Adolescent Substance Abuse: Needs and Services Planning Five Minute Survey: Please tell ADPI how you use the report

1. How do/did you and your organization use the ADPI report? (Check all that apply.)

		To educate myself, my staff, and/or my organization
		To change internal organizational practice (organizational agendas; approaches to treatment; and so on)
		To inform or inspire action toward service planning and/or system design
		Other (please specify):

2. If (in question 1) you checked "to educate", which information included in the report do you find useful to your work? (Check all that apply.)

		AOD problems affecting adolescents (prevalence and incidence for general and specific populations; estimates of treatment need)
		California’s current AOD treatment system and services (issues and needs identified in the field; trends in treatment models; efforts to develop standards of care)
		Service planning and or system-design needs (developing a model AOD treatment system; treatment design issues; program standards and performance monitoring)
		Current and potential funding streams used to deliver AOD treatment for youth

3. If (in question 1) you checked "to change internal organizational practice", what changes is your organization making? (Check all that apply.)

We’re changing our organizational program or policy agenda to:

		prioritize planning for adolescent substance abuse-related needs and services.
		advocate for public policy that addresses adolescent substance abuse-related needs and services (e.g. sponsor initiatives to improve treatment effectiveness or to build capacity through collaborations).
		Other (please specify):

We’re changing treatment practice.

We’re pursuing, or making plans to pursue, current or potential funding streams to deliver AOD treatment for youth.

Other (please specify):

4. If (in question 1) you checked "to inform or inspire action toward service planning and/or system design", does your organization: (Check all that apply).

work towards development of a model AOD treatment system?
Specifically, did your organization do any of the following?

		Broaden access
		Improve methods of clinical assessment, referral, and placement
		Improve continuum of care
		Engage in strategic planning

improve treatment design to increase treatment effectiveness?
Specifically, did your organization do any of the following?

		Incorporate multiple assessment domains
		Make treatment developmentally appropriate
		Create non-restrictive, community-based treatment settings

improve program standards and performance monitoring

Other (please specify):

5. Please comment on any specific insights you gained from this report, or elaborate on the change this report helped inspire:

Demographic Information
ADPI will use this information to compare and contrast how different populations use the report.

Name:

Date: (MM/DD/YY)

Position Title:

Organization or Jurisdiction:

From what perspective(s) do you primarily address adolescent substance abuse? (Check all that apply):

	Alcohol and other drug system
	Mental health system
	Juvenile justice system
	Law enforcement
	Education
	Child welfare
	Other:

What’s your role in addressing AOD issues? (Check all that apply).

	County administrator or employee
	State administrator or employee
	Legislator
	City government
	Service provider
	Judge
	Sheriff or police
	Probation officer
	School principal
	Researcher or analyst
	Advocate or change-agent
	Grantor
	Other: