Datacorp - Client Login

MATRIX FIDELITY QUESTIONS ASSESMENT 4: WEEKS 13-16

Please Enter Today's Date

MonthDayYear



WAMHSAC Provider:
What WAMHSAC Provider Are You From?

PWC CWCC
NWMHC Curran-Seeley
FCS EWMHC
HCC CMC

Groups:

What group is this for?

M1. How many relapse prevention groups were held the past month?
Four or less RP Groups in four weeks
Five RP Groups in four weeks
Six RP Groups in four weeks
Seven RP Groups in four weeks
Eight RP Groups in four weeks

M2. How many family education groups were held the past month?
No FE groups were held in four weeks
One FE group was held in four weeks
Two FE Groups were held in four weeks
Three FE Groups were held in four weeks
Four FE Groups were held in four weeks

M4. How many social support groups per week were held beginning with week 13?
No SS groups in four weeks
One SS group in four weeks
Two SS groups in four weeks
Three SS groups in four weeks
Four SS groups in four weeks

M5. What percentage of clients participated in weekly urine testing for alcohol and drug use?
Almost never 0-24%
Rarely 25-44%
Sometimes 45-69%
Frequently 70-89%
Almost always 90% or more

M6. What percentage of clients participated in at least three individual counseling sessions during the first 16 weeks of treatment?
Almost never 0-24%
Rarely 25-44%
Sometimes 45-69%
Frequently 70-89%
Almost always 90% or more

U1. What percentage of clients used and completed work in their MATRIX notebook?
Almost never 0-24%
Rarely 25-44%
Sometimes 45-69%
Frequently 70-89%
Almost always 90% or more

G1. What size was the treatment group?
1 client
2 clients
3-4 clients
5-6 clients
7-14 clients
15-19 clients
more than 20 clients

G2. How often was a group co-leader used?
Almost never 0-24%
Rarely 25-44%
Sometimes 45-69%
Frequently 70-89%
Almost always 90% or more

S1. How often is there more than a 2 day break between group sessions?
Almost never 0-24%
Rarely 25-44%
Sometimes 45-69%
Frequently 70-89%
Almost always 90% or more

S2. How often does your agency provide access to a therapist between group sessions via telephone?
Almost never 0-24%
Rarely 25-44%
Sometimes 45-69%
Frequently 70-89%
Almost always 90% or more

S3. How often is there staff turnover?
Annual turnover rate of 75% or more
Annual turnover rate of 55-74%
Annual turnover rate of 30-54%
Annual turnover rate of 11-29%
Annual turnover rate of 10% or less


This questionnaire was created using Perseus SurveySolutions.

Datacorp