Attachment A10-PMHCA Program Implementation Survey Notification Email From JBS 12-13-19

Attachment A10-PMHCA Program Implementation Survey Notification Email From JBS 12-13-19.docx

Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access and Screening and Treatment for Maternal Depression and Related Behavioral Disorders Programs Project

Attachment A10-PMHCA Program Implementation Survey Notification Email From JBS 12-13-19

OMB: 0906-0052

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Attachment A10:


Pediatric Mental Health Care Access Program

Program Implementation Survey

Notification Email



HRSA Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access and Screening and Treatment for Maternal Depression and Related Behavioral Disorders Programs Project



October 2019

Attachment A10: Pediatric Mental Health Care Access Program

Program Implementation Survey

Notification Email


Thank you for your participation in the Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau (MCHB) Pediatric Mental Health Care Access (PMHCA) program—[insert program name]. HRSA funded JBS International, Inc. (JBS) to conduct an evaluation of the MCHB PMHCA program (hereafter referred to as the HRSA MCHB evaluation). JBS is an independent evaluator of the program and is not part of HRSA or any other federal agency.


As part of the HRSA MCHB evaluation, a survey to learn more about the implementation of [insert name of state]’s HRSA PMHCA program is being conducted by JBS. The survey is designed to collect information on your experiences with the PMHCA program (e.g., program implementation activities, health care provider enrollment, health care provider training, behavioral health service delivery, community linkages, sustainability).


This email is to notify you that JBS will be sending you the online Program Implementation Survey within the next 2 weeks. Your participation in this survey is important to the HRSA MCHB evaluation. The online survey will be available for 31 days, and will take less than 20 minutes for you to complete, and you will have the option to save your progress at any point and return to the survey later.


If you have any questions, or believe that the survey should be sent to a different project representative within the state, please contact [insert email address].


Kind regards,


The HRSA MCHB Evaluation Team


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAttachment B5
AuthorLaura Quicquaro
File Modified0000-00-00
File Created2022-06-09

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