Electronic Data Reporting: Systems Measures

Project LAUNCH Cross-Site Evaluation

Appendix_F_Electronic Data Reporting-Systems Measures_052213

Electronic Data Reporting: Systems Measures

OMB: 0970-0373

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Appendix F. Electronic Data Reporting: Systems Measures





Electronic Data Reporting: Systems Measures




The Paperwork Reduction Act Burden Statement: This collection of information is voluntary and will be used to evaluate implementation and outcomes of the Project LAUNCH program. Public reporting burden for this collection of information is estimated to average 240 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this collection is 0970-XXXX and it expires XX/XX/XXXX.


Shape2 Shape1

Project LAUNCH

Cross-Site Evaluation













Survey on Community Systems

FINAL


Shape3

NOTE: Questions highlighted in yellow will be pre-populated with the response from the previous reporting period.






Abt Associates Inc.




Contents





A. COMMUNITY LEVEL MEASURES

Part I. Community Council on Young Child Wellness


C1. Lead community agency for Project LAUNCH


C1a. Agency Name


C1b. Address 1


C1c. Address 2


C1d. City


C1e. State


C1f. ZIP


C2. Was the Community Council on Young Child Wellness newly formed or part of a structure or committee that existed prior to Project LAUNCH?

    • Newly formed


    • Existed prior to Project LAUNCH

C3. How many Community Council on Young Child Wellness meetings have occurred during this reporting period?

    • None


    • One


    • Two


    • Three


    • Four


    • Five


    • Six


    • Seven or more


C4. During this reporting period, what have been the key functions and responsibilities of the Community Council on Young Child Wellness and/or any of its subcommittees or work groups? Check all that apply.

    • Needs assessment


    • Allocating Project LAUNCH budget/resources


    • Establishing formal arrangements among agencies/organizations


    • Collaboration in service delivery


    • Conducting program outreach/awareness


    • Strategic planning


    • Determining the service array


    • Community-level system coordination


    • Developing a workforce development/training strategy


    • Policy development or policy changes


    • Program evaluation


    • Developing the environmental scan


    • Identifying potential system and/or service barriers


    • Service coordination at the community level


    • Developing an outreach/awareness plan


    • Advocacy


    • Planning for sustainability


    • Developing integrated financing strategies


    • Data sharing or developing integrated data systems/strategies


    • Other - please describe: ______________________


C5. To what degree does the Community Council on Young Child Wellness include issues related to cultural competence in their discussions, guidance, and/or decision making?


    • Always included – Please provide an example of these discussions, guidance, and/or decision-making: _________________________


    • Sometimes included – Please provide an example of these discussions, guidance, and/or decision-making: _________________________


    • Not included



C6. To what extent does the Community Council on Young Child Wellness incorporate the perspectives of parents/families in their discussions, guidance, and/or decision making?


  • Always included – Please provide an example of these discussions, guidance, and/or decision-making: _________________________

  • Sometimes included – Please provide an example of these discussions, guidance, and/or decision-making: _________________________

  • Not included


C7.

Quarter 1

Quarter 2

C7a. For each quarter, how many organizations at the community level are collaborating, coordinating, and/or sharing resources with other organizations as a result of Project LAUNCH? (Organizations may include, but should not be limited to, those on the Wellness Council and includes organizations with formal and informal agreements with Project LAUNCH) (GPRA)



C7b. In each quarter, how many of these organizations are new collaborators?




C8. What is the target geographic area of your Project LAUNCH program (i.e., name of county(ies), zip codes, etc.)?



C9. How would you describe the target area? Check all that apply.


  • Rural


  • Urban


  • Suburban (directly outside an urban center)


  • Indian Reservation


  • A specific target population within a defined geographic area. Please describe target population:

___________________________


  • Other – please describe: ____________________



Part II. Implementation Progress


C10. During this reporting period, what community-level factors have facilitated progress toward implementation of Project LAUNCH? Check all that apply.

    • Families are active participants on the Community Council for Young Child Wellness


    • Collaboration/cooperation from necessary partners/stakeholders


    • Regular attendance by members at meetings of Community Council on Young Child Wellness


    • Stability in community-level Project LAUNCH staff


    • Program-specific priorities


    • Staff stability in Project LAUNCH service provider organizations


    • Supportive political climate at the community level


    • Stability in membership of Community Council on Young Child Wellness


    • Shared goals among service providers, families, and community members


    • No organizations are missing from Community Council on Young Child Wellness

    • Other – please describe: ____________________


C11. During this reporting period, what community-level factors, if any, have presented challenges toward implementation of Project LAUNCH? Check all that apply.

    • Families are not active participants on the Community Council on Young Child Wellness


    • Staff turnover in service provider organizations


    • Unsupportive political climate


    • Turnover in membership of Community Council on Young Child Wellness


    • Lack of shared goals among service providers, families, and community members


    • Program-specific priorities


    • Some agencies/organizations are missing from Community Council on Young Child Wellness



    • Lack of collaboration/cooperation from necessary partners/stakeholders


    • Irregular attendance by members at meetings of Community Council on Young Child Wellness


    • Turnover in project staff


    • Other – please describe: ____________________



C12. During this reporting period, funding and/or support from Project LAUNCH has assisted the community to develop and/or implement a more integrated system of care for children and families at the community level.

    • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


C13. During this reporting period, funding and/or support from Project LAUNCH has assisted the community to improve developmental screening and assessment policies and/or protocols at the community level.


    • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued



C14. During this reporting period, funding and/or support from Project LAUNCH has assisted the community to formulate coordinated policies and/or standards across community-level agencies and organizations.

    • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


C15. During this reporting period, funding and/or support from Project LAUNCH has assisted the community to coordinate data collection and analysis regarding the service needs and health outcomes of young children and families across community-level agencies and organizations (e.g., common data elements, common data collection procedures and protocols).

  • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


C16. During this reporting period, funding and/or support from Project LAUNCH has assisted the community to coordinate the financing of services for young children and families across community-level agencies and organizations.

  • This is not applicable to Project LAUNCH


This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


C17. During this reporting period, funding and/or support from Project LAUNCH has assisted the community to monitor programs and services for young children and families.


  • This is not applicable to Project LAUNCH


This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


C18. During this reporting period, funding and/or support from Project LAUNCH has assisted the community to establish or maintain a process for facilitating community systems building through technical assistance and consultation.


  • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


C19. During this reporting period, funding and/or support from Project LAUNCH has assisted the community to establish or maintain a process for facilitating community systems building through education and training.


  • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


C20. During this reporting period, have Project LAUNCH activities at the community level accomplished any of the following at the state, community, or tribal level? Check all that apply.

Accomplished

Increased awareness of child wellness


Increased referrals among agencies or programs


Increased service capacity in the community


Used funds in an innovative manner (such as blended or pooled funding)


Increased integration of service systems (such as maternal and child health, primary care, mental health, substance abuse prevention/treatment)


Created partnerships among community-level child-serving agencies, organizations, or providers


Influenced organizational or governmental policy affecting access to or delivery of services for young children and families


Enhanced cultural competence of providers


Increased family participation in Project LAUNCH services


Increased the amount of or access to data available to agencies, organizations, and service providers on the health status of the target population


Other

































C21. This space is provided for you to describe any other information related to Implementation Progress that has not been covered previously in this Section.



Part III. Program Outreach/Awareness


C22. During this reporting period, have there been any Project LAUNCH-funded efforts at the community level aimed at raising awareness about young child wellness?

  • Yes


  • No (Skip to C26)

C23. Please indicate the areas about which you are trying to raise awareness. Check all that apply.


  • Vision of young child wellness


  • Current data about the physical, social, emotional, cognitive, and behavioral health of children within the community


  • Differential health status of children from different racial/ethnic groups


  • Consequences of not addressing problems affecting the physical and behavioral health of young children


  • Need for integration of physical and mental health


  • Coordination among community-level child- and family-serving agencies


  • Community Council on Young Child Wellness


  • Available services for families and children


  • Other - please describe: ____________________


C24. For awareness raising activities conducted at the community level, please indicate which groups are the focus of the awareness raising efforts. Check all that apply.


  • The general public


  • Parents, families, caregivers


  • Business community


  • Media


  • Schools/school districts


  • Child-serving organizations other than schools


  • Child care providers


  • Law enforcement agencies


  • Local courts


  • Faith-based organizations


  • Civic or volunteer organizations


  • Healthcare professionals


  • Local government officials


  • Other - please describe: ____________________


C25. This space is provided for you to describe any other Project LAUNCH-funded, community-level activities related to Program Outreach/Awareness that have not been covered previously in this Section.


Part IV. Sustainability


C26. During this reporting period, what strategies have you used at the community level to ensure sustainability? Check all that apply. For each item checked, please explain community-level activities over the past year to sustain LAUNCH programs/services/initiatives.


  • Seeking other Federal funding

Explain: ______________


  • Seeking tribal, state, or local funding

Explain: ______________

  • Implementing a fund development strategy

Explain: ______________

  • Providing ongoing training, including refresher training, for new and existing service providers and staff

Explain: ______________

  • Developing collaborative efforts with tribal, state, or local agencies/organizations

Explain: ______________

  • Developing collaborative efforts with other organizations

Explain: ______________

  • Working to ensure that evidence-based programs and services funded by Project LAUNCH are incorporated into the missions/goals and activities of government agencies and local organizations

Explain: ______________


  • Working to implement state laws, policies, and/or regulations to continue activities, programs, and services

Explain: ______________

  • Working to implement local laws, policies, and/or regulations to continue activities, programs, and services

Explain: ______________

  • Working to align policies

Explain: ______________

  • Working to secure Medicaid reimbursement

Explain: ______________

  • Working to secure other health plan reimbursement

Explain: ______________


  • Other – please describe: __________________

C27. What community-level challenges to sustainability have you faced? Check all that apply.

  • Fiscal climate


  • Unstable collaborative relationships

  • Political climate (e.g., minimal or no political support or insufficient political will)

  • Lack of coordinated policies

  • Organizational setting(s) not supportive

  • No champion for the program

  • Unenthusiastic providers and staff

  • Unable to document outcomes of Project LAUNCH program

  • No challenges at this time

  • Other – please describe: ____________________


C28. Please describe any successes, if any, during this reporting period at the community level to ensure the sustainability of Project LAUNCH.


C29. This space is provided for you to describe any other Project LAUNCH activities at the community level related to Sustainability that have not been covered previously in this Section.

C30. By checking this box, I am indicating that data entry is complete for this survey.



B. COMMUNITY COUNCIL ORGANIZATIONS


Organization Name:

C31. At the time of this report, how many individuals from the agency/organization are members of the Community Council on Young Child Wellness?


_______________

C32. Please indicate the division(s) or program(s) represented by the individuals from this agency/organization. Check all that apply.

  • Health care provider (e.g., hospital, clinic, primary care practice)


  • Child welfare


  • Child protective services


  • Substance abuse prevention


  • Elementary education (e.g., schools)


  • Criminal justice (e.g., courts)


  • Media


  • Civic or volunteer sector


  • State government (e.g. Office of the Governor)


  • Child care organization


  • Public Health


  • Child behavioral services


  • Medicaid


  • Substance abuse treatment/aftercare


  • Faith community


  • Corrections


  • Private sector business


  • Foundation/funder


  • County/city government


  • Mental health


  • Nutrition


  • Surveillance/applied research


  • Early childhood education (e.g., Early Head Start, Head Start)


  • Law enforcement


  • Juvenile justice


  • Advocacy group


  • Tribal government (e.g., Tribal Council)


  • Family member or family organization


  • Cultural advisors

  • Other - please describe: ____________________


C33. Does this agency on the Community Council on Young Child Wellness have a quality monitoring plan/strategy for assessing the implementation and outcomes of early childhood programming and systems change activities linked to Project LAUNCH?


  • Yes


  • No, not yet, but this will be a future activity under Project LAUNCH (Skip to C34)


  • No, this agency does not have plans to develop a quality monitoring process under Project LAUNCH (Skip to C34)


C33a. Please upload quality monitoring plan/strategy: (Upload files link here)


C34. By checking this box, I am indicating that data entry is complete for this survey.



C. KEY COLLABORATORS


List 3-5 agencies/organizations that have been the most important community-level collaborators for implementation of Project LAUNCH during this reporting period (collaborators do not need to be on Community Council). Complete questions C35 through C44 for each of the 3 to 5 agencies/organizations listed.


Organization Name:

C35. Is the agency/organization represented on the Community Council on Young Child Wellness?

    • Yes


    • No

C36. Please indicate the type of agency/organization. (Select one)


  • Health care provider (e.g., hospital, clinic, primary care practice)


  • Child welfare


  • Child protective services


  • Substance abuse prevention


  • Elementary education (e.g., schools)


  • Criminal justice (e.g., courts)


  • Media


  • Civic or volunteer sector


  • State government (e.g. Office of the Governor)


  • Child care organization


  • Public Health


  • Child behavioral services


  • Medicaid


  • Substance abuse treatment/aftercare


  • Faith community


  • Corrections


  • Private sector business


  • Foundation/funder


  • County/city government


  • Mental health


  • Nutrition


  • Surveillance/applied research


  • Early childhood education (e.g., Early Head Start, Head Start)


  • Law enforcement


  • Juvenile justice


  • Advocacy group


  • Tribal government (e.g., Tribal Council)


  • Family member or family organization

  • Other – please describe: ____________________


C37. Please indicate the nature of the collaboration during this reporting period. Check all that apply.

  • Collaborative strategic planning


  • Data sharing agreement (e.g., shared case files or MIS)


  • Common intake forms


  • Coordinated case management


  • Sustainability planning


  • Shared funding of programs or services


  • Policy development


  • Common assessment tools/protocols


  • Joint staff training


  • Joint participation in interagency committees/boards


  • Delivery of programs or services


  • Co-location of staff


  • Cross-referral


  • Development of consistent messages on young child wellness


  • Other – please describe: ____________________

C38. Please describe the role of this key collaborator in contributing to Project LAUNCH, explaining the nature of the collaboration identified above and the extent of coordination with the lead community agency for Project LAUNCH.





C39. What have been the benefits of collaborating with this agency/organization during this reporting period? Check all that apply.

  • Provided a broader perspective on issues and problems related to young child wellness


  • Partner for funding of child wellness programs and services


  • Partner for expansion of existing child wellness programs and services


  • Provided political support on policy or funding issues related to young child wellness


  • Provided data to help change programming related to young child wellness


  • Gained access to data for planning child wellness programs and services


  • Partner for creation of new child wellness programs and services


  • Provided data to help change policy related to young child wellness


  • Other – please describe: ____________________


C40. During this reporting period, how formal was the agreement to collaborate with this agency/organization? Check all that apply.

  • Informal agreement


  • Written memorandum of understanding


  • Voluntary contractual relationship


  • Collaborative relationship mandated by law


  • Other – please describe: ____________________

C41. What factors have facilitated collaboration with this agency/organization during this reporting period? Check all that apply.

  • Staff time dedicated to collaboration efforts


  • Shared mission and vision


  • Other requirements/mandates to collaborate


  • Supportive political climate


  • Support from senior agency/organization officials


  • Common programmatic agendas


  • Program-specific priorities


  • Fiscal resources dedicated to collaboration efforts


  • Legislative mandate to collaborate


  • History of collaboration prior to Project LAUNCH


  • Other – please describe: ____________________

C42. Which of the following, if any, have been challenges to collaborating with this agency/organization during this reporting period? Check all that apply.

  • There have been no challenges to collaborating with this agency/organization


  • Low level or lack of support from senior agency/organization officials


  • Differences in mission and vision


  • Competing or different programmatic agendas


  • Unsupportive political climate


  • Personality conflicts


  • Insufficient staff time available for collaboration efforts


  • Inadequate fiscal resources dedicated to collaboration efforts


  • Territoriality between agencies


  • No history of collaboration prior to Project LAUNCH


  • Dissimiliar program-specific priorities


  • Other – please describe:

C43. To what extent have the goals for collaboration with this agency been met?


  • All goals have been met


  • Most, but not all goals have been met


  • Some, but not all goals have been met

C44. This space is provided for you to describe any other information related to Collaboration with this agency/organization that has not been covered previously in this Section


C45. By checking this box you are indicating that data entry is complete for this survey.





Shape5 Shape4

Project LAUNCH

Cross-Site Evaluation














Survey on State Systems

FINAL


Shape6

NOTE: Questions highlighted in yellow will be pre-populated with the response from the previous reporting period.









Abt Associates Inc.


Contents





A. STATE LEVEL MEASURES

Part I. State Council On Young Child Wellness


S1. Lead state agency for Project LAUNCH


S1a. Agency Name


S1b. Address 1


S1c. Address 2


S1d. City


S1e. State


S1f. ZIP


S2. Was the State Council on Young Child Wellness newly formed or part of a structure or committee that existed prior to Project LAUNCH?

    • Newly formed


    • Existed prior to Project LAUNCH

S3. How many State Council on Young Child Wellness meetings have occurred during this reporting period?

    • None


    • One


    • Two


    • Three


    • Four


    • Five


    • Six


    • Seven or more



S4. During this reporting period, what have been the key functions and responsibilities of the State Council on Young Child Wellness and/or any of its subcommittees or work groups? Check all that apply.

    • Needs assessment


    • Allocating Project LAUNCH budget/resources


    • Identifying potential system and/or service barriers


    • State-level system coordination


    • Developing a workforce development/training strategy


    • Policy development or policy changes


    • Data sharing or developing integrated data systems/strategies


    • Strategic planning


    • Determining the service array


    • Service coordination at the state level


    • Developing an outreach/awareness plan


    • Advocacy


    • Developing integrated financing strategies


    • Developing the environmental scan


    • Establishing formal arrangements among agencies/organizations


    • Collaboration in service delivery


    • Conducting program outreach/awareness


    • Planning for sustainability


    • Program evaluation


    • Other - please describe: ______________________


S5. To what degree does the State Council on Young Child Wellness include issues related to cultural competence in their discussions, guidance, and/or decision making?


    • Always included – Please provide an example of these discussions, guidance, and/or decision making: _______________________


    • Sometimes included – Please provide an example of these discussions, guidance, and/or decision making: _______________________


    • Not included



S6. To what extent does the State Council on Young Child Wellness incorporate the perspectives of parents/families in their discussions, guidance, and/or decision making?


  • Always included – Please provide an example of these discussions, guidance, and/or decision making: _______________________

  • Sometimes included – Please provide an example of these discussions, guidance, and/or decision making: _______________________

  • Not included


S7.

Quarter 1

Quarter 2

S7a. For each quarter, how many organizations at the state level are collaborating, coordinating, and/or sharing resources with other organizations as a result of Project LAUNCH? (Organizations may include, but should not be limited to, those on the Wellness Council and includes organizations with formal and informal agreements with Project LAUNCH.) (GPRA)



S7b.. In each quarter, how many of these organizations are new collaborators?






Part II. Implementation Progress


S8. During this reporting period, what state-level factors have facilitated progress toward implementation of Project LAUNCH? Check all that apply.

    • Families are active participants on the State Council for Young Child Wellness


    • Collaboration/cooperation from necessary state partners/stakeholders


    • Regular attendance by members at meetings of State Council on Young Child Wellness


    • Stability in state-level Project LAUNCH staff


    • Staff stability in state agency leadership positions


    • Supportive political climate at the state level


    • Stability in membership of State Council on Young Child Wellness


    • Shared goals among state child-serving agencies


    • Program-specific priorities


    • No organizations are missing from State Council on Young Child Wellness

    • Other – please describe: ____________________

S9. During this reporting period, what state-level factors, if any, have presented challenges toward implementation of Project LAUNCH? Check all that apply.

    • Families are not active participants on the State Council on Young Child Wellness


    • Staff turnover in state agency leadership positions


    • Unsupportive political climate at the state level


    • Turnover in membership of State Council on Young Child Wellness


    • Lack of shared goals among state child-serving agencies


    • Program-specific priorities


    • Some agencies/organizations are missing from State Council on Young Child Wellness


    • Lack of collaboration/cooperation from necessary state partners/stakeholders


    • Irregular attendance by members at meetings of State Council on Young Child Wellness


    • Turnover in state-level Project LAUNCH staff


    • Other – please describe: ____________________


S10. During this reporting period, funding and/or support from Project LAUNCH has assisted the state to develop and/or implement a more integrated system of care for children and families at the state level.

    • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


S11. During this reporting period, funding and/or support from Project LAUNCH has assisted the state to formulate coordinated policies and/or standards across state agencies and organizations.


    • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


S12. During this reporting period, funding and/or support from Project LAUNCH has assisted the state to coordinate data collection and analysis regarding the service needs and health outcomes of young children and families across state agencies and organizations (e.g., common data elements, common data collection procedures and protocols).

    • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


S13. During this reporting period, funding and/or support from Project LAUNCH has assisted the state to coordinate the financing of services for young children and families across state agencies and organizations.

  • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


S14. During this reporting period, funding and/or support from Project LAUNCH has assisted the state to monitor programs and services for young children and families.

  • This is not applicable to Project LAUNCH


This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


S15. During this reporting period, funding and/or support from Project LAUNCH has assisted the state to establish or maintain a process for facilitating state and/or community systems building through technical assistance and consultation.


  • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


S16. During this reporting period, funding and/or support from Project LAUNCH has assisted the state to establish or maintain a process for facilitating state and/or community systems building through education and training.


  • This is not applicable to Project LAUNCH


This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


S17. During this reporting period, have Project LAUNCH activities at the state level accomplished any of the following at the state, community, or tribal level? Check all that apply

Accomplished

Increased awareness of child wellness


Used funds in an innovative manner (such as blended or pooled funding)


Increased integration of service systems (such as maternal and child health, primary care, mental health, substance abuse prevention/treatment)


Created partnerships among state-level child-serving agencies, organizations, or providers


Influenced organizational or state policy affecting access to or delivery of services for young children and families


Enhanced cultural competence of providers


Increased the amount of or access to data available to agencies, organizations, and service providers on the health status of the target population


Other































S18. This space is provided for you to describe any other information related to Implementation Progress that has not been covered previously in this Section.


Part III. Program Outreach/Awareness


S19. During this reporting period, have there been any Project LAUNCH-funded efforts at the state level aimed at raising awareness about young child wellness?

  • Yes


  • No (Skip to S23)

S20. Please indicate the areas about which you are trying to raise awareness. Check all that apply.


  • Vision of young child wellness


  • Current data about the physical, social, emotional, cognitive, and behavioral health of children within the state, community, or tribe


  • Differential health status of children from different racial/ethnic groups


  • Consequences of not addressing problems affecting the physical and behavioral health of young children


  • Need for integration of physical and mental health


  • Coordination among state-level child- and family-serving agencies


  • State Council on Young Child Wellness


  • Community Council on Young Child Wellness


  • Available services for families and children


  • Other - please describe: ____________________


S21. For awareness raising activities conducted at the state level, please indicate which groups are the focus of the awareness raising efforts. Check all that apply.


  • The general public


  • Parents, families, caregivers


  • Business community


  • Media


  • Schools/school districts


  • Child-serving organizations other than schools


  • Child care providers


  • Law enforcement agencies


  • Local courts


  • Faith-based organizations


  • Civic or volunteer organizations


  • Healthcare professionals


  • Local government officials


  • Other - please describe: ____________________


S22. This space is provided for you to describe any other Project LAUNCH-funded, state-level activities related to Program Outreach/Awareness that have not been covered previously in this Section.


Part IV. Workforce Development


S23. Has Project LAUNCH developed a workforce development plan at the state level to ensure a skilled and trained workforce of early childhood and mental health professionals?

  • Yes

  • No, not yet, but this will be a future activity of Project LAUNCH

  • No, the state has no plans to develop a workforce development plan under Project LAUNCH

S24. During this reporting period, how many state-level staff have received training on any topic funded by Project LAUNCH?

_______________

S25. Please specify the type or topic(s) of the training(s). Check all that apply.


  • Training on a specific evidence-based program or practice

  • Behavioral health of infants and young children

  • Media advocacy

  • Cultural competency

  • Referral policies and/or processes

  • Social and emotional development of infants and young children

  • Physical health of infants and young children

  • Research, policies, and practices related to young child wellness



  • Family engagement

  • Systems and/or organizational/agency collaboration


  • No training has been provided to state-level staff by Project LAUNCH during this reporting period


  • Other – please describe: ____________________


S26. This space is provided for you to describe any other Project LAUNCH activities at the state level related to Workforce Development that have not been covered previously in this Section.


Part V. Quality Monitoring and Evaluation


S27. Which of the following quality monitoring activities are used at the state level to collect information on community-level Project LAUNCH-funded programs/services? Check all that apply.


  • No quality monitoring activities are conducted at the state level for Project LAUNCH-funded programs/services


  • Collection, review, and analysis of program implementation data

  • Collection, review, and analysis of program outcome data

  • Direct observation of program delivery

  • Participant satisfaction surveys

  • Interviews with service providers

  • Interviews with parents, caregivers, and/or families


  • Grievance and complaint tracking

  • Chart/record reviews or audits

  • Focus groups

  • Other – please describe: ____________________

S28. To what extent are family representatives involved in the state's quality monitoring process for Project LAUNCH services and programs at the community level? Check all that apply.


  • Families were involved in designing the quality monitoring process


  • Families are involved in data collection activities

  • Families are involved in data analysis activities

  • Families review reports of service quality

  • Families advise Project LAUNCH staff and other service providers on service improvement

  • Family representatives are not involved in the quality monitoring process

  • Other – please describe: ____________________


S29. This space is provided for you to describe any other Project LAUNCH activities at the state level related to Quality Monitoring and Evaluation that have not been covered previously in this Section.


Part VI. Sustainability


S30. During this reporting period, what strategies have you used at the state level to ensure sustainability? Check all that apply. For each item checked, please explain state-level activities over the past year to sustain LAUNCH programs/services/initiatives.


  • Seeking other Federal funding

Explain: ______________


  • Seeking tribal, state, or local funding

Explain: ______________

  • Implementing a fund development strategy

Explain: ______________

  • Providing ongoing training, including refresher training, for new and existing service providers and staff

Explain: ______________

  • Developing collaborative efforts with tribal, state, or local agencies/organizations

Explain: ______________

  • Developing collaborative efforts with other organizations

Explain: ______________

  • Working to ensure that evidence-based programs and services funded by Project LAUNCH are incorporated into the missions/goals and activities of government agencies and local organizations

Explain: ______________


  • Working to implement state laws, policies, and/or regulations to continue activities, programs, and services

Explain: ______________

  • Working to implement local laws, policies, and/or regulations to continue activities, programs, and services

Explain: ______________

  • Working to align policies

Explain: ______________

  • Working to secure Medicaid reimbursement

Explain: ______________

  • Working to secure other health plan reimbursement

Explain: ______________


  • Other – please describe: __________________

S31. What state-level challenges to sustainability have you faced? Check all that apply.

  • Fiscal climate


  • Unstable collaborative relationships

  • Political climate (e.g., minimal or no political support or insufficient political will)

  • Lack of coordinated policies

  • Organizational setting(s) not supportive

  • No champion for the program

  • Unenthusiastic providers and staff

  • Unable to document outcomes of Project LAUNCH program

  • No challenges at this time

  • Other – please describe: ____________________


S32. Please describe any successes, if any, during this reporting period at the state level to ensure the sustainability of Project LAUNCH.


S33. This space is provided for you to describe any other Project LAUNCH activities at the state level related to Sustainability that have not been covered previously in this Section.

S34. By checking this box, I am indicating that data entry is complete for this survey.




B. STATE COUNCIL ORGANIZATIONS


Organization Name:

S35. At the time of this report, how many individuals from the agency/organization are members of the State Council on Young Child Wellness?


_______________

S36. Please indicate the division(s) or program(s) represented by the individuals from this agency/organization. Check all that apply.

  • Health care provider (e.g., hospital, clinic, primary care practice)


  • Child welfare


  • Child protective services


  • Substance abuse prevention


  • Elementary education (e.g., schools)


  • Criminal justice (e.g., courts)


  • Media


  • Civic or volunteer sector


  • State government (e.g. Office of the Governor)


  • Child care organization


  • Public Health


  • Child behavioral services


  • Medicaid


  • Substance abuse treatment/aftercare


  • Faith community


  • Corrections


  • Private sector business


  • Foundation/funder


  • County/city government


  • Mental health


  • Nutrition


  • Surveillance/applied research


  • Early childhood education (e.g., Early Head Start, Head Start)


  • Law enforcement


  • Juvenile justice


  • Advocacy group


  • Tribal government (e.g., Tribal Council)


  • Family member or family organization


  • Cultural advisors

  • Other - please describe: ____________________


S37. Does this agency on the State Council on Young Child Wellness have a quality monitoring plan/strategy for assessing the implementation and outcomes of early childhood programming and systems change activities linked to Project LAUNCH?


  • Yes


  • No, not yet, but this will be a future activity under Project LAUNCH


  • No, this agency does not have plans to develop a quality monitoring process under Project LAUNCH


S37a. Please upload quality monitoring plan/strategy: (Upload files link here)



S38. By checking this box, I am indicating that data entry is complete for this survey.




C. KEY COLLABORATORS


List 3-5 agencies/organizations that have been the most important state-level collaborators for implementation of Project LAUNCH during this reporting period (collaborators do not need to be on State Council). Complete questions S39 through S48 for each of the 3 to 5 agencies/organizations listed.


Organization Name:

S39. Is the agency/organization represented on the State Council on Young Child Wellness?

    • Yes


    • No

S40. Please indicate the type of agency/organization. (Select one)


  • Health care provider (e.g., hospital, clinic, primary care practice)


  • Child welfare


  • Child protective services


  • Substance abuse prevention


  • Elementary education (e.g., schools)


  • Criminal justice (e.g., courts)


  • Media


  • Civic or volunteer sector


  • State government (e.g. Office of the Governor)


  • Child care organization


  • Public Health


  • Child behavioral services


  • Medicaid


  • Substance abuse treatment/aftercare


  • Faith community


  • Corrections


  • Private sector business


  • Foundation/funder


  • County/city government


  • Mental health


  • Nutrition


  • Surveillance/applied research


  • Early childhood education (e.g., Early Head Start, Head Start)


  • Law enforcement


  • Juvenile justice


  • Advocacy group


  • Tribal government (e.g., Tribal Council)


  • Family member or family organization

  • Other – please describe: ____________________


S41. Please indicate the nature of the collaboration during this reporting period. Check all that apply.

  • Collaborative strategic planning


  • Data sharing agreement (e.g., shared case files or MIS)


  • Common intake forms


  • Coordinated case management


  • Sustainability planning


  • Shared funding of programs or services


  • Policy development


  • Common assessment tools/protocols


  • Joint staff training


  • Joint participation in interagency committees/boards


  • Delivery of programs or services


  • Co-location of staff


  • Cross-referral


  • Development of consistent messages on young child wellness


  • Other – please describe: ____________________

S42. Please describe the role of this key collaborator in contributing to Project LAUNCH, explaining the nature of the collaboration identified above and the extent of coordination with the lead state agency for Project LAUNCH.





S43. What have been the benefits of collaborating with this agency/organization during this reporting period? Check all that apply.

  • Provided a broader perspective on issues and problems related to young child wellness


  • Partner for funding of child wellness programs and services


  • Partner for expansion of existing child wellness programs and services


  • Provided political support on policy or funding issues related to young child wellness


  • Provided data to help change programming related to young child wellness


  • Gained access to data for planning child wellness programs and services


  • Partner for creation of new child wellness programs and services


  • Provided data to help change policy related to young child wellness


  • Other – please describe: ____________________


S44. During this reporting period, how formal was the agreement to collaborate with this agency/organization? Check all that apply.

  • Informal agreement


  • Written memorandum of understanding


  • Voluntary contractual relationship


  • Collaborative relationship mandated by law


  • Other – please describe: ____________________

S45. What factors have facilitated collaboration with this agency/organization during this reporting period? Check all that apply.

  • Staff time dedicated to collaboration efforts


  • Shared mission and vision


  • Other requirements/mandates to collaborate


  • Supportive political climate


  • Support from senior agency/organization officials


  • Common programmatic agendas


  • Program-specific priorities


  • Fiscal resources dedicated to collaboration efforts


  • Legislative mandate to collaborate


  • History of collaboration prior to Project LAUNCH


  • Other – please describe: ____________________

S46. Which of the following, if any, have been challenges to collaborating with this agency/organization during this reporting period? Check all that apply.

  • There have been no challenges to collaborating with this agency/organization


  • Low level or lack of support from senior agency/organization officials


  • Differences in mission and vision


  • Competing or different programmatic agendas


  • Unsupportive political climate


  • Personality conflicts


  • Insufficient staff time available for collaboration efforts


  • Inadequate fiscal resources dedicated to collaboration efforts


  • Territoriality between agencies


  • No history of collaboration prior to Project LAUNCH


  • Dissimiliar program-specific priorities


  • Other – please describe:

S47. To what extent have the goals for collaboration with this agency been met?


  • All goals have been met


  • Most, but not all goals have been met


  • Some, but not all goals have been met

S48. This space is provided for you to describe any other information related to Collaboration with this agency/organization that has not been covered previously in this Section.


S49. By checking this box you are indicating that data entry is complete for this survey.




Shape8 Shape7

Project LAUNCH

Cross-Site Evaluation














Survey on Tribal Systems

FINAL


Shape9

NOTE: Questions highlighted in yellow will be pre-populated with the response from the previous reporting period.










Abt Associates Inc.


Contents





A. TRIBAL MEASURES

Part I. Young Child Wellness Council


T1. Tribal community agency for Project LAUNCH


T1a. Agency Name


T1b. Address 1


T1c. Address 2


T1d. City


T1e. State


T1f. Zip


T2. Was the Young Child Wellness Council newly formed or part of a structure or committee that existed prior to Project LAUNCH?

    • Newly formed


    • Existed prior to Project LAUNCH

T3. How many Young Child Wellness Council meetings have occurred during this reporting period?

    • None


    • One


    • Two


    • Three


    • Four


    • Five


    • Six


    • Seven or more



T4. During this reporting period, what have been the key functions and responsibilities of the Young Child Wellness Council and/or any of its subcommittees or work groups? Check all that apply.

    • Needs assessment


    • Allocating Project LAUNCH budget/resources


    • Establishing formal arrangements among agencies/organizations


    • Collaboration in service delivery


    • Conducting program outreach/awareness


    • Strategic planning


    • Determining the service array


    • Tribal community-level system coordination


    • Developing a workforce development/training strategy


    • Policy development or policy changes


    • Program evaluation


    • Developing the environmental scan


    • Identifying potential system and/or service barriers


    • Service coordination within the tribal community


    • Developing an outreach/awareness plan


    • Advocacy


    • Planning for sustainability


    • Developing integrated financing strategies


    • Data sharing or developing integrated data systems/strategies


    • Other - please describe: ______________________


T5. To what degree does the Young Child Wellness Council include issues related to cultural competence in their discussions, guidance, and/or decision making?


    • Always included – Please provide an example of these discussions, guidance, and/or decision-making: _______________________


    • Sometimes included – Please provide an example of these discussions, guidance, and/or decision-making: ________________________


    • Not included



T6. To what extent does the Young Child Wellness Council incorporate the perspectives of parents/families in their discussions, guidance, and/or decision making?


  • Always included – Please provide an example of these discussions, guidance, and/or decision-making: ________________________

  • Sometimes included – Please provide an example of these discussions, guidance, and/or decision-making: ________________________

  • Not included

T7.

Quarter 1

Quarter 2

T7a. For each quarter, how many organizations at the tribal level are collaborating, coordinating, and/or sharing resources with other organizations as a result of Project LAUNCH? (Organizations may include, but should not be limited to, those on the Wellness Council and includes organizations with formal and informal agreements with Project LAUNCH.) (GPRA)



T7b. In each quarter, how many of these organizations are new collaborators?






T8. What is the target geographic area of your Project LAUNCH program (i.e., name of county(ies), zip codes, etc.)?


T9. How would you describe the target area? Check all that apply.


  • Rural


  • Urban


  • Suburban (directly outside an urban center)


  • Indian Reservation


  • A specific target population within a defined geographic area. Please describe target population:

___________________________


  • Other – please describe: ___________________________



Part II. Implementation Progress


T10. During this reporting period, what tribal community-level factors have facilitated progress toward implementation of Project LAUNCH? Check all that apply.

    • Families are active participants on the Young Child Wellness Council


    • Collaboration/cooperation from necessary partners/stakeholders


    • Regular attendance by members at meetings of Young Child Wellness Council


    • Stability in community-level Project LAUNCH staff


    • Program-specific priorities


    • Staff stability in Project LAUNCH service provider organizations


    • Supportive political climate at the tribal community level


    • Stability in membership of Young Child Wellness Council


    • Shared goals among service providers, families, and community members


    • No organizations are missing from Young Child Wellness Council

    • Other – please describe: ____________________

T11. During this reporting period, what tribal community-level factors, if any, have presented challenges toward implementation of Project LAUNCH? Check all that apply.

    • Families are not active participants on the Young Child Wellness Council

    • Staff turnover in service provider organizations


    • Unsupportive political climate


    • Turnover in membership of Young Child Wellness Council


    • Lack of shared goals among service providers, families, and community members


    • Program-specific priorities


    • Some agencies/organizations are missing from Young Child Wellness Council


    • Lack of collaboration/cooperation from necessary partners/stakeholders


    • Irregular attendance by members at meetings of Young Child Wellness Council


    • Turnover in tribal community-level Project LAUNCH staff


    • Other – please describe: ____________________


T12. During this reporting period, funding and/or support from Project LAUNCH has assisted the tribal community to develop and/or implement a more integrated system of care for children and families at the community level.

    • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued

T13. During this reporting period, funding and/or support from Project LAUNCH has assisted the tribal community to improve developmental screening and assessment policies and/or protocols at the tribal community level.


    • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


T14. During this reporting period, funding and/or support from Project LAUNCH has assisted the tribal community to formulate coordinated policies and/or standards across community-level agencies and organizations.


    • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued



T15. During this reporting period, funding and/or support from Project LAUNCH has assisted the tribal community to coordinate data collection and analysis regarding the service needs and health outcomes of young children and families across agencies and organizations within the tribal community (e.g., common data elements, common data collection procedures and protocols).

    • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


T16. During this reporting period, funding and/or support from Project LAUNCH has assisted the tribal to coordinate the financing of services for young children and families across agencies and organizations within the tribal community.

  • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


T17. During this reporting period, funding and/or support from Project LAUNCH has assisted the tribal community to monitor programs and services for young children and families.

  • This is not applicable to Project LAUNCH


This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


T18. During this reporting period, funding and/or support from Project LAUNCH has assisted the tribal community to establish or maintain a process for facilitating tribal community systems building through technical assistance and consultation.


  • This is not applicable to Project LAUNCH

This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued


T19. During this reporting period, funding and/or support from Project LAUNCH has assisted the tribal community to establish or maintain a process for facilitating tribal community systems building through education and training.


  • This is not applicable to Project LAUNCH


This is a planned component of Project LAUNCH;

  • but scheduled activities have not begun


  • scheduled activities have just begun


  • scheduled activities are underway and timely


  • scheduled activities have been fully implemented


  • scheduled activities have been started or implemented but have been discontinued



T20. During this reporting period, have Project LAUNCH activities at the tribal community level accomplished any of the following at the state, community, or tribal level? Check all that apply.

Accomplished

Increased awareness of child wellness


Increased referrals among agencies or programs


Increased service capacity in the tribal community


Used funds in an innovative manner (such as blended or pooled funding)


Increased integration of service systems (such as maternal and child health, primary care, mental health, substance abuse prevention/treatment)


Created partnerships among tribal community-level child-serving agencies, organizations, or providers


Influenced organizational or tribal policy affecting access to or delivery of services for young children and families


Enhanced cultural competence of providers


Increased family participation in Project LAUNCH services


Increased the amount of or access to data available to agencies, organizations, and service providers on the health status of the target population


Other












































T21. This space is provided for you to describe any other information related to Implementation Progress that has not been covered previously in this Section.



Part III. Program Outreach/Awareness


T22. During this reporting period, have there been any Project LAUNCH-funded efforts at the tribal community level aimed at raising awareness about young child wellness?

  • Yes


  • No (Skip to T26)

T23. Please indicate the areas about which you are trying to raise awareness. Check all that apply.


  • Vision of young child wellness


  • Current data about the physical, social, emotional, cognitive, and behavioral health of children within the tribal community


  • Differential health status of children from tribal communities


  • Consequences of not addressing problems affecting the physical and behavioral health of young children


  • Need for integration of physical and mental health


  • Coordination among community-level child- and family-serving agencies


  • Young Child Wellness Council


  • Available services for families and children


  • Other - please describe: ____________________


T24. For awareness raising activities conducted at the tribal community level, please indicate which groups are the focus of the awareness raising efforts. Check all that apply.


  • The tribal community


  • Parents, families, caregivers


  • Business community


  • Media


  • Schools/school districts


  • Child-serving organizations other than schools


  • Child care providers


  • Law enforcement agencies


  • Local courts


  • Faith-based organizations


  • Civic or volunteer organizations


  • Healthcare professionals


  • Tribal government officials


  • Other - please describe: ____________________


T25. This space is provided for you to describe any other Project LAUNCH-funded, tribal community-level activities related to Program Outreach/Awareness that have not been covered previously in this Section.


Part IV. Workforce Development


T26. Has Project LAUNCH developed a workforce development plan to ensure a skilled and trained workforce of early childhood and mental health professionals?

  • Yes

  • No, not yet, but this will be a future activity of Project LAUNCH

  • No, the tribe has no plans to develop a workforce development plan under Project LAUNCH

T27. During this reporting period, how many staff have received training on any topic funded by Project LAUNCH?

_______________

T28. Please specify the type or topic(s) of the training(s). Check all that apply.


  • Training on a specific evidence-based program or practice

  • Behavioral health of infants and young children

  • Media advocacy

  • Cultural competency

  • Referral policies and/or processes

  • Social and emotional development of infants and young children

  • Physical health of infants and young children

  • Research, policies, and practices related to young child wellness



  • Family engagement

  • Systems and/or organizational/agency collaboration


  • No training has been provided to tribal-level staff by Project LAUNCH during this reporting period


  • Other – please describe: ____________________


T29. This space is provided for you to describe any other Project LAUNCH activities related to Workforce Development that have not been covered previously in this Section.


Part V. Quality Monitoring and Evaluation


T30. Which of the following quality monitoring activities are used to collect information on Project LAUNCH-funded programs/services within the tribal community? Check all that apply.


  • No quality monitoring activities are conducted for Project LAUNCH-funded programs/services


  • Collection, review, and analysis of program implementation data

  • Collection, review, and analysis of program outcome data

  • Direct observation of program delivery

  • Participant satisfaction surveys

  • Interviews with service providers

  • Interviews with parents, caregivers, and/or families


  • Grievance and complaint tracking

  • Chart/record reviews or audits

  • Focus groups

  • Other – please describe: ____________________

T31. To what extent are family representatives involved in the quality monitoring process for Project LAUNCH services and programs at the tribal community level? Check all that apply.


  • Families were involved in designing the quality monitoring process


  • Families are involved in data collection activities

  • Families are involved in data analysis activities

  • Families review reports of service quality

  • Families advise Project LAUNCH staff and other service providers on service improvement

  • Family representatives are not involved in the quality monitoring process

  • Other – please describe: ____________________


T32. This space is provided for you to describe any other Project LAUNCH activities at the tribal level related to Quality Monitoring and Evaluation that have not been covered previously in this Section.


Part VI. Sustainability


T33. During this reporting period, what strategies have you used at the tribal community level to ensure sustainability? Check all that apply. For each item checked, please explain community-level activities over the past year to sustain LAUNCH programs/services/initiatives.


  • Seeking other Federal funding

Explain: ______________


  • Seeking tribal, state, or local funding

Explain: ______________

  • Implementing a fund development strategy

Explain: ______________

  • Providing ongoing training, including refresher training, for new and existing service providers and staff

Explain: ______________

  • Developing collaborative efforts with tribal, state, or local agencies/organizations

Explain: ______________

  • Developing collaborative efforts with other organizations

Explain: ______________

  • Working to ensure that evidence-based programs and services funded by Project LAUNCH are incorporated into the missions/goals and activities of government agencies and local organizations

Explain: ______________


  • Working to implement tribal laws, policies, and/or regulations to continue activities, programs, and services

Explain: ______________

  • Working to implement tribal community laws, policies, and/or regulations to continue activities, programs, and services

Explain: ______________

  • Working to align policies

Explain: ______________

  • Working to secure Medicaid reimbursement

Explain: ______________

  • Working to secure other health plan reimbursement

Explain: ______________


  • Other – please describe: __________________

T34. What community-level challenges to sustainability have you faced? Check all that apply.

  • Fiscal climate


  • Unstable collaborative relationships

  • Political climate (e.g., minimal or no political support or insufficient political will)

  • Lack of coordinated policies

  • Organizational setting(s) not supportive

  • No champion for the program

  • Unenthusiastic providers and staff

  • Unable to document outcomes of Project LAUNCH program

  • No challenges at this time

  • Other – please describe: ____________________


T35. Please describe successes, if any, during this reporting period at the tribal community level to ensure the sustainability of Project LAUNCH.


T36. This space is provided for you to describe any other Project LAUNCH activities at the tribal community level related to Sustainability that have not been covered previously in this Section.

T37. By checking this box, I am indicating that data entry is complete for this survey.



B. YOUNG CHILD WELLNESS COUNCIL ORGANIZATIONS


Organization Name:


T38. At the time of this report, how many individuals from the agency/organization are members of the Young Child Wellness Council?


_______________

T39. Please indicate the division(s) or program(s) represented by the individuals from this agency/organization. Check all that apply.

  • Health care provider (e.g., hospital, clinic, primary care practice)


  • Child welfare


  • Child protective services


  • Substance abuse prevention


  • Elementary education (e.g., schools)


  • Criminal justice (e.g., courts)


  • Media


  • Civic or volunteer sector


  • State government (e.g. Office of the Governor)


  • Child care organization


  • Public Health


  • Child behavioral services


  • Medicaid


  • Substance abuse treatment/aftercare


  • Faith community


  • Corrections


  • Private sector business


  • Foundation/funder


  • County/city government


  • Mental health


  • Nutrition


  • Surveillance/applied research


  • Early childhood education (e.g., Early Head Start, Head Start)


  • Law enforcement


  • Juvenile justice


  • Advocacy group


  • Tribal government (e.g., Tribal Council)


  • Family member or family organization


  • Cultural advisors

  • Other - please describe: ____________________


T40. Does this agency on the Young Child Wellness Council have a quality monitoring plan/strategy for assessing the implementation and outcomes of early childhood programming and systems change activities linked to Project LAUNCH?


  • Yes


  • No, not yet, but this will be a future activity under Project LAUNCH


  • No, this agency does not have plans to develop a quality monitoring process under Project LAUNCH


T40a. Please upload quality monitoring plan/strategy: (Upload files link here)


T41. By checking this box, I am indicating that data entry is complete for this survey.




C. KEY COLLABORATORS


List 3-5 agencies/organizations that have been the most important tribal-level collaborators for implementation of Project LAUNCH during this reporting period (collaborators do not need to be on Young Child Wellness Council). Complete questions T42 through T51 for each of the 3 to 5 agencies/organizations listed.

Organization Name:

T42. Is the agency/organization represented on the Young Child Wellness Council?

    • Yes


    • No

T43. Please indicate the type of agency/organization. (Select one)


  • Health care provider (e.g., hospital, clinic, primary care practice)


  • Child welfare


  • Child protective services


  • Substance abuse prevention


  • Elementary education (e.g., schools)


  • Criminal justice (e.g., courts)


  • Media


  • Civic or volunteer sector


  • State government (e.g. Office of the Governor)


  • Child care organization


  • Public Health


  • Child behavioral services


  • Medicaid


  • Substance abuse treatment/aftercare


  • Faith community


  • Corrections


  • Private sector business


  • Foundation/funder


  • County/city government


  • Mental health


  • Nutrition


  • Surveillance/applied research


  • Early childhood education (e.g., Early Head Start, Head Start)


  • Law enforcement


  • Juvenile justice


  • Advocacy group


  • Tribal government (e.g., Tribal Council)


  • Family member or family organization

  • Other – please describe: ____________________



T44. Please indicate the nature of the collaboration during this reporting period. Check all that apply.

  • Collaborative strategic planning


  • Data sharing agreement (e.g., shared case files or MIS)


  • Common intake forms


  • Coordinated case management


  • Sustainability planning


  • Shared funding of programs or services


  • Policy development


  • Common assessment tools/protocols


  • Joint staff training


  • Joint participation in interagency committees/boards


  • Delivery of programs or services


  • Co-location of staff


  • Cross-referral


  • Development of consistent messages on young child wellness


  • Other – please describe: ____________________

T45. Please describe the role of this key collaborator in contributing to Project LAUNCH, explaining the nature of the collaboration identified above and the extent of coordination with the lead community agency for Project LAUNCH.





T46. What have been the benefits of collaborating with this agency/organization during this reporting period? Check all that apply.

  • Provided a broader perspective on issues and problems related to young child wellness


  • Partner for funding of child wellness programs and services


  • Partner for expansion of existing child wellness programs and services


  • Provided political support on policy or funding issues related to young child wellness


  • Provided data to help change programming related to young child wellness


  • Gained access to data for planning child wellness programs and services


  • Partner for creation of new child wellness programs and services


  • Provided data to help change policy related to young child wellness


  • Other – please describe: ____________________


T47. During this reporting period, how formal was the agreement to collaborate with this agency/organization? Check all that apply.

  • Informal agreement


  • Written memorandum of understanding


  • Voluntary contractual relationship


  • Collaborative relationship mandated by law


  • Other – please describe: ____________________

T48. What factors have facilitated collaboration with this agency/organization during this reporting period? Check all that apply.

  • Staff time dedicated to collaboration efforts


  • Shared mission and vision


  • Other requirements/mandates to collaborate


  • Supportive political climate


  • Support from senior agency/organization officials


  • Common programmatic agendas


  • Similar program-specific priorities


  • Fiscal resources dedicated to collaboration efforts


  • Legislative mandate to collaborate


  • History of collaboration prior to Project LAUNCH


  • Other – please describe: ____________________

T49. Which of the following, if any, have been challenges to collaborating with this agency/organization during this reporting period? Check all that apply.

  • There have been no challenges to collaborating with this agency/organization


  • Low level or lack of support from senior agency/organization officials


  • Differences in mission and vision


  • Competing or different programmatic agendas


  • Unsupportive political climate


  • Insufficient staff time available for collaboration efforts


  • Inadequate fiscal resources dedicated to collaboration efforts


  • Personality conflicts


  • Territoriality between agencies


  • No history of collaboration prior to Project LAUNCH


  • Dissimilar program-specific priorities


  • Other – please describe:

T50. To what extent have the goals for collaboration with this agency been met?


  • All goals have been met


  • Most, but not all goals have been met


  • Some, but not all goals have been met

T51. This space is provided for you to describe any other information related to Collaboration with this agency/organization that has not been covered previously in this Section


T52. By checking this box, you are indicating that data entry is complete for this survey.




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleState Systems Measures for Cross-Site Evaluation of Project LAUNCH
AuthorDHHS
File Modified0000-00-00
File Created2021-01-29
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