Attachment A24 - Community Resources SSI Participation - JBS_Final

Attachment A24 - Community Resources SSI Participation - JBS_Final.docx

Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access and Screening and Treatment for Maternal Mental Health and Substance Use Disorders Programs Project

Attachment A24 - Community Resources SSI Participation - JBS_Final

OMB: 0906-0105

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Community Resources

Semi-Structured Interview

Participation Email

JBS Administered


Health Resources and Services Administration Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access and Screening and Treatment for Maternal Mental Health and Substance Use Disorders Programs Project



June 2024


Thank you for your involvement with [insert program name]. This program and evaluation are funded by the Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau (MCHB) as part of the [Pediatric Mental Health Care Access (PMHCA)/Screening and Treatment for Maternal Mental Health and Substance Use Disorders (MMHSUD)] program in [insert location]. We recently emailed you about the HRSA MCHB evaluation of the MCHB [PMHCA/MMHSUD] program that is being conducted by JBS International, Inc. (JBS).


About the Semi-Structured Interview (SSI)

As part of the HRSA MCHB evaluation, JBS is conducting an SSI with a community resource representative to learn more about the impacts of collaboration of [insert location]’s HRSA [PMHCA/MMHSUD] program. The SSI is designed to collect information on your experiences with the [PMHCA/MMHSUD] program (e.g., organization description, collaboration with the PMHCA program, collaboration impacts, health equity). Your participation in this SSI is important to the HRSA MCHB evaluation.


Directions

An evaluation team member will lead the interview, describe its purpose, and ask about your position and role within the project. The interview will take about 30 minutes to complete and will be conducted and recorded (if permission is granted) via a web-based platform (e.g., Microsoft Teams, Zoom).


Please use the following link to complete the Doodle poll by [insert date]: [insert Doodle poll link] and indicate at least 3 dates and times that work best for you.


If you are having difficulty accessing the Doodle poll, or have any questions, please notify us at [email protected].


Kind regards,


The HRSA MCHB Evaluation Team



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAttachment B5
AuthorLaura Quicquaro
File Modified0000-00-00
File Created2025-06-03

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