Attachment B11 - PMHCA Program Practice-level Survey_Pilot Test Results 12-13-19

Attachment B11 - PMHCA 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
Question 1a: Do you want to give option for only one or all that apply?  For instance, at HPA we did the broad band screens at WCC, but might do screens for particular complaints including fatigue, abdominal pain, school problems, s/p MVA etc....	We have added Select all that apply.
Question 2: EPSDT – Is this a BH screen?  I think of the EPSDT as a periodicity menu of age specific WCC screens including height, weight bp, vision, hearing, etc... not BH screen.	EPSDT screening includes physical, mental, developmental, dental, hearing, vision, and other screening tests to detect potential problems, so we have retained since mental and developmental health screening are included.
Question 3: Do you mean to ask who administers the test and scores it, or who interprets and follows up with the patient?  If it is sent as a questionnaire via a patient portal, and then scored and incorporated into the record by the MA and discussed by provider would you answer that it is self-administered, MA, and provider conduct the screen?	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:  In our area folks do not know the term PMHCA.  You would want to make sure that the respondents know the name of the local program.	Yes, we will to customize the introduction text to the survey for each program so respondents recognize their state’s program.
Question 5:  We were involved with MCPAP before BH screening was a recommendation, so I do not know how to answer that question except to imagine how hard it would be to screen if there was no support for accessing BH consultation.  Perhaps in other areas the question would read differently.	Since respondents are from practices that are enrolled in the program, behavioral health screening and consultation services should be in place, so they should be able to answer this question.
Question 18: Is this a check all that apply?	This change has been made.
Questions 27-32:  I think these are good q's but, in our region, the PPOC BH integration program provides lots of support so we would answer in a way that didn't give much credit to MCPAP for education.  I imagine that over most of the PMHCA programs, the role in education and training is much larger.	PMHCA programs are required to offer training and enrolled practices are expected to participate.

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