Olsho, L., Hunt, D., & Levin, M. (2009). Impact evaluation of the U.S. Department of Education’s Student Mentoring Program: Final report. Cambridge, Massachusetts: Abt Associates.
D7 Delinquent peers Adapted from Peer Deviancy Scale; Multisite Violence Prevention Project Multisite Violence Prevention Project. Description of measures: cohort-wide student survey, 2004. Available from the Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta, GA.
D8 Healthcare needs New item N/A
D9 Health care use New item N/A
E1 Educational progress New item N/A
E2 Grade repetition, suspension, expulsion, drop out New item N/A
E3 Grade repetition, suspension, expulsion, drop out New item N/A
E4 Grade repetition, suspension, expulsion, drop out New item N/A
E5 Grade repetition, suspension, expulsion, drop out New item N/A
E6 Education history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
E7 Education history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
E8 Education history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
E9 Education history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F1 Employment status Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F2 Barriers to Employment New item N/A
F3 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F4 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F5 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F6 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F7 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F8 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F9 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F10 Managing income and expenses to make ends meet or save Adapted from Youth Corps Baseline Survey; Abt Associates for Corporation for National and Community Service Price, C., Williams, J., Simpson, L., Jastrzab, J., and Markovitz, C. (2011). National Evaluation of Youth Corps: Findings at Follow-up. Prepared for the Corporation for National and Community Service. Cambridge, MA: Abt Associates Inc.
F11 Banked/unbanked New item N/A
F12 Banked/unbanked New item N/A
G1 Civic engagement New item N/A
G2 Civic engagement New item N/A
G3 Civic engagement New item N/A
H1 Exposure to violence Adapted from National Longitudinal Study of Adolescent Health (Add Health) Harris, K.M., C.T. Halpern, E. Whitsel, J. Hussey, J. Tabor, P. Entzel, & J.R. Udry. (2009). The National Longitudinal Study of Adolescent Health: Code book [WWW document]. URL: http://www.cpc.unc.edu/projects/addhealth/codebooks/wave1
H2 Delinquency Adapted from National Longitudinal Study of Adolescent Health (Add Health) Harris, K.M., C.T. Halpern, E. Whitsel, J. Hussey, J. Tabor, P. Entzel, & J.R. Udry. (2009). The National Longitudinal Study of Adolescent Health: Code book. [WWW document]. URL: http://www.cpc.unc.edu/projects/addhealth/codebooks/wave1
H3 Substance use Adapted from the National Substance Abuse, HIV, and Hepatitis Prevention Initiative, Cohort 6 Youth Baseline Questionnaire CSAP, HHS, & SAMHSA. (2006). National Substance Abuse, HIV, and Hepatitis Prevention Initiative Cohort 6 Youth Baseline Questionnaire. [WWW document] URL: https://www.samhsa.gov/sites/default/files/cohort6_youthbaseline.doc
H4 Substance use Adapted from the National Substance Abuse, HIV, and Hepatitis Prevention Initiative, Cohort 6 Youth Baseline Questionnaire CSAP, HHS, & SAMHSA. (2006). National Substance Abuse, HIV, and Hepatitis Prevention Initiative Cohort 6 Youth Baseline Questionnaire. [WWW document] URL: https://www.samhsa.gov/sites/default/files/cohort6_youthbaseline.doc
H5 Substance use Adapted from the National Substance Abuse, HIV, and Hepatitis Prevention Initiative, Cohort 6 Youth Baseline Questionnaire CSAP, HHS, & SAMHSA. (2006). National Substance Abuse, HIV, and Hepatitis Prevention Initiative Cohort 6 Youth Baseline Questionnaire. [WWW document] URL: https://www.samhsa.gov/sites/default/files/cohort6_youthbaseline.doc
H6 Risky sexual behavior Adapted from Personal Responsibility Education Program (PREP) Performance Measures (OMB Control Number 0970-0497) OMB Control Number 0970-0497 Collection of Performance Measures – Personal Responsibility Education Program (PREP)
H7 Risky sexual behavior Adapted from Personal Responsibility Education Program (PREP) Performance Measures (OMB Control Number 0970-0497) OMB Control Number 0970-0497 Collection of Performance Measures – Personal Responsibility Education Program (PREP)
H8 Risky sexual behavior Adapted from Personal Responsibility Education Program (PREP) Performance Measures (OMB Control Number 0970-0497) OMB Control Number 0970-0497 Collection of Performance Measures – Personal Responsibility Education Program (PREP)
H9 Risky sexual behavior Adapted from Personal Responsibility Education Program (PREP) Performance Measures (OMB Control Number 0970-0497) OMB Control Number 0970-0497 Collection of Performance Measures – Personal Responsibility Education Program (PREP)
H10 Risky sexual behavior Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H11 Criminality Adapted from Youth Corps Baseline Survey; Abt Associates for the Corporation for National and Community Service Price, C., Williams, J., Simpson, L., Jastrzab, J., and Markovitz, C. (2011). National Evaluation of Youth Corps: Findings at Follow-up. Prepared for the Corporation for National and Community Service. Cambridge, MA: Abt Associates Inc.
H12 Criminality Adapted from Youth Corps Baseline Survey; Abt Associates for the Corporation for National and Community Service Price, C., Williams, J., Simpson, L., Jastrzab, J., and Markovitz, C. (2011). National Evaluation of Youth Corps: Findings at Follow-up. Prepared for the Corporation for National and Community Service. Cambridge, MA: Abt Associates Inc.
H13 Criminality Adapted from Youth Corps Baseline Survey; Abt Associates for the Corporation for National and Community Service Price, C., Williams, J., Simpson, L., Jastrzab, J., and Markovitz, C. (2011). National Evaluation of Youth Corps: Findings at Follow-up. Prepared for the Corporation for National and Community Service. Cambridge, MA: Abt Associates Inc.
H15 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H16 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H17 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H18 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H19 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H20 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H21 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H22 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
I1a Marital status Adapted from American Community Survey (ACS) 2013 American Community Survey Questionnaire, U.S. Census Bureau
I1b Cohabitation New item N/A
I1c Change in marital/cohabitation status New item N/A
I2 Child Bearing Adapted from Youth Corps Baseline Survey; Abt Associates for Corporation for National and Community Service
Price, C., Williams, J., Simpson, L., Jastrzab, J., and Markovitz, C. (2011). National Evaluation of Youth Corps: Findings at Follow-up. Prepared for the Corporation for National and Community Service. Cambridge, MA: Abt Associates Inc.
I3 Child Bearing Adapted from Youth Corps Baseline Survey; Abt Associates for Corporation for National and Community Service
Price, C., Williams, J., Simpson, L., Jastrzab, J., and Markovitz, C. (2011). National Evaluation of Youth Corps: Findings at Follow-up. Prepared for the Corporation for National and Community Service. Cambridge, MA: Abt Associates Inc.

Sheet 3: 12Mo_Items
Item # Topic Source Citation
A1 Homelessness New item N/A
A2 Extent of Homelessness New item N/A
B1 Housing history New item N/A
B2 Housing history New item N/A
B3 Housing history New item N/A
B4 Housing history New item N/A
B5 Housing history New item N/A
B6 Housing history New item N/A
B7 Housing history New item N/A
B8 Housing history New item N/A
B9 Housing history New item N/A
B11 Housing history New item N/A
B12 Housing history New item N/A
B13 Housing history New item N/A
C4 Service receipt New item N/A
C5 Employment services New item N/A
C6 Perceived importance of service New item N/A
C7 Offer of services New item N/A
C8 Perceived importance of service New item N/A
C9 Perceived importance of service New item N/A
D1 Self-efficacy Generalized Self-Efficacy Scale (Schwarzer & Jerusalem, 1995) Schwarzer, R. & Jerusalem, M. (1995). Generalized self-efficacy scale. In J. Weinman, S. Wright, & M. Johnston (Eds.), Measures in health psychology: A user’s portfolio. Causal and control beliefs. Windsor, UK: NFER-NELSON.
D2 Depressive symptoms Center for Epidemiologic Studies Short Depression Scale (CES-D 11) (Kohout et al., 1993) Kohout, F.J, L.F. Berkman, D.A. Evans, & J. Cornoni-Huntley. (1993). "Two Shorter Forms of the CES-D Depression Symptoms Index." Journal of Aging and Health, 5(2): 179-193.
D3 Traumatic stress Abbreviated PTSD Checklist (PCL-C) Lang, A.J., Stein, M.B. (2005). "An Abbreviated PTSD Checklist for Use as a Screening Instrument in Primary Care." Behaviour Research and Therapy, 43: 585-594
D4 Supportive relationships with adults Adapted form of the Adult Connectedness Scale Bernstein, L., Dun Rappaport, C., Olsho, L., Hunt, D., & Levin, M. (2009). Impact evaluation of the U.S. Department of Education’s Student Mentoring Program: Final report. Cambridge, Massachusetts: Abt Associates.
D5 Supportive relationships with peers Adapted form of the Adult Connectedness Scale Bernstein, L., Dun Rappaport, C., Olsho, L., Hunt, D., & Levin, M. (2009). Impact evaluation of the U.S. Department of Education’s Student Mentoring Program: Final report. Cambridge, Massachusetts: Abt Associates.
D6 Supportive relationships with peers Adapted form of the Adult Connectedness Scale Bernstein, L., Dun Rappaport, C., Olsho, L., Hunt, D., & Levin, M. (2009). Impact evaluation of the U.S. Department of Education’s Student Mentoring Program: Final report. Cambridge, Massachusetts: Abt Associates.
D7 Delinquent peers Adapted from Peer Deviancy Scale; Multisite Violence Prevention Project Multisite Violence Prevention Project. Description of measures: cohort-wide student survey, 2004. Available from the Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta, GA.
D8 Healthcare needs New item N/A
D9 Health care use New item N/A
E1 Educational progress New item N/A
E2 Grade repetition, suspension, expulsion, drop out New item N/A
E3 Grade repetition, suspension, expulsion, drop out New item N/A
E4 Grade repetition, suspension, expulsion, drop out New item N/A
E5 Grade repetition, suspension, expulsion, drop out New item N/A
E6 Education history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
E7 Education history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
E8 Education history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
E9 Education history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F1 Employment status Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F2 Barriers to Employment New item N/A
F3 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F4 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F5 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F6 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F7 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F8 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F9 Employment history Adapted from the New Hope Project 24 month Core Survey; MDRC for U.S. Department of Health and Human Services Huston, A., Miller, C., Richburg-Hayes, L., Duncan, G., Eldred, C., Weisner, T., Lowe, E., McLoyd, V., Crosby, D., Ripke, & M., Redcross, C. (2001). New Hope for Families and Children. New York, New York: MDRC.
F10 Managing income and expenses to make ends meet or save Adapted from Youth Corps Baseline Survey; Abt Associates for Corporation for National and Community Service Price, C., Williams, J., Simpson, L., Jastrzab, J., and Markovitz, C. (2011). National Evaluation of Youth Corps: Findings at Follow-up. Prepared for the Corporation for National and Community Service. Cambridge, MA: Abt Associates Inc.
F11 Banked/unbanked New item N/A
F12 Banked/unbanked New item N/A
G1 Civic engagement New item N/A
G2 Civic engagement New item N/A
G3 Civic engagement New item N/A
H1 Exposure to violence Adapted from National Longitudinal Study of Adolescent Health (Add Health) Harris, K.M., C.T. Halpern, E. Whitsel, J. Hussey, J. Tabor, P. Entzel, & J.R. Udry. (2009). The National Longitudinal Study of Adolescent Health: Code book [WWW document]. URL: http://www.cpc.unc.edu/projects/addhealth/codebooks/wave1
H2 Delinquency Adapted from National Longitudinal Study of Adolescent Health (Add Health) Harris, K.M., C.T. Halpern, E. Whitsel, J. Hussey, J. Tabor, P. Entzel, & J.R. Udry. (2009). The National Longitudinal Study of Adolescent Health: Code book. [WWW document]. URL: http://www.cpc.unc.edu/projects/addhealth/codebooks/wave1
H3 Substance use Adapted from the National Substance Abuse, HIV, and Hepatitis Prevention Initiative, Cohort 6 Youth Baseline Questionnaire CSAP, HHS, & SAMHSA. (2006). National Substance Abuse, HIV, and Hepatitis Prevention Initiative Cohort 6 Youth Baseline Questionnaire. [WWW document] URL: https://www.samhsa.gov/sites/default/files/cohort6_youthbaseline.doc
H4 Substance use Adapted from the National Substance Abuse, HIV, and Hepatitis Prevention Initiative, Cohort 6 Youth Baseline Questionnaire CSAP, HHS, & SAMHSA. (2006). National Substance Abuse, HIV, and Hepatitis Prevention Initiative Cohort 6 Youth Baseline Questionnaire. [WWW document] URL: https://www.samhsa.gov/sites/default/files/cohort6_youthbaseline.doc
H5 Substance use Adapted from the National Substance Abuse, HIV, and Hepatitis Prevention Initiative, Cohort 6 Youth Baseline Questionnaire CSAP, HHS, & SAMHSA. (2006). National Substance Abuse, HIV, and Hepatitis Prevention Initiative Cohort 6 Youth Baseline Questionnaire. [WWW document] URL: https://www.samhsa.gov/sites/default/files/cohort6_youthbaseline.doc
H6 Risky sexual behavior Adapted from Personal Responsibility Education Program (PREP) Performance Measures (OMB Control Number 0970-0497) OMB Control Number 0970-0497 Collection of Performance Measures – Personal Responsibility Education Program (PREP)
H7 Risky sexual behavior Adapted from Personal Responsibility Education Program (PREP) Performance Measures (OMB Control Number 0970-0497) OMB Control Number 0970-0497 Collection of Performance Measures – Personal Responsibility Education Program (PREP)
H8 Risky sexual behavior Adapted from Personal Responsibility Education Program (PREP) Performance Measures (OMB Control Number 0970-0497) OMB Control Number 0970-0497 Collection of Performance Measures – Personal Responsibility Education Program (PREP)
H9 Risky sexual behavior Adapted from Personal Responsibility Education Program (PREP) Performance Measures (OMB Control Number 0970-0497) OMB Control Number 0970-0497 Collection of Performance Measures – Personal Responsibility Education Program (PREP)
H10 Risky sexual behavior Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H11 Criminality Adapted from Youth Corps Baseline Survey; Abt Associates for the Corporation for National and Community Service Price, C., Williams, J., Simpson, L., Jastrzab, J., and Markovitz, C. (2011). National Evaluation of Youth Corps: Findings at Follow-up. Prepared for the Corporation for National and Community Service. Cambridge, MA: Abt Associates Inc.
H12 Criminality Adapted from Youth Corps Baseline Survey; Abt Associates for the Corporation for National and Community Service Price, C., Williams, J., Simpson, L., Jastrzab, J., and Markovitz, C. (2011). National Evaluation of Youth Corps: Findings at Follow-up. Prepared for the Corporation for National and Community Service. Cambridge, MA: Abt Associates Inc.
H13 Criminality Adapted from Youth Corps Baseline Survey; Abt Associates for the Corporation for National and Community Service Price, C., Williams, J., Simpson, L., Jastrzab, J., and Markovitz, C. (2011). National Evaluation of Youth Corps: Findings at Follow-up. Prepared for the Corporation for National and Community Service. Cambridge, MA: Abt Associates Inc.
H15 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H16 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H17 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H18 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H19 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H20 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H21 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
H22 Abuse/Neglect Adapted from Chafee Independent Living Project Survey; Urban Institute for U.S. Department of Health and Human Services Courtney, M.E, Stagner, M.W., & Pergamit, M. (2013) Multi-site evaluation of foster youth programs (Chaffee independent living evaluation project), 2001-2010.
I1a Marital status Adapted from American Community Survey (ACS) 2013 American Community Survey Questionnaire, U.S. Census Bureau
I1b Cohabitation New item N/A
I1c Change in marital/cohabitation status New item N/A
I2 Child Bearing Adapted from Youth Corps Baseline Survey; Abt Associates for Corporation for National and Community Service
Price, C., Williams, J., Simpson, L., Jastrzab, J., and Markovitz, C. (2011). National Evaluation of Youth Corps: Findings at Follow-up. Prepared for the Corporation for National and Community Service. Cambridge, MA: Abt Associates Inc.
I3 Child Bearing Adapted from Youth Corps Baseline Survey; Abt Associates for Corporation for National and Community Service
Price, C., Williams, J., Simpson, L., Jastrzab, J., and Markovitz, C. (2011). National Evaluation of Youth Corps: Findings at Follow-up. Prepared for the Corporation for National and Community Service. Cambridge, MA: Abt Associates Inc.
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