Comorbidity treatment service model evaluation

Survey part 1

Page last updated: August 2009

The purpose and nature of the evaluation
Your involvement
Confidentiality
The evaluation report
Questions about participation or the evaluation
How to complete this survey
Consent and survey questions

The purpose and nature of the evaluation

The Australian Government recognises that the appropriate management and treatment of people with comorbid substance use and mental illness is an important and complex issue. As such, the Australian Government is keen to determine how to improve services to better meet client needs, provide support to clinicians and other health workers, and promote examples of good practice resources and models.

To this end, the Australian Institute for Primary Care (AIPC) has been funded under the National Comorbidity Initiative to undertake the Comorbidity Treatment Service Model Evaluation project. The AIPC will be conducting research to increase the understanding of the impact of service structure on comorbidity treatment outcomes, as well as identify and develop good practice models to ensure improvements in comorbidity treatment service delivery.

The Service Model Evaluation has three components:

A literature review to determine the evidence base for different comorbidity treatment service delivery models.

The development of a treatment service model evaluation tool to gather information on the impact of service delivery models on treatment outcomes.

The evaluation of a number of service models, using the evaluation tool, with a focus on the service structure and diagnostic and treatment methods.

This survey is part of the third component of the Comorbidity Treatment Service Model Evaluation. The survey is divided into two parts. This is Part I of the survey.

Your involvement

You have been invited by the Department of Health and Ageing (DoHA) to participate in this survey because your service is perceived as providing high quality services and care. Recommendations for participation have been sought from experts in the field and from DoHA.

The purpose of this survey is to identify characteristics and service models of good quality services, with a focus on the service structure and diagnostic and treatment methods. It is not the purpose of the survey to evaluate the performance of individual treatment services.

We may contact you via email or telephone after completion of this survey if we have any further questions or want to clarify any comments you provide.
Top of page

Confidentiality

Your answers to the survey questions will be used for:
  1. A case study in good practice in your organisation, which will be provided to DoHA after you had an opportunity to review it. This case study will not include any problems or issues that you identified unless you agree to these being included. Apart from this case study, none of your comments will appear in project reports or any other future publications in a way that will identify you. However, if you consent, we would like to include your organisation's or program's name in the project report in the acknowledgements section. Question 2 in this survey gives you the option to choose to participate but not be identified in the acknowledgements section of the resulting report.

  2. A final project report for which we will use the data from you and other treatment services in aggregate and de-identified form.

  3. One or more articles in peer reviewed journals and/or conference presentations. We will only use deidentified data for these publications.
To protect your confidentiality, your answers to the questions will only be viewed by Dr Monika Merkes and a research assistant at the Australian Institute for Primary Care.

The project data will be kept for five years and stored at the AIPC, Health Sciences Building II, Level 5, Bundoora Campus, La Trobe University.

Please note that your participation in this project is voluntary. For up to four weeks after the completion of this survey, you may request to withdraw your consent to participate. You can withdraw your consent by emailing m.merkes@latrobe.edu.au advising of the withdrawal of your consent.

The evaluation report

Findings will be reported in summarised form. On completion, a project report will be provided to DoHA, the key informants (i.e. the experts who provided comment on the draft literature review), and the treatment services participating in the evaluation. In addition, it is intended that key findings will be widely disseminated to the sector by DoHA to inform comorbidity service provision. The material from this project will remain the intellectual property of DoHA, and as such, requests for results from the study will have to be made to DoHA. DoHA may decide to make the findings publicly available. However, DoHA will not receive the comments as provided by you in this survey; these will only be provided in deidentified and summarised form.

As indicated above, we will prepare a report (case study) for each service that participated in the survey, summarising the information that the service provided. The draft report about your service will be made available to you to review before it is finalised and provided to DoHA. The report will be a case study in good practice, and we will not highlight any deficiencies or problems with your service/program without your agreement.

Questions about participation or the evaluation

If you wish to receive additional information about the Comorbidity Treatment Service Model Evaluation and/or this survey, or if you have any questions, please contact Monika Merkes via email m.merkes@latrobe.edu.au or phone (03) 9479 3924.

How to complete this survey

The online survey requires you to tick one or several boxes in response to a question, and/or provide text and comment in a text box. The survey is spread over a number of pages. After completion of the questions on a page, press 'Next' to proceed to the next question, or 'Prev' to go back and review a previous question.

Questions in this survey marked with an asterisk (*) have to be completed to move on to the next question.

You can leave a partially completed survey (click 'Exit this survey' in the top right corner of your screen) and come back to it later on the same computer. Please note that this will only work if you come back to the same computer.

We anticipate that it will take approximately 35 minutes to complete this survey.

Please note that the size of the text boxes in this survey does not limit the amount of text you can provide. Just keep typing and when the text fills up the box, scroll bars will appear.
Top of page

Consent and survey questions

  1. I (the participant) have read and understood the information provided on this page, and any questions I have asked have been answered to my satisfaction.

    I agree to participate in the project which is being undertaken by the Australian Institute for Primary Care (AIPC) - La Trobe University, on behalf of the Australian Government Department of Health and Ageing (DoHA). I understand that the intellectual property of this project remains with DoHA and requests for results from the study will have to be made to DoHA. I realise that I may withdraw from the project at any time and may request that no data arising from my participation are used, up to four weeks following the completion of this survey.

    I agree that research data provided by me or with my permission during the project may be presented at conferences and published in journals on the condition that my comments will not be attributed to me and no other identifying information is used.

    Accepting the invitation to participate in this project sent to me by DoHA, and having read and understood the information provided above, constitutes my consent to participate in the project.

    By clicking the 'yes' button below, I consent to participate in this survey.

    • yes

  2. Would you like to be acknowledged in the final report as a contributor to the evaluation?

    If you answer 'yes', your name and that of your organisation or service will be listed in the report, but none of your comments will be attributed to you or your organisation.

    If you answer 'no', your name and the name of your organisation or service will not appear in the report.

    • yes, I would like to be acknowledged in the final project report

    • no, I do not want to be acknowledged in the final project report or any other publication

  3. Contact details

    • Name of your program/service

    • Name of your organisation (if different from above)

    • Name of contact person (i.e. person completing this survey)

    • Email of contact person

    • Telephone number of contact person

    • Address (street address, address, city/town, postcode)

  4. State/Territory

  5. Which of the following best describes the sector in which your organisation belongs? (select one)Top of page

    • Government

    • Non-government, private (not for profit)

    • Private (for profit)

  6. Is your service a mental health (MH) service, an alcohol and/or other drug (AOD) treatment service, or a combined MH/AOD service (comorbidity service)? (select one)

    • MH

    • AOD

    • Combined MH/AOD service

    • Other (please specify)

  7. If your service is a mental health service, please describe further. (select one or more)

    • Public psychiatric hospital

    • Private psychiatric hospital

    • Public acute hospital

    • Psychiatric unit or ward

    • Government operated community mental health service

    • Community mental health service outlet

    • Government-operated residential mental health service

    • Specialised mental health service operation

    • Other (please specify)

  8. If your service is an AOD service, please describe further. (select one or more)

    • Withdrawal management/detoxification

    • Rehabilitation

    • Pharmacotherapy

    • Counselling

    • Support

    • Information

    • Assessment

    • Other (please specify)

  9. If your service is a combined MH/AOD (comorbidity) treatment service, please describe your service further (e.g. the types of treatment you provide and the types of clients your service caters for).Top of page

  10. Is your service a stand-alone service or part of a larger organisation? (select one)

    • Stand-alone service

    • Part of a larger organisation

    • Comment

  11. If your service is part of a larger organisation, which of the following describes best your parent organisation? (select one)

    • Public hospital

    • Private hospital

    • Community health service

    • Indigenous health service

    • Welfare organisation

    • Church organisation

    • Other (please specify)

  12. What other services are provided by your parent organisation? (select one or more)

    • Acute health services

    • Community health services

    • Social support/welfare services

    • Housing services

    • Other (please specify) Top of page

  13. Which of the following best describes the catchment of your service? (select one)

    • Immediate town or suburb

    • Local government area

    • The whole region

    • Rural and remote communities

    • The whole state/territory

    • National

    • Other (please specify)

  14. Do you provide a residential service?

    • yes

    • no

  15. If you provide a residential service

    • How many beds does your service provide?

    • What was the average occupancy rate during the last 12 months ? (in per cent)

    • What was the average length of stay during the last 12 months? (in days; otherwise please specify)

    • What was the shortest stay during the last 12 months? (in days; otherwise please specify)

    • What was the longest stay during the last 12 months? (in days; otherwise please specify)

  16. Do you provide a community based/outpatient service?

  17. If you provide a community based or outpatient service

    1. How many staff (EFT) are involved in providing clinical services?

    2. What is the average active case load per EFT?

    3. What is the average length of treatment? (in days; otherwise please specify)

  18. Which client groups does your service mainly cater for? (select one or more)

    • Adult men

    • Adult women

    • Adolescent males

    • Adolescent females

    • Women with children

    • Families

    • Children (unaccompanied)

    • Aboriginal and Torres Strait Islander

    • Non-Aboriginal

    • People from culturally and linguistically diverse backgrounds

    • People with physical disabilities

    • People with intellectual disabilities

    • People with an AOD problem

    • People with a mental illness

    • People with both an AOD problem and a mental illness

    • Other (please specify) Top of page

  19. If your service caters for clients with AOD problems, which main drug(s) of concern do clients of your service report? (select one or more)

    • Alcohol

    • Amphetamines

    • Benzodiazepines

    • Cannabis

    • Cocaine

    • Ecstasy

    • Heroin

    • Methadone

    • Nicotine

    • Solvents

    • Not applicable

    • Other (please specify)

  20. In what roles are your staff employed? Please indicate the number of equivalent full time (EFT) staff for each category.

    • AOD worker

    • Counsellor

    • GP

    • Mental health nurse

    • Nurse

    • Psychiatrist

    • Psychologist

    • Social worker

    • Administrative staff

    • Volunteer

    • Other (describe)

    • Other (describe)

    • Other (describe)

    • Other (describe) Top of page

  21. What minimum qualifications does your service require for the following:

    • AOD worker

    • Counsellor

    • GP

    • Mental health nurse

    • Nurse

    • Psychiatrist

    • Psychologist

    • Social worker

    • Volunteer

    • Other (describe)

    • Other (describe)

    • Other (describe)

    • Other (describe)

  22. What percentage of your staff have completed these minimum qualifications?

  23. What percentage of your staff are in the process of completing these qualifications?

  24. Apart from the required minimum qualifications, what additional qualifications in regard to AOD and/or MH do your staff have? Please list any, together with the EFT of staff to which this applies. Top of page

  25. Does your organisation provide any of the following training opportunities? (select one or more)

    • Study leave

    • In-house training

    • Workshops, seminars, forums

    • Conferences

    • Mentoring

    • Other (please specify)

  26. Are your clinical staff required to undertake continuing professional development?

    • yes

    • no

  27. On average, how many days of professional training did each of your clinical staff receive during the last 12 months? (select one)

    • Less than one day

    • One to three days

    • Four or five days

    • More than five days

    • Other (please specify) and/or further comments

  28. Have any of your staff had training in identification and treatment of clients with comorbid AOD and MH problems?

  29. If some or all of your staff had training in identification and treatment of clients with comorbid problems, what type of training and what proportion of your staff had such training?

  30. What is the number of the following staff in your service? (Please express in equivalent full-time)

    • Administrative

    • Clinical

    • Management

    • Other support staff

    • Other

  31. How many years have your staff worked in your program/service? Please provide the range of years (minimum number of years and maximum number of years) and the average number of years for the following staff roles:

    • Administrative

    • Clinical

    • Management

    • Other support staff

    • Volunteers

    • Comments

  32. Does your organisation operate a continuous quality improvement program (e.g. accreditation, external quality audit)?

    • yes

    • no

    • If yes, please describe the quality assurance program Top of page

  33. Does your service provide opportunities to volunteer (for example, for members of the local community or former clients to volunteer in your service)?

    • yes

    • no

  34. How many people are volunteering in your service, and to how many hours per week does this volunteering add up? Also, please describe the nature of the volunteering (e.g. type of tasks undertaken)

  35. This is the end of Part I of the questionnaire. If you wish to make any additional comments, please do so in the box below.