Pathways to Recovery Evaluation Protocol

Transcription

1 Pathways to Recovery Evaluation Protocol Goals Goal 1-Link people in medication assisted treatment with Vermont s recovery system Goal 2-Engage and provide support, in recovery centers and in broader recovering communities Goal 3- Demonstrate Efficacy Objectives Treatment site personnel consistently refer persons in medication assisted treatment/medication assisted recovery to Vermont Recovery Network s centers Treatment providers and other healthcare partners collaborate in providing information and education activities to persons in treatment/recovery use guides as a vehicle for accessing VRN center and community recovery supports call upon guides to assist in connecting and resolving issues in accessing recovery supports, groups and activities at Vermont Recovery Network centers and in the community have access to an increasing number of recovery support services at Vermont Recovery Network centers and in the communities Increasing numbers of persons in medication assisted treatment/medication assisted recovery access and participate in a range of recovery supports. Treatment sites and other health care providers, with guides, develop and deliver additional recovery supports in sites convenient to treatment locations. Participants in peer-to-peer recovery support services at Vermont Recovery Network centers report increased recovery success and satisfaction through robust evaluation processes Pathways Guide approaches individuals taking part in medication assisted treatment to describe the local recovery services and supports and determine if the participant is enthusiastic to hear more. This contact is documented using the Pathways to Recovery Welcome Sheet. If the individual indicates yes, they would like to learn more, the guide either continues to meet with the individual in that moment or schedules to meet with them for a longer period of time. Enrollment into the Evaluation (Intake): Within the first week of beginning to work with the guide, the guide will approach the participant to see if s/he is willing to take part in the evaluation by reviewing the Consent form. If the participant is willing, the guide will have them complete the: a. 2 copies of the Consent form 1 for our records and 1 for the participant to keep;

2 b. 1 Locator form; and c. 1 Data collection tool; and d. 1 Monthly Activities log. Once data are collected, the guide will assign an ID# to the participant and write the ID# on the Data Collection tool and the Monthly Activities log. The ID# should NOT be written on the Consent or Locator forms. Each guide will be given a block of ID numbers to use. Participants should be assigned ID numbers in the order in which participants are enrolled. The blocks of ID numbers are listed below. Site First 2 digits of ID number Bank of next 4 digits Barre to 0199 Bennington to 0399 Brattleboro to 0599 Burlington to 0799 Middlebury to 0999 Morrisville to 1199 Rutland to 1399 Springfield to 1599 St. Albans to 1799 St. Johnsbury to 1999 Upper Valley Turning Point to 2199 Example of assigning an ID: John Doe is the first participant to be enrolled in the Pathways to Recovery evaluation at the Rutland Recovery Center. The guide in Rutland would assign John the following ID number: If you ever have questions about assigning ID numbers, it is important to contact Kristen. Each guide will have a password protected excel spreadsheet on their laptops containing the names and corresponding ID#s of all participants at their sites. This information should not be shared with anyone outside of the guide and the data administrator (Kristen Aja). The purpose of restricting with whom this information is shared is to ensure confidentiality of participants. This excel sheet should NEVER be transmitted via or other internet mechanism. Rather, if the data administrator needs a master copy of the ID# record from a Recovery Center, the data administrator will meet with the guide and use an encrypted USB flash drive to transfer the spreadsheet. Once the ID# is assigned and written on the appropriate forms, the Monthly Activities Log, and the Data Collection Tool should be handed off to the data administrator in 1 of 2 ways: 1. Photocopied and mailed to her at Kristen Aja: a Mountain Rd. #305 Stowe, VT Given directly to Kristen.

3 The Consent Form must be mailed separate from the survey, or given directly to Kristen. NOTE: The data must be entered onto the federal database within 7 business days of the participant being enrolled into Pathways to Recovery services and supports. Thus, the data should be handed off to Kristen as soon as it is collected to help us make this federal deadline. It might be helpful to call or Kristen to let her know you are sending her data before doing so just so that she knows to keep a lookout for it to arrive. Any copies of the Data collection tool and Monthly Activities log should be stored in a locked file cabinet within a locked office space separately from where the participant s consent forms are stored. Only the guides or other Pathways to Recovery project staff should have access to these files. Pathway Guides will want to hold onto the Locator Form as they will need this information for reaching out to the participants at follow up. The Locator Forms should be stored together in a secure place within the Pathway Guide s Recovery Center. Collecting Monthly data: Because our main goals are to improve Vermonter s lives and to sustain Recovery Center s services and supports, we have data we ask guides to collect monthly as they are meeting with evaluation participants. This data include the 1-page Monthly Activities log. The form should take no longer than 5 to 10 minutes to complete. It would be helpful too if the guides can review the individual s Locator form to see if it needs to be updated. This is not a requirement but a recommendation that will help to ensure we meet our federal follow up rate of 80% (see below). Monthly Activities logs will be collected each month for the first 6 months of after intake into the study. Collecting Satisfaction Surveys: Satisfaction Surveys should be done at 3 and 6 month follow-up and sent to Kristen. All data collection procedures described above in the Enrollment into the Evaluation section apply including the use of ID#s on all forms (except the Locator Form), the timeliness for when data should be given to Kristen and how those data should get to her. Collecting Follow Up data: Guides will be asked to collect 6 month follow up data from all evaluation participants even if they are no longer using the Pathways to Recovery services and supports. The time window we have to collect the 6 month follow up data opens 5 months from when the participant was enrolled and it closes 8 months from when the participant was enrolled. We are required to complete follow ups on at least 80% of participants. If we are unable to meet this number, it could affect our funding. We will do everything we can to help you complete follow ups. We will keep the ongoing statewide and your regional follow up rates updated on this sheet for your own information. If a participant passes the 7 month mark and you have been unable to obtain their

4 follow up data, Kristen will contact you to problem solve on how we might still be able to obtain that participant s data. The evaluation team has years of experience collecting data for similar projects and may be able to offer helpful strategies for data collection on hard to reach folks. At 6 Month Follow Up, the guide should collect the following: a. 1 Data collection tool; b. 1 Monthly Activities log; c. 1 Satisfaction Survey; (at 3 and 6 month follow up only) and d. 1 Locator form (only if participant not discharged yet). All data collection procedures described above in the Enrollment into the Evaluation section apply including the timeliness for when data should be given to Kristen and how those data should get to her. Gift cards are provided to participants for the 6 month follow up. Collecting Discharge data: Note: This may changed based on Mark Ames conversation with the federal funder. Stay tuned. For our purposes, discharge is defined as 12 months after the participant was enrolled in the evaluation. We selected this timeframe because the federal funder requires us to collect discharge data and at the same time, people are not really discharged from recovery supports in the same way they would be from treatment. Gift cards are provided to participants for the discharge interview. The one exception is if a participant has stopped coming to the Center. In other words, the guide has lost contact with them and no one else has seen them at the Recovery Center either. If there has been no contact in the past 30 days, based on tracking the interaction records, Kristen will contact the guide for that participant and explore whether the individual should be discharged. If it is decided that the person should be discharged, Kristen will also look to determine whether that person is also due for his/her 6 month follow up. If so, then only 1 set of forms need to be collected and this 1 set can count for both the 6 month and discharge timepoints. If the timepoints do not coincide, then the guide will be asked to collect the following for the Discharge timepoint: a. 1 Data collection tool; b. 1 Monthly Activity log; c. 1 Satisfaction Survey; and d. 1 Locator form (only if participant has not reached 6 month follow up yet).

5 Again, ideally this will be done as an interview and participants can earn a gift card for completing the discharge interview. However, if the participant cannot be reached or is unresponsive, then the guide can complete what is referred to as an administrative discharge. This is a last resort. If a participant has not finished Pathways to Recovery services and supports, drops out, or is not present the day of discharge, the guide will have to find the participant to conduct the in-person interview. We have 14 days after discharge to contact the client and conduct the in-person discharge interview. If the interview has not been conducted by day 15, conduct an administrative discharge. For an administrative discharge when the interview is not conducted, interviewers must complete the first four items in Section A (Client ID, Client Type, Contract/Grant ID, Interview Type), Section J (Discharge), and Section K (Services Received) and mark that the interview was not completed. Follow the skip pattern instructions on the tool. Data Collection Tool CLIENT ID Enter 6 digit ID you assigned (described above) CLIENT TYPE Always 1 or Treatment Client CONTRACT/GRANT ID Assigned by the Center for Substance Abuse Treatment INTERVIEW TYPE Circle Intake if it is first interview. If 6 month or Discharge, circle respective timeframe and select Yes if interview or No if not. For data entry 1 = Intake 2 = 6 Month Follow up 5 = Discharge INTERVIEW DATE Enter data interview completed MODALITY Items 1 through 10 and 12 will in almost every case be N. Item 11, Recovery Support should be circled Y. TREATMENT SERVICES Items 1 through 5, 7 through 9, 11 through 13 will in almost every case be N Items 6 and 10 should be circled Y. CASE MANAGEMENT SERVICES All 8 items will in almost every case be circled N. MEDICAL SERVICES All 4 items will in almost every case be circled N. AFTER CARE SERVICES If you are providing any of these, then you would circle Y, else N. EDUCATION SERVICES All 3 items will in almost every case be circled N. (These are referring to specific, structured programs. PEER-TO-PEER RECOVERY For all items, circle Y if you intend to try to provide these for the SUPPORT SERVICES individual and N if you are not planning on providing this services. C.1. Note Couch surfing is not considered homeless by the Center for Substance Abuse Treatment. FOR INTAKE ONLY Stop after page 18. SECTION I Completed only at 6 Month Follow up SECTIONS J AND K Completed only at Discharge