Attachment.5.Summary.of.Revisions

Attachment 5: Summary of Revisions

1. Event Description Form (Attachment 1)

   1. Response choices for Question B1>SAMHSA Programs/Issues and other Special Topics have been revised as follows:

Co-occurring Disorders (no change)

Seclusion & Restraint (no change)

Children & Families (no change)

Mothers and Infants DELETED

Adolescents DELETED

Mental Health Systems Transformation (no change)

Homelessness (no change)

HIV/AIDS/Hepatitis (no change)

Clinical Supervision DELETED

Racial/Ethnic Minorities DELETED

Workforce Development ADDED

Substance Abuse Treatment Capacity (no change)

Strategic Prevention Framework (no change)

Disaster Readiness &Response DELETED

Aging CHANGED TO “Older Adults”

Criminal Justice CHANGED TO “Criminal & Juvenile Justice”

Pharmacology DELETED

2. Response choices for Question B2>SAMHSA Cross-Cutting Principles have been RE-ORDERED and revised as follows:

Science to Services/Evidence-Based Practices (no change)

Collaboration w/ Public & Private Partners (no change to wording)

Cultural Competency/Eliminating Disparities (no change to wording)

Trauma & Violence (no change to wording)

Rural & Other Specific Settings (no change to wording)

Performance Measurement & Management CHANGED TO “Data for Performance Measurement & Management”

Recovery: Reducing Stigma & Barriers to Service CHANGED TO “Reducing Stigma & Barriers to Service”

Community & Faith-Based CHANGED TO “Community & Faith-based Approaches”

Workforce Development DELETED

Financing Strategies/Cost-effectiveness (no change to wording)

Disaster Readiness & Response ADDED

3. Response choices for “Publication Use. Please record the TIPs, TAPs and other publications you used in this event” have been revised as follows:

TIPS ADDED at end of list:

45: Detox and SA Tx

46: Admin Issues – Intensive Outpt.

47: Clinical Issues – Intensive Outp.

48: Managing Depressive Symptom

49: Inc. Alco. Pharm. Into Med Prac.

50: Addressing Suicidal Th./Behav.

TAPS ADDED at end of list:

28: NRADAN Awards for Excellence

29: State Admin Records for Perf. Mgt

30: Buprenorphine for Nurses

31: Implementing Change

Other Publications REVISED:

Untangling the Web – DELETED

2. Training Post Event Forms (Attachment 2-1)

   1. Questions 20 - 24 will be deleted and replaced with the following (in blue):

20. Your gender:  Female  Male  Transgender

21. Are you Hispanic or Latino/a?  Yes  No

22. What is your race? (select one or more):

 American Indian  Alaska Native	 Native Hawaiian  Other Pacific Islander
 Asian	 White
 Black or African American	 Other (please specify) _______________

23. What is the highest degree you have received (select one)?

 Some high school, but no diploma or equivalent

 High school diploma or equivalent

 Some college but no degree

 Associate's degree

 Bachelor's degree

 Master's degree

 Doctoral degree or equivalent

 Other (please specify): _________________

24. What is your primary profession (select one)?

 Counselor  Addictions professional  Social worker  Recovery specialist  Mental health professional  Criminal justice/law enforcement professional  Disease intervention specialist/investigator

 Community health worker  Health educator  Educator (post-secondary or continuing)  Public or Business Administrator  Researcher  Physician  Physician assistant

 Registered nurse  Licensed practical nurse  Advanced practice nurse  Pharmacist  Dentist  Other dental professional  Other (please specify)_____________

25. If you are a student, what is your primary field of study (select one)?

 Not a student	 Counseling
 Psychology	 Social Work
 Medicine	 Nursing
 Pharmacology	 Dentistry
 Basic, translational or applied science	 Criminal justice/law enforcement
 Addiction	 Education
 Public health	 Public or business administration
 Other (please specify)

26. In which discipline(s) are you currently licensed or certified (select one or more)?

 Not licensed or certified	 Addictions prevention, treatment or recovery
 Counseling	 Psychology
 Social Work	 Medicine
 Nursing	 Pharmacology
 Dentistry	 Other (please specify)________________

27. Which best describes your role at your current workplace (select one)?

 Clinician / care provider/direct service provider  Clinical Supervisor  Recovery Specialist  Manager / coordinator/administrator  Client / patient educator  Case manager  Prevention case manager

 Counselor  Mental health therapist  Parole/Probation/Re-Entry Support  Outreach staff  Disease intervention/investigation  Resident / fellow  Teacher / faculty

 Trainer / TA Provider  Group Facilitator  Not currently employed  Other (please specify)_____________

28. Which best describes your principal employment setting (select one)?

 Community or Faith-based service organization (CBO/FBO)  Government (federal, state or municipal)  State/local health department  School/university (academic department)  Hospital/Hospital-affiliated clinic  HMO/managed care organization  Solo/group private practice  Addictions treatment program (inpatient)  Addictions treatment program (outpatient)  Addictions treatment program (residential)  Recovery support program

 School/university-based health clinic  Correctional facility  Probation/parole office  Local law enforcement department  Military/VA  Tribal/Indian Health Service  Community health center  Not currently employed  Other: (please specify) _________________

29. What is the zipcode of your principal employment setting? 

2. The open-ended questions which did not have numbers in the OLD form, will now be numbered 30 & 31 in the new form. The wording of these questions will not change.

3. Meeting Post Event Form (Attachment 2-2)

   1. Questions 12 – 16 will be deleted and replaced with the following:

12. Your gender:  Female  Male  Transgender

13. Are you Hispanic or Latino/a?  Yes  No

14. What is your race? (select one or more):

 American Indian  Alaska Native	 Native Hawaiian  Other Pacific Islander
 Asian	 White
 Black or African American	 Other (please specify) _______________

15. What is the highest degree you have received (select one)?

 Some high school, but no diploma or equivalent

 High school diploma or equivalent

 Some college but no degree

 Associate's degree

 Bachelor's degree

 Master's degree

 Doctoral degree or equivalent

 Other (please specify): _________________

16. What is your primary profession (select one)?

 Counselor  Addictions professional  Social worker  Recovery specialist  Mental health professional  Criminal justice/law enforcement professional  Disease intervention specialist/investigator

 Community health worker  Health educator  Educator (post-secondary or continuing)  Public or Business Administrator  Researcher  Physician  Physician assistant

 Registered nurse  Licensed practical nurse  Advanced practice nurse  Pharmacist  Dentist  Other dental professional  Other (please specify)_____________

17. If you are a student, what is your primary field of study (select one)?

 Not a student	 Counseling
 Psychology	 Social Work
 Medicine	 Nursing
 Pharmacology	 Dentistry
 Basic, translational or applied science	 Criminal justice/law enforcement
 Addiction	 Education
 Public health	 Public or business administration
 Other (please specify)

18. In which discipline(s) are you currently licensed or certified (select one or more)?

 Not licensed or certified	 Addictions prevention, treatment or recovery
 Counseling	 Psychology
 Social Work	 Medicine
 Nursing	 Pharmacology
 Dentistry	 Other (please specify)________________

19. Which best describes your role at your current workplace (select one)?

 Clinician / care provider/direct service provider  Clinical Supervisor  Recovery Specialist  Manager / coordinator/administrator  Client / patient educator  Case manager  Prevention case manager

 Counselor  Mental health therapist  Parole/Probation/Re-Entry Support  Outreach staff  Disease intervention/investigation  Resident / fellow  Teacher / faculty

 Trainer / TA Provider  Group Facilitator  Not currently employed  Other (please specify)_____________

20. Which best describes your principal employment setting (select one)?

 Community or Faith-based service organization (CBO/FBO)  Government (federal, state or municipal)  State/local health department  School/university (academic department)  Hospital/Hospital-affiliated clinic  HMO/managed care organization  Solo/group private practice  Addictions treatment program (inpatient)  Addictions treatment program (outpatient)  Addictions treatment program (residential)  Recovery support program

 School/university-based health clinic  Correctional facility  Probation/parole office  Local law enforcement department  Military/VA  Tribal/Indian Health Service  Community health center  Not currently employed  Other: (please specify) _________________

21. What is the zipcode of your principal employment setting? 

2. The open-ended questions which did not have numbers in the OLD form, will now be numbered 22 & 23 in the new form. The wording of these questions will not change.

4. Technical Assistance Post Event Form (Attachment 2-3)

   1. Questions 18 - 22 will be deleted and replaced with the following:

18. Your gender:  Female  Male  Transgender

19. Are you Hispanic or Latino/a?  Yes  No

20. What is your race? (select one or more):

 American Indian  Alaska Native	 Native Hawaiian  Other Pacific Islander
 Asian	 White
 Black or African American	 Other (please specify) _______________

21. What is the highest degree you have received (select one)?

 Some high school, but no diploma or equivalent

 High school diploma or equivalent

 Some college but no degree

 Associate's degree

 Bachelor's degree

 Master's degree

 Doctoral degree or equivalent

 Other (please specify): _________________

22. What is your primary profession (select one)?

 Counselor  Addictions professional  Social worker  Recovery specialist  Mental health professional  Criminal justice/law enforcement professional  Disease intervention specialist/investigator

 Community health worker  Health educator  Educator (post-secondary or continuing)  Public or Business Administrator  Researcher  Physician  Physician assistant

 Registered nurse  Licensed practical nurse  Advanced practice nurse  Pharmacist  Dentist  Other dental professional  Other (please specify)_____________

23. If you are a student, what is your primary field of study (select one)?

 Not a student	 Counseling
 Psychology	 Social Work
 Medicine	 Nursing
 Pharmacology	 Dentistry
 Basic, translational or applied science	 Criminal justice/law enforcement
 Addiction	 Education
 Public health	 Public or business administration
 Other (please specify)

24. In which discipline(s) are you currently licensed or certified (select one or more)?

 Not licensed or certified	 Addictions prevention, treatment or recovery
 Counseling	 Psychology
 Social Work	 Medicine
 Nursing	 Pharmacology
 Dentistry	 Other (please specify)________________

25. Which best describes your role at your current workplace (select one)?

 Clinician / care provider/direct service provider  Clinical Supervisor  Recovery Specialist  Manager / coordinator/administrator  Client / patient educator  Case manager  Prevention case manager

 Counselor  Mental health therapist  Parole/Probation/Re-Entry Support  Outreach staff  Disease intervention/investigation  Resident / fellow  Teacher / faculty

 Trainer / TA Provider  Group Facilitator  Not currently employed  Other (please specify)_____________

26. Which best describes your principal employment setting (select one)?

 Community or Faith-based service organization (CBO/FBO)  Government (federal, state or municipal)  State/local health department  School/university (academic department)  Hospital/Hospital-affiliated clinic  HMO/managed care organization  Solo/group private practice  Addictions treatment program (inpatient)  Addictions treatment program (outpatient)  Addictions treatment program (residential)  Recovery support program

 School/university-based health clinic  Correctional facility  Probation/parole office  Local law enforcement department  Military/VA  Tribal/Indian Health Service  Community health center  Not currently employed  Other: (please specify) _________________

27. What is the zipcode of your principal employment setting? 

2. The open-ended questions numbered 23 & 24 in the OLD form will now be numbered 28 & 29 in the new form. The wording of these questions will not change.

5. Training Follow-Up Form – NO changes on any follow-up forms