Local Needs Assessment of Program Collaboration and Service Integration Among Infectious Disease Prevention Providers for Persons Who Use Drugs Illicitly

Formative Research and Tool Development

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Local Needs Assessment of Program Collaboration and Service Integration Among Infectious Disease Prevention Providers for Persons Who Use Drugs Illicitly

OMB: 0920-0840

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Local Needs Assessment of Program Collaboration and Service Integration Among Infectious Disease Prevention Providers for Persons Who Use Drugs Illicitly

Participant Verbal Consent

(Read this statement to the participant before beginning the interview. Ask if they have any questions before continuing onto the interview.)

Good morning/afternoon. I want to thank you for taking the time to participate in this interview. My name is ____________ and I’m from ________________ at the CDC. We are talking to people like you who provide services for people who use drugs illicitly. For the purpose of our project, this definition includes persons who use illegal drugs, as well as those who use prescription medication for unintended purposes, or abuse alcohol. We are focusing on organizations that provide clinical and other services for prevention, care, and treatment of sexually transmitted disease (STD), tuberculosis (TB), human immunodeficiency virus (HIV), and viral hepatitis, as well as correctional institutions, substance abuse treatment settings, and mental disorder treatment settings. We would like to hear about the types of services being offered at these organizations, how the services are provided, and any current integration or program partnerships among fellow organizations. This project will help us to develop a useful guidance tool for agencies to better integrate services and collaborate with other programs to prevent HIV, TB, hepatitis, and STDs. We feel that your comments and thoughts, as well as your experiences, will provide us with valuable insight into how services are provided to persons who use drugs illicitly.

Please be frank with your responses as we value your experience and perspectives in working with people who use drugs illicitly. The information that we discuss today will remain private. The interview should take about one hour and I will be taking notes. I will not record our interview. The information that you provide will be used in our report, but your name will not be connected with your comments. This interview is voluntary, and if you feel uncomfortable answering any questions, you may skip the question or choose to end the interview at any time.

At the end of the interview you will be able to ask questions that are of interest to you.

Do you agree to participate in the interview? Yes or No. Do you have any questions before we begin?



MENTAL DISORDER TREATMENT

  • Routine HIV and TB screening (or referral)

  • Vaccination for HAV and HBV (or referral)

  • HCV testing (or referral)

  • HIV+ patients referred to care during and after treatment, progress tracked

  • Chlamydia/gonorrhea urine-based screening at intake

  • Syphilis screening at intake

  • Access to sterile drug prep equipment and condoms

  • Overdose prevention education

File Typeapplication/msword
AuthorClaire Clark
Last Modified Byakj8
File Modified2012-03-16
File Created2012-02-29

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