Attachment A_Crosswalk of MSE Part A and CSE Surveys

Crosswalk of MSE Part A and CSE Surveys

Crosswalk of MSE and CSE Direct Services Surveys

	New MSE Portal Questions	Current CSE Portal Questions
Home Visiting Activities	Did you implement any home visiting activities? Activity name (example list) Screening children/adults (with type) Consultation for home visitors Training for home visitors Home visits with parents/children Brief description of activity Type of activity Professional training Screening Classroom intervention Parent/family education Who does the activity directly interact with How many individuals did the activity directly interact with Who is the intended beneficiary Age of children, if children were intended beneficiaries Where activity was implemented	From Direct Services survey (no specific HV survey) Description of program Does program include services for parents/families What types of services are provided in this program? Home visiting Family strengthening Short term MH treatment services Family/child assessments and referrals Does program include separate services for children How would you describe program/service Who is the target population Location of services
Mental health consultation in school and ECE settings	Did you implement any MH consultation in school and ECE setting activities? Activity name (example list) Programmatic consultation Individual child/parent consultation Implementation of EBP with teachers (with type) Formal training for ECE or school staff Brief description of activity Activity type Professional training Screening Classroom intervention Parent/family education Who does the activity directly interact with How many individuals did the activity directly interact with Who is the intended beneficiary Age of children, if children were intended beneficiaries Where activity was implemented	Did LAUNCH support developmental screening and assessments of children conducted by the MH consultant? What are the preferred qualifications of MH consultants who are working in these settings? What are the professional affiliations of these MH consultants? How many providers were involved with MH consultation in school and ECE settings? Who are the staff in these settings? Number of children screened and/or assessed for MH services Number of children referred for MH services Number of family members screened and/or assessed for MH services Number of family members referred for MH services Number of staff who received training in MH-related practices/activities Is there training for school staff on LAUNCH-supported MH activities Who conducted screenings and/or assessments of children? How many screening/assessment instruments were used for family members Does the MH consultation model/approach have a data system in place to track client information Amount of change in providers/staff knowledge about: Child development Available options for follow-up services Amount of staff change in use of MH consultation Amount of staff change in use of screening/assessment What are some of the changes? Percentage of providers/staff represented in above responses
Integrating behavioral health into primary health care	Did you implement any activities related to integrating BH into PHC? Activity name (examples) Screening children/adults (with type) Training for PC staff Mental health consultation MH assessment, brief intervention, referral to treatment Brief description of activity Activity type Professional training Screening Classroom intervention Parent/family education Who does the activity directly interact with How many individuals did the activity directly interact with Who is the intended beneficiary Age of children, if children were intended beneficiaries Where activity was implemented	Types of MH related activities Brief description of model/approach Types of primary care settings involved Did LAUNCH support screening Did LAUNCH support training of staff Did LAUNCH support consultation: between MH staff and PHC providers between MH staff and families by MH staff about practices in PHC setting Number of settings for integrating MH into PHC Number of PHC providers Number of children Preferred/required qualifications of MH staff Professional affiliations of MH staff Did LAUNCH support supervision of MH staff Did LAUNCH support training for MH staff
Family strengthening activities	Did you implement any family-strengthening activities? Activity name (examples) Screening children/adults (with type) Implementation of EB parent education or support program (with type) Brief description of activity Activity type Professional training Screening Classroom intervention Parent/family education Who does the activity directly interact with How many individuals did the activity directly interact with Who is the intended beneficiary Age of children, if children were intended beneficiaries Where activity was implemented	From Direct Services survey (no specific family strengthening survey) Description of program Does program include services for parents/families What types of services are provided in this program? Home visiting Family strengthening Short term MH treatment services Family/child assessments and referrals Does program include separate services for children How would you describe program/service Who is the target population Location of services
Other Direct Service Activities	Did you implement any other direct service activities? Activity name Brief description of activity Activity type Professional training Screening Classroom intervention Parent/family education Who does the activity directly interact with How many individuals did the activity directly interact with Who is the intended beneficiary Age of children, if children were intended beneficiaries Where activity was implemented	Questions below are from “MH services in other settings” survey Brief description of integration model/approach Which types of settings were involved Qualifications of MH staff Professional affiliations of MH staff Number of settings in which model was implemented Did LAUNCH support training for MH consultants and other staff What types of training Number trained Did MH consultation involve consultation about individual children/families Types of consultation services Did MH consultation involve consultation about staff practices Other MH activities supported as part of model Number of children/families seen Did LAUNCH support training for MH staff who are working with these settings on the MH model Did LAUNCH support supervision for MH staff who are working with these settings on the MH model Is there a systematic process for monitoring fidelity of model/approach What types of measures are used What methods are used to monitor fidelity How often is fidelity of implementation assessed Was the fidelity of the model assessed in the past 12 months Rate the overall fidelity of the model Did the MH consultation model have a data system in place to track contacts What types of data are included in the system Electronic, paper, or combo data system Are there data sharing agreements in place What types of data sharing occur How many other MH consultants share data with this model Who are the other programs part of the data sharing Amount of change in providers/staff knowledge about: Child development Available options for follow-up services Amount of staff change in use of MH consultation Amount of staff change in use of screening/assessment What are some of the changes? Number and percent of providers/staff represented in above responses
Staff Allocation	Name Job description Number of hours on LAUNCH Allocate hours spent per week for each activity entered (direct service and systems activities) Total number of activities per staff person	Number of staff that work in each of the settings (e.g., MH in PHC, MH in schools and ECEs, etc) Types of staff involved
Facilities, Equipment, Transportation	Each activity listed in direct services and systems surveys is pre-populated here Did you rent out space for this activity? Amount spent on renting space Purchase equipment for this activity? Amount spent on purchasing equipment Transportation costs associated with activity? Amount spent on transportation	--
Activities and subcontracting	Each activity listed in direct services and systems surveys is pre-populated here Was activity initiated under LAUNCH? Do you pay others to do this work for you – subcontract? Dollar value of subcontract Does subcontract pay for more than one activity? Percentage of contract spent on this activity?	For all activity types (MH in PHC, MH in schools/ECEs, etc): was the model initiated under LAUNCH Was the model started “from scratch” by LAUNCH in the target community Proportion of funding for model came from LAUNCH Other sources of funding that supported the model
Screening/ assessment of children and families	Integrated above into direct services sections	From all surveys, including overall direct services and MH consultation in other settings Did LAUNCH support developmental screening/assessment of children How many different measures were used Name and domains of each measure Who conducted the screenings/assessments Did LAUNCH support physical health screening What aspects of physical health were screened As part of the LAUNCH MH consultation model, did LAUNCH support screening/assessment of family members How many different measures were used Name and domains of each measure Who conducted the screenings/assessments
Demographics	--	From Direct Services Survey Total number new children in past 6 months Newly enrolled families Age of target child Gender of target child Is target child Hispanic Race of target child Parents or primary caregivers of target child in household Highest education level of parent/primary caregiver Average number of children in household Primary language in household Number of households with member on active duty in Armed Force or reserve Number of households in which 1 or more children has been homeless in past 12 months Number of families that: Teen mother Single parent family PC without GED or HS education PC not employed and not in school Household participates in at least one assistance program Three or more characteristics above Number of families: Member of household has mental illness Member of household has substance abuse problem Any child victim of violence or trauma More than one characteristic above
Programs/ Services Expanded or Enhanced	--	From Direct Services survey Were LAUNCH funds used to expand the existing program/service by increasing number of children/families Were more families served through additional funding Do additional families represent previously unserved or underserved population Were LAUNCH funds used to expand the existing program/service by adding a new program component Were LAUNCH funds used to make program culturally competent Were LAUNCH funds used to expand the existing program/service by providing training to staff Were LAUNCH funds used to expand the existing program/service by funding program administration/management Were LAUNCH funds used to expand the existing program/service in any other way
Service Counts	--	From “Direct Services” survey, programs initiated under LAUNCH Program size Number of additional families able to serve Number of children/families served Number of families who left before the planned end of the program/service Percentage complete for these families In what ways were services provided? part of home visiting program home visits in a different program parent training/education or support groups parent/child sessions or groups other than for mental health treatment computerized lessons for parents any other types of direct contact

Crosswalk of MSE and CSE Systems Activities and Outcomes Measures

	New MSE Portal Questions	Current CSE Portal Questions
Systems Activities	Have you implemented systems activities in any of the following areas: Coalition building Public information campaigns Advocacy Funding/sustainability For each activity identified in each category: Describe the activity What outcomes were you working toward by this activity? (See below for outcome examples) What outcome did you spend most of your time working toward?	Have Project LAUNCH activities at the state/community/tribal community level accomplished any of the following at the state, community, or tribal level: Increased awareness of child wellness Used funds in an innovative manner Increased integration of service systems Created partnerships among providers Influenced organizational or state policy Enhanced cultural competence of providers Increased amount of or access to data available to agencies, organizations, and service providers on the health status of the target population What strategies have you used to ensure sustainability?
Systems Outcomes	Policies/guidelines/rule changes Health insurance Health providers Education Rule changes at private or non-profit institutions Other changes Collaboration Increased levels of collaboration Referral systems Data systems Funding/sustainability Integrated funding Application for funding Increased or reallocated state or institutional funding Applying for sustained funding Other systems outcomes For each identified outcome that Project LAUNCH is working toward: Was the change achieved during the reporting period? At what level was the change achieved? Policy outcomes only – furthest level of policy process reached Other information about the change	Has funding and/or support assisted the state/community/tribal community to: develop a more integrated system of care? formulate coordinated policies and/or standards across state agencies and organizations? coordinate data collection and analysis regarding service needs and outcomes of young children and their families across state agencies and organizations? coordinate the financing of services to young children and their families? establish or maintain a process for facilitating state and/or community systems building? through technical assistance and consultation establish or maintain a process for facilitating state and/or community systems building through education and training?
The new MSE questions below come from the new MSE interview guide
Demographic information	What is your name? What is your role on Project LAUNCH? If Young Child Wellness Coordinator, at which level? What agency or organization do you work for? How long have you been involved with Project LAUNCH?	State/community/tribal council on young child wellness Lead agency Newly formed/already existed Number of meetings Key functions and responsibilities Attention to cultural competence Incorporation of family perspectives Number of organizations collaborating per quarter/number of new per quarter What is the geographic area of your PL program? How would you describe the target area?
Systems Change Facilitators	For each systems outcome described by the grantee in the data portal: What was the process for achieving that change? What factors facilitated the change?	State/community/tribal-level factors that have facilitated progress toward implementation of Project LAUNCH
Systems Change Barriers/Challenges	For each systems outcome described by the grantee in the data portal: What factors were barriers to the change?	State/community/tribal level factors that have presented challenges toward implementation of Project LAUNCH
Unexpected Systems Change Outcomes	For each systems outcome described by the grantee in the data portal: Did any unexpected outcomes occur related to or as a result of the change? If yes, what were the unexpected outcomes? How were those unexpected outcomes handled?	--
Future plans for systems change	Are there further plans related to this change? If yes, what are the further plans?	--
Systems outcomes not due to Project LAUNCH	Did any of the systems outcomes identified in the portal occur, but were not due to LAUNCH-related activities? [If yes], what was the change? To your knowledge, how was this change achieved? Do you have plans to incorporate further work/change in this area into your next reporting period? If yes, how do you plan to incorporate it?	--
Progress on systems outcomes related to initial LAUNCH plans	What systems-level needs were identified in your initial needs assessment/environmental scan? Have additional systems-level needs been identified after LAUNCH implementation? What are those needs? How were those needs identified? Are you able to effectively use your LAUNCH funding to address the identified systems-level needs? Please explain how your LAUNCH funding effectively addresses the system-level needs. Please explain how your LAUNCH funding does not effectively address the systems-level needs. Have there been any changes in your local community that have affected your ability to address systems-level outcomes? What are those changes in the local community? How has the LAUNCH program adapted over time to these changes in your local community? Overall, what do you think is the most important factor that is necessary for change to occur at the systems level in the area of childhood health and wellness? Has that factor been present in your community? If so, can you describe it? If not, why do you think it has not been present?	Has funding and/or support assisted the state/community/tribal community to: develop a more integrated system of care? formulate coordinated policies and/or standards across state agencies and organizations? coordinate data collection and analysis regarding service needs and outcomes of young children and their families across state agencies and organizations? coordinate the financing of services to young children and their families? establish or maintain a process for facilitating state and/or community systems building? through technical assistance and consultation establish or maintain a process for facilitating state and/or community systems building through education and training?
Question areas CSE only	--	Workforce development (note: trainings included in new direct services activities survey in MSE) Quality monitoring and evaluation State/community/tribal community council organizations –information about members of Young Child Wellness Council Key collaborators – 3-5 agencies that have been the most important state/community/tribal community -level collaborators during reporting period

An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. OMB number: 0970-0373; Expiration date: XX/XX/XXXX.

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