Attachment A35 - Practice Survey Notification Email - Awardee_Final

Practice-Level Survey

Notification Email

Awardee Administered

Health Resources and Services Administration Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access and Screening and Treatment for Maternal Mental Health and Substance Use Disorders Programs Project

June 2024

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/Screening and Treatment for Maternal Mental Health and Substance Use Disorders (MMHSUD)] program, [insert program name]. HRSA funded JBS International, Inc. (JBS) to conduct an evaluation of the MCHB [PMHCA/MMHSUD] 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.

A survey of practices that have providers who are enrolled/participating in [insert location]’s HRSA [PMHCA/MMHSUD] program is being conducted by JBS and administered by us as part of research for the HRSA MCHB evaluation. The survey is designed to collect information on your practice’s experiences with the [PMHCA/MMHSUD] program (e.g., assessing and treating behavioral health conditions, accessing behavioral health care services for your patients, capacity to address behavioral health conditions).

This email is to notify you that we will be sending you the online Practice-Level Survey within the next 2 weeks. Your participation in this survey is completely voluntary, and you can withdraw at any time. This online survey will be available for a minimum of 31 days and if you choose to participate, should take you less than 20 minutes to complete.

For questions about the study or if you have problems or concerns, contact hrsa-mchbfeedback@jbsinternational.com.

For questions about your rights as a research participant, complaints, or problems, contact the JBS Institutional Review Board (IRB # AG19-001) at kfranke@jbsinternational.com or mhyary@jbsinternational.com.

Kind regards,

[Insert Location/Program Name]