Treatment Perceptions Survey (TPS)

Providers within the network of each county/regional model participating in the DMC-ODS waiver are required to administer the TPS on an annual basis. Clients will have the opportunity to provide feedback through this very important survey process. Please encourage clients to participate.

The TPS is designed to serve multiple purposes:

1. Fulfill the county’s External Quality Review Organization requirement related to conducting a client satisfaction survey using a validated tool.
2. Address the data collection needs for the Centers for Medicare and Medicaid Services required evaluation of the DMC-ODS demonstration.
3. Support DMC-ODS Quality Improvement efforts and provide key information on the impacts of the new continuum of care.

UCLA-ISAP is coordinating the TPS data collection for California Department of Health Care Services (DHCS), under the leadership of Marylou Gilbert (MarylouGilbert@mednet.ucla.edu).

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 the administration week.

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.

2024 Paper Survey Forms (V10 - 6/29/23)

All TPS Forms - zipped PDF files:  Adults | Youth

• For instructions on how to use UCLA Box platform and administer the online and paper surveys, please click on the 2024 TPS Instruction Manual box below.

• UCLA will prepare county, and provider level summary reports and provide them to each county via box folders; for the statewide summary reports, please see below.