3. Collaboration Questionnaire Items 1.14.21

Center for Advancing Policy on Employment for Youth (CAPE-Youth) Data Collection

3. Collaboration Questionnaire Items 1.14.21

OMB: 1230-0015

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OMB Control No: 1230-0NEW

Expiration Date: XX/XX/20XX

State-Level Collaboration Questionnaire


(1) Demographics of Participants


Agency type:

  • Vocational rehabilitation (VR)

  • Juvenile justice

  • Adult Justice/Department of Corrections

  • Child Welfare

  • Title I WIOA-funded Workforce

  • Title II WIOA Adult Education

  • Education

    • K-12

    • Higher Education

    • Career Technical Education

    • Other (Please describe): ___________________________________

  • Social security

  • Developmental disability

  • Mental health

  • Other (Please describe): ___________________________________

Total years of experience in the field: _______________

Total years of experience in your agency: _______________


Describe your role at your current agency:

  • Supervisory

  • Direct service provider

  • Both

  • Other (Please describe): ___________________________________

Describe the setting in which you or your agency provides services (check all that apply):

  • Urban

  • Suburban

  • Rural

Gender:

  • Female

  • Male

  • Non-binary

  • Prefer to self-describe: _______________________________

  • Prefer not to say

Do you consider yourself to be Hispanic/Latino?

  • Yes

  • No

  • Prefer to self-describe: _______________________________

  • Prefer not to say

Race – check all that apply:

  • African American

  • American Indian/Alaskan Native

  • Asian

  • Native Hawaiian/Pacific Islander

  • White

  • Prefer to self-describe: _______________________________

  • Prefer not to say

Do you have a disability?

  • Yes

  • No

  • Prefer to self-describe: _______________________________

  • Prefer not to say















(2) Levels of Collaboration Questionnaire (from Frey et al., 2006)


Using the scale provided, please indicate the extent to which you currently interact with each other partner (skip your own row)


0

No Interaction


1

Networking


2

Cooperation


3

Coordination


4

Coalition


5

Collaboration




Relationship Characteristics


  • Aware of organization

  • Loosely defined roles

  • Little communication

  • All decisions made independently

  • Provide information to each other

  • Somewhat defined roles

  • Formal communication

  • All decisions made independently

  • Share information and resources

  • Defined roles

  • Frequent communication

  • Some shared decision making

  • Share ideas

  • Share resources

  • Frequent and prioritized collaboration

  • All members have a vote in decision making

  • Members belong to one system

  • Frequent communication is characterized by mutual trust

  • Consensus is reached on all decisions

Partners







Vocational rehabilitation (VR)

0

1

2

3

4

5

Juvenile Justice

0

1

2

3

4

5

Child Welfare

0

1

2

3

4

5

Title I Workforce

0

1

2

3

4

5

Title II Adult Education

0

1

2

3

4

5

K-12 Education (including special education and CTE)

0

1

2

3

4

5

Higher Education, community colleges, 4 year, institutions

0

1

2

3

4

5

Social Security

0

1

2

3

4

5

Developmental Disability

0

1

2

3

4

5

Mental Health

0

1

2

3

4

5

Housing

0

1

2

3

4

5

SNAP

0

1

2

3

4

5

State or local youth coordinating group (i.e. youth committees)

0

1

2

3

4

5


(3) Specific Transition Coordination Practices between Systems and Strategies for Developing External Partnerships


Please indicate the frequency with which you perform the following tasks:



Never

Very Rarely

Rarely

Occasionally

Frequently

Very frequently

Refer participants to collaborators

Invite collaborators to participant meetings

Hold regular systems of care meetings where multiple participants are discussed

Coordinate services between agencies

Seek out partners based on your participant’ needs















(4) Understanding of other agencies’ eligibility criteria, policies, and procedures


Please indicate your level of confidence in performing the following functions:



Not at all confident





Very confident

Identifying populations of youth who are not being served

Understanding of other agencies’ eligibility criteria

Understanding of other agencies’ policies and procedures

Understanding of other agencies’ definitions of successful outcomes

Understanding of shared cross-agency performance measures




(5) Existing Organizational Attitudes and Experiences (Adapted from Thomson, Perry, & Miller, 2007)


Please rate your level of agreement with the following statements:

Don’t know

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Partner organizations meetings accomplish what is necessary for the collaboration to function well

Partner organizations (including your organization) agree about the goals of the collaboration

Your organization’s tasks in the collaboration are well coordinated with those of partner organizations

Partner organizations (including your organization) have combined and used each other’s resources so all partners benefit from collaborating

You feel what your organization brings to the collaboration is appreciated and respected by partner organizations

Partner organizations (including your organization) work through differences to arrive at win-win solutions


(6) Frequency and Success in Serving Diverse Populations of Youth with Disabilities


Please indicate your level of confidence in your ability or your staff’s ability in providing effective services to youth with disabilities who are:



Not at all confident





Very confident

In-school

Out-of-school (ages 16-24) and high school dropouts

Pregnant and parenting youth

Receiving SSI/SSDI and/or other public assistance.

Minorities (Racially and ethnically diverse)

Foreign language speakers

Immigrant, migrant, and/or refugees

LGBTQ+

Homeless

Justice system- involved

Foster care

Rural residents

(7) Data Sharing and Collaboration.

Does your agency have data exchange agreements with partner agencies? Yes/No.

If yes, please list agencies that you have data exchange agreements with: _________________


How would you describe your holistic use of data through the full complement of shared data exchange agreements with partner agencies?


Don't know

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Using data to identify shared program participants for administrative purposes only.


Using data to coordinate the planning and delivery of employment services (e.g., sharing aggregate student counts)

Using data to meet state and federal program reporting requirements (e.g., WIOA)





(8) Barriers and Opportunities for Collaboration Related to the COVID-19 Pandemic and Economic Downturn.


Please rate your level of agreement with the following statements:



Don’t know

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

The COVID-19 pandemic has improved my organization’s level of collaboration with partner organizations

The COVID-19 pandemic has negatively affected my organization’s level of collaboration with partner organizations

My organization has had to develop different practices for collaborating with partner organizations during the COVID-19 pandemic

The COVID-19 pandemic has affected my organization’s ability to collaborate with partner organizations as required by the WIOA State Plan







[Narrative questions] To what extent are the disruptions/adaptations of services during COVID-19 affecting your collaboration efforts, both internally and externally?


Are there practices of collaborating that you developed or adopted during the COVID-19 pandemic that you feel were effective and would continue using after the pandemic?


Has the COVID-19 pandemic affected your ability to collaborate with partners in rural, urban, or suburban areas? If so, how?


According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays an Office of Management and Budget (OMB) control number. The valid OMB Control Number for this information collection is xxxx-xxxx. The time required to participate in the questionnaire is estimated to average 30 minutes, including the time to review instructions, search existing data resources, gather the data needed and complete and review the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to US Department of Labor, Office of Disability Employment Policy, 200 Constitution Ave., N.W. Washington, DC 20210 and reference the OMB Control Number xxxx-xxxx.


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We will use the data you provide for the CAPE-Youth Research Project, funded by The United States Department of Labor, Office of Disability Employment Policy. In accordance with the Confidential Information Protection and Statistical Efficiency Act of 2002 (Title 5 of Public Law 107-347) and other applicable Federal laws, your responses will not be disclosed in identifiable form without your informed consent. Per the Federal Cybersecurity Enhancement Act of 2015, Federal information systems are protected from malicious activities through cybersecurity screening of transmitted data.






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