Appendix B - Consent Form for Young People with Lived Experience

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Engaging Young People With Lived Child Welfare Experience in the Child and Family Services Reviews Study

OMB Control Number: 0970-0531 (Expires 7/31/2022)

You are invited to participate in a study that will gather input from young people with lived child welfare experience about how they want to be involved in the Child and Family Services Reviews (CFSRs). The study will be conducted by JBS International on behalf of the Children’s Bureau. We are asking for your consent to participate in this project.

What activities will you do in the study and how long will the activities last? If you decide to participate in the study, you will be asked to participate in a series of focus groups (4 total). A focus group is a discussion with a group of people about a certain topic. In this focus group, you will be asked to discuss/share your ideas about engaging young people in the CFSRs. Each focus group will take approximately 1 hour of your time. Preparation sessions (3 total) before the focus groups will also take approximately 1 hour of your time. Overall, this will be a commitment of 7 hours. The focus group discussions will be audio and video recorded. Only JBS staff and transcribers will have access to the recordings. We will use the recordings to create transcriptions of the discussions. Once the recordings have been transcribed, they will be destroyed. If you do not wish to be recorded, please let us know in advance and we will connect with you privately

Benefits and risks: We believe there is little or no risk to participating in this project. You may skip any question, take breaks, or exit the focus group at any time. You may also withdraw from the project altogether. There may be no direct benefits to you for participating in this study. The final results of this project will be recommendations and strategies for engaging young people with lived experience in child welfare. The Children’s Bureau will use this information to plan for future CFSRs, and to offer program support and technical assistance to states in implementing recommendations and strategies for authentic youth and young adult engagement.

Privacy: Due to the group nature of the focus groups, privacy cannot be guaranteed. Your responses will be treated as private, and any use of your name or identifying information about you or anyone else will be removed during the transcription process so that the transcripts are de-identified. All study results will be reported without identifying information so that no one viewing the results will ever be able to match you with your responses. Direct quotes without attribution may be used in publications or presentations. Focus group recordings will be destroyed after they have been transcribed. With the exception of direct quotes, your responses will be combined with the responses of other participants and reported in aggregate form.

Voluntary participation: Your participation in the study is voluntary. You can choose freely to participate or not to participate. At any point during this project, you can stop participating without any adverse consequences.

Honorarium: JBS will provide an honorarium of $250 for your participation in the 4 focus groups and 3 preparation sessions.

Contact information: If you have any questions about any part of this project, please email Hung Pho, Project Director, at [email protected]

Please indicate your agreement to participate in the study by signing below:
Printed Name: __________________________________
Signature: _____________________________________ Date: ________________