California DMC-ODS Evaluation

Counties/regional model have the option of using one or more data collection methods and should provide specific guidance on survey administration to their provider network. If multiple data collection methods are used (online survey and paper survey forms), UCLA will merge the data collected into one dataset for each county/regional model.

1. Online Survey
   • Customized provider links and QR codes will be on Provider spreadsheet
2. Paper Survey Form
   • See links below to download

Survey every youth (ages 12 to 17) or adult (age 18 and older) client who presents in person or receives services face-to-face, by telephone, or via video-conferencing (e.g., Zoom) from providers within the county's network during October 16-20, 2023.

This includes clients receiving services in substance use outpatient/intensive outpatient, residential, and narcotic/opioid treatment, detoxification/withdrawal management (standalone), and partial hospitalization programs. The target population also consists of clients seen inside the office and outside of the office. It does not include clients in crisis (e.g., emergency incidences).

• Inform clients that the survey is anonymous. Clients should not type in or write their names when completing the survey.
• Direct service staff must not be present while the client completes the survey.
• A non-clinical staff person, consumer advocate, or volunteer can help the client complete the survey upon request by the client.
• Staff are not to influence how a client responds or deny a client the opportunity to complete the survey.

• For instructions on how to use UCLA Box platform and administer the online and paper surveys, please click on the 2023 TPS Instruction Manual box below.