Module 4A/4B

Services Needed/Received and Barriers/Facilitators Forms:

Final Draft of March 19, 1996

Spanish Language Version: Final Draft of August 1, 1997

 
Main Purpose The purpose of this module is to code need for specific services, current utilization of services, barriers, and facilitators to receiving services.
Description
  • A broad history of recent service utilization is conducted through interview. For each of a large number of services, the client is asked if he or she needs the services, receives the services, certain special questions for that service, the perceived difficulty of getting the service, and the barriers to obtaining the service.
  • Module 4A collects needs expressed and services received by the client.
  • Module 4B collects client perceptions of barriers and facilitators to services.
Target Projects for Form
  • Projects wishing to do a comprehensive documentation of service needs and/or barriers.
Major Evaluation Function
  • Levels of barriers may change over the course of the project or for individual clients as a result of program participation.
Implementation
  • Module 4A Current Version (dated 12/28/95) Activation Number: 6039.
  • Module 4A (for Larkin Street Youth Services Site) Current Version (dated 1/15/97) Activation Number: 44052.
  • Module 4B Current Version (dated 5/22/97) Activation Number: 38546.
  • Module 4B (for The Fortune Society Site) Current Version (dated 5/22/97) Activation Number: 41063.
  • Module 4B (for Outreach, Inc. Site) Current Version (dated 5/22/97) Activation Number: 46281.
  • Module 4B (Spanish) Current Version (dated 8/1/97) Activation Number 46002.
Citation(s)
  • Huba, G. J., Melchior, L. A., Staff of The Measurement Group, and HRSA/HAB's SPNS Cooperative Agreement Steering Committee (1997). Module 4A: Services Needed and Received Form. Available: www.TheMeasurementGroup.com. Culver City, California: The Measurement Group.
  • Huba, G. J., Melchior, L. A., Staff of The Measurement Group, and HRSA/HAB's SPNS Cooperative Agreement Steering Committee (1997). Module 4B: Barriers and Facilitators Form. Available: www.TheMeasurementGroup.com. Culver City, California: The Measurement Group.

Module 4

Back to Modules Index

Related Information:

Findings from Evaluating HIV/AIDS Programs
Reliability and Validity Studies

 

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