OMB Control No: 0920-xxxx
Expiration Date: xx/xx/xxxx
Attachment E: Key Informant Interview Guide_ PH/MH Agency Staff
	 Public
	reporting burden of this collection of information is estimated to
	average 25 minutes per response, including the time for reviewing
	instructions, searching existing data sources, gathering and
	maintaining the data needed, and completing 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. Send
	comments regarding this burden estimate or any other aspect of this
	collection of information, including suggestions for reducing this
	burden to CDC/ATSDR Information Collection Review Office; 1600
	Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN:  PRA
	(0920-xxxx) 
	
	Thank
	you for agreeing to participate in this study funded by Centers for
	Disease Control and Prevention (CDC) to examine how organizations in
	your community have responded to disasters. Today I am going to ask
	you to share your thoughts about the 2011 tornado super outbreak.
	Our goal for this project is to better understand how communities
	prepare for and recover from disasters, especially in terms of
	public health and mental health. Our intention is not to judge what
	has been done or to provide courses of action for the future. We are
	simply here to learn from your experiences. First
	I would like to take a moment to read over the consent form.
	[Hand the consent form to respondent. Give them ample time to read
	the consent form.] As
	noted in the consent form, your participation in this interview is
	voluntary. You may skip any question you do not wish to answer and
	your participation and responses to the questions are confidential.
	Before we begin, do you have any questions about the consent form or
	the interview? 
	 [Answer
	respondent’s questions. If respondent no longer wishes to be
	interviewed, thank him or her for her time and terminate the
	conversation. If the respondent has no questions or once his or her
	questions are answered satisfactorily you may proceed.] 
	 Do
	you agree to be interviewed and to have the interview be recorded?
	If you agree, please sign here on the consent form. As a reminder,
	your consent form with your signature will not be linked to this
	interview. [Allow
	the respondent to answer. If respondent no longer wishes to be
	interviewed, thank him or her for her time and terminate the
	conversation. If the respondent agrees to be interviewed but DOES
	NOT want to be recorded, you may proceed with the interview and have
	the observer take notes.] 
	 First
	I want to collect some basic information from you. As we discussed
	during the consent process, your name will never be linked to what
	we talk about today. Please fill out this form and let me know if
	you have any questions [Hand
	demographic form to respondent.] 
Note to Interviewer: The listed probes are suggestions to help you flesh out participants’ responses. Not all probes will be relevant to all participants however please touch on each probe topic to ensure consistent data are collected across all respondents.
Q1. What was the relationship between public health (PH) and mental health (MH) before the April 2011 tornadoes?
Did PH/MH work together in any capacity? If so, how? If not, why?
Was there a formal (or informal) relationship? What did this entail?
Describe communication between PH and MH (good, bad, frequent, infrequent, etc.).
Q2. How did the relationship between PH and MH change during and after the April 2011 tornadoes?
Q3. What role did PH/MH play in the development of the jurisdictional Emergency Operations Plan [check on the “official” terminology within each jurisdiction and replace with the name of the local plan]?
How much of the response that happened during and after the tornado followed the jurisdictional Emergency Operations Plan?
Q4. What specific PH/MH services were provided to the community during and after the April 2011 tornadoes?
What services were provided by your agency/organization?
What services were provided by other agencies/organizations?
What services do you wish had been offered?
If not already addressed: Were any specific MH services provided after the tornado? If so, what?
Please describe the availability of resources to address mental health needs after the tornados. Who were key players/providers?
How can your agency better address the mental health concerns in your community in the future?
Q5. Who have been your key partners in the community to provide critical PH/MH services during and after April 2011 tornadoes?
What do those partners do?
Which partnerships were established prior to the tornado? Which ones evolved during response or recovery?
What was particularly successful about these partnerships? What challenges arose?
How were partnerships solidified? (MOU, handshake, letter of agreement, contract, etc.)
Describe communication with partners during response/recovery (good, bad, frequent, infrequent, etc.).
Q6. Did you partner with faith-based, volunteer and/or community-based organizations to provide PH/MH services? If so, which organizations did you partner with?
What do those partners do?
Which partnerships were established prior to the tornado? Which ones evolved during response or recovery?
What was particularly successful about these partnerships? What challenges arose?
How were partnerships solidified? (MOU, handshake, letter of agreement, contract, etc.)
Describe communication with partners during response/recovery (good, bad, frequent, infrequent, etc.).
	Great.
	Thank you. I would like to end the interview by asking you to
	reflect on the last few years. 
	 
Q7. In your opinion, to what extent do you think that the community has recovered from the tornado outbreak of April 2011?
What does “good” recovery look like?
What are the markers/indicators of recovery?
What populations, if any, are still recovering now?
Q8. Knowing what you know now, what would you have done differently?
	Thank you for your time and
	insights into these important issues. To wrap up the interview, we
	would like to collect some demographic information from you. 
	  
	
Participant ID #: ____________
How many years have you lived in {insert name of county/city of interest}? ___________________
Do you consider {insert name of county/city of interest} to be your home town?
YES
NO
How many years have you been in your current position? ______________________
[For PH/MH respondents only] How many years have you been in the field of public health and/or mental health? _________________
[For community respondents only] Which community sector do you represent?
Business
Community leadership
Cultural and faith-based groups
Emergency management
Healthcare
Social services
Housing and sheltering
Media
Mental/behavioral health
Public Health
Senior Services
Education and childcare settings
Other – please specify ____________________________________
What is your age?
_ _ Age in years
Don‘t know / Not sure
Refused
What is your gender?
Male
Female
Which one of these groups would you say represents your race? (Select all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Respondent provides category of race not listed above
Don‘t know / Not sure
Refused
9. Are you Hispanic or Latino?
Yes
No
Don‘t know / Not sure
Refused
10. What is the highest level of education you’ve completed? ___________________
	PH/MH Respondents: Draft
	Interview Guide v3.26.13		Page 
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | ICFI | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-27 |