Please Enter Today's Date
WAMHSAC Provider: What WAMHSAC Provider Are You From?
Groups:
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.