Attachment B12 - MDRBD Program Practice-level Survey_Pilot Test Results 12-13-19

Attachment B12 - MDRBD Program Practice-level Survey

Pilot Test Results

Health Resources and Services Administration (HRSA) Evaluation of the Maternal and Child Health Bureau (MCHB) Pediatric Mental Health Care Access (PMHCA) and Screening and Treatment for Maternal Depression and Related Behavioral Disorders (MDRBD) Programs Project

Note: The instruments included in this OMB package have been revised and incorporate

the pilot test results. The question numbers correspond with the instruments pilot tested.

Feedback	Changes Made to Instrument
Time to complete: 8 minutes – but gathering the information would be longer especially the last section with % of population, etc. N/A – not provided by pilot tester	The projected time to complete the survey has not been changed.
General Comments: Very easy to take and clear	No changes required.
General Comments: Add: “I don’t have the information to answer this question” for the majority of these questions.	Because respondents will represent practices that are enrolled in their state’s MDRBD program, they should have information to answer these questions. Respondents are given the option to skip questions if they feel they do not have the information to answer. As such, this response option has not been added.
General Comments: When asking about “health care providers” are you referring to only non-mental health providers (primary care – OB/family medicine)?	We have revised the introduction language to address this comment.
General Comments: Need to clarify questions relating to such as several clinics have embedded mental health services available within the clinic walls.	We have revised the introduction language to indicate that health care provider refers to primary care providers.
Format: Its fine.	No changes required.
Question 1a: Can you select all that apply for multiple screening points? Consider utilizing other standard language for timing of screening – i.e. initial prenatal appointment (whenever that may be), 6 week postpartum visit. Should add “monitor depressive symptoms” as another option.	This change to add “select all that apply” has been made. The options are meant to capture the range of possibilities not a set of intervals. A woman may present at any point in her pregnancy or in labor. As such, we have not revised the response options.
Question 2: Would spell out and utilize abbreviations for screening tools.	We have not made this change. The abbreviated tool names are commonly used in the field.
Question 3: Are you asking who hands out the screening or who administers or reviews the screening? If hands out, front desk staff needs to be an option. Will also make a difference if screening tool isn’t a self report tool.	We have revised this question to reflect that this is intended to determine who conducts interview-based screening. If practice front desk staff provide a screening tool to the patients, we would consider that self-administered.
Question 4: Too broad of categories to be useful. Define difference between “behavioral health counseling” and “behavioral health treatment.” Does “in your practice” only refer to within the clinic walls or external referrals?	This list broadly addresses the clinical care continuum. However, we have removed the “Provide behavioral health counseling in your practice” response option to reduce overlap. In addition, we have refined the question to improve clarity.
Question 6: Should the answers be “yes/no/unsure” as worded as a true/false question.	We have revised the question to allow for respondent’s opinions.
Question 8: Need to have standardization and ability to quantify among responses. (i.e. 10% of patients)	This change has been made.
Question 9: Need to have standardization and ability to quantify among responses. (i.e. 10% of patients)	This change has been made.
Question 11: Referring to the MDRBD program or the prior system of care?	We have revised to reflect that this is the continuum of care available in the practice, but also within the community/State.
Question 12: Change “my office” to “my clinic” or “my practice.” Need to be consistent.	We have changed to “our practice”.
Question 13: Other options: electronic consult, in-person	We have not added these response options. These can be captured in the Other (specify) response option.
Question 16: I would add Certified Peer specialists as a specific title-currently have them working with DCYF and Birthing hospitals in RI	We have not added this response option. This can be captured in the Other (specify) response option.
Question 16: With or without the MDRBD program?	We are interested in their available community linkages either established as a result of the program or previously existing. Q18 includes MDRBD Program facilitated linkages as a response option.
Question 18: Add “other” option and make it “select all that apply.”	These changes have been made.
Question 19: Not clear if that requires Formal signed MOU’s	Yes, the MOU is a formal agreement. No change has been made to address this comment.
Question 19: Quantify percentage of the time.	This change has been made.
Question 23: The options should mirror question 22.	This change has been made.
Question 25: Must clarify. Disseminate to who? Providers? Staff? Patients? Other options: In person meetings (staff), educational opportunities	The question refers to information dissemination to pregnant and postpartum patients. As such, the suggested response options are not relevant.
Question 26: May have different frequencies based on method of dissemination. (Quarterly newsletters and yearly in-person meetings)	This question has been removed.
Question 27: Worded a bit funny, grammar mostly	We have revised this question to address this comment.
Question 27: Grammatically incorrect.	We have revised this question to address this comment.
Question 29: Add option: Sporadically or as needed	We have not added this response option. This can be captured in the Other (specify) response option.
Question 30: As measured by what? How can someone quantify that?	This question has been removed.
Question 31: As measured by what?	This question has been removed.
Question 32: Available or utilized?	We have revised this question to address this comment.

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