Task 6 Protocol – Initial Submission

Role: Evaluator

Audience: Stakeholders

Format: List, Survey or Checklist

Task: Develop protocols for conducting interviews, observation and/or
survey.

Goal:

1. To determine if treatment assisted facilities aid in the recovery and support opioid use disorder patients.
2. To observe and interview the effectiveness of the medicated assisted treatment facility.

Interview Questions:

1. What is medicated assisted treatment?
2. What medications are prescribes at this specific clinic?
3. What is the most widely/beneficial tool used to assess opioid addicted patients?
4. How do you assess opioid overdose in patients?
5. What additional support is offered to patients who participate in medicated assisted treatment?
6. What percentage of patients become sober, or benefit from medicated assisted treatment? Statistics?
7. What are side effects of medicated assisted treatment?
8. What benefits do medicated associated treatment facilities have versus in-patient, outpatient, or other opioid treatment facilities?
9. What are the protocols for beginning treatment for someone who has opioid use disorder?
10. Does medicated assisted treatment substitute one addiction for another?
11. How long will someone need assistance from medicated assisted treatments facilities to aid in sobriety?

Survey Questions

1. Please rate your experience as a stakeholder (member) of a medicated assisted treatment facility.

5 – Very Satisfied

4 – Satisfied

3 – Neutral

2 – Dissatisfied

1 – Very Dissatisfied

2. How many patients’ success stories have you been apart of while at the facility?

5 – 25+

4 – 16-24

3 – 11-15

2 – 6-10

1 – 0-5

3. Tell us how this facility and program can improve for the stakeholders involved?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Tell us how the facility and program can improve for the patients?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    Facility Checklist:

___ Observation

___  Assessment

____  Interview

____    Second Observation

____    Review

____   Conclusion and Address Stakeholders

Task 6 – Corrected Final

Task 6 Protocol

Role: Evaluator

Audience: Stakeholders

Format: List, Survey or Checklist

Task: Develop protocols for conducting interviews, observation and/or
survey.

Goal:

1. To determine if treatment assisted facilities aid in the recovery and support opioid use disorder patients.
2. To observe and interview the effectiveness of the medicated assisted treatment facility.

Interview Questions:

1. What is medicated assisted treatment?
2. What medications are prescribes at this specific clinic?
3. What is the most widely/beneficial tool used to assess opioid addicted patients within the clinic?
4. How do you assess opioid overdose in patients within the clinic?
5. What additional support is offered to patients who participate in medicated assisted treatment?
6. What percentage of patients become sober, or benefit from medicated assisted treatment? Statistics?
7. What are side effects of medicated assisted treatment?
8. What benefits do medicated associated treatment facilities have versus in-patient, outpatient, or other opioid treatment facilities?
9. What are the protocols for beginning treatment for someone who has opioid use disorder?
10. Does medicated assisted treatment substitute one addiction for another?
11. How long will someone need assistance from medicated assisted treatments facilities to aid in sobriety?

Survey Questions

1. Please rate your experience as a stakeholder (member) of a medicated assisted treatment facility.

5 – Very Satisfied

4 – Satisfied

3 – Neutral

2 – Dissatisfied

1 – Very Dissatisfied

2. How many patients’ success stories have you been a part of while at the facility?

5 – 25+

4 – 16-24

3 – 11-15

2 – 6-10

1 – 0-5

3. Tell us how this facility and program can improve for the stakeholders involved?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Tell us how the facility and program can improve for the patients?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Facility Checklist:

____ Observation

____ Assessment

____ Confidentiality Notification/Agreement

____ Interview

____ Second Observation

____ Review

____ Conclusion and Address Stakeholders