Module 9: Agency Cohesiveness Rating Form

A Module Used in The Measurement Group's Cross-Cutting Evaluation of the HRSA HIV/AIDS Bureau's Special Projects of National Significance on Innovative Models of HIV/AIDS Care


Important Note - This module needs to be adapted for each specific application. The form given here a template for developing a parallel instrument for specific applications. The template given here was originally used in a study of services for youth with HIV/AIDS.

Purpose

  • Assess knowledge about other network services.
  • Assess willingness to make referrals to services.
  • Assess likelihood of receiving referrals from other services.
  • Assess overall connections to other services.

Content Domain - Determines how connected agencies in the same service system are to one another. Multidimensional scaling of perceived distances provides a mapping of the service system.

Operational Data Items - Agency, Person Completing Ratings, Date, Grid 1: Knowledge of Services at Each Agency, Grid 2: Percent of Clients Referred To Each Agency, Grid 3: Percent Coming From Referrals, Grid 4: Satisfaction with Agency's Working Relationship with Each Agency

Citation - Huba, G. J., Melchior, L. A., Staff of The Measurement Group, and HRSA/HAB's SPNS Cooperative Agreement Steering Committee (1997). Module 9: Agency Cohesiveness Rating Form. Available: www.TheMeasurementGroup.com. Culver City, California: The Measurement Group.

Usage - Permission is granted for non-commercial use so long as form is not altered, the copyright is not removed, and a proper citation is made to the instrument. Non-commercial use is use by a not-for-profit organization in which the instrument is not sold. If you have questions about appropriate and proper uses, contact The Measurement Group.

Form

Instructions

Context

Findings from Evaluating HIV/AIDS Programs

Reliability and Validity Studies


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Related Information:

Service Resources Interview [PDF]
Self-Administered Provider Service System Perceptions Questionnaire [PDF]
Service Resources Interview Follow Up [PDF]
Self-Administered Provider Service System Perceptions Questionnaire Follow Up [PDF]


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