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Evidence-Based Community Supervision Research Project
Informed Consent Form – Field Supervisor 2

RESEARCH PROCEDURES
The purpose of this research project is to understand how different trainings affect the way managers use evidence-based practices within community supervision processes and practices as well as to guide future models of implementing evidence based practices in these environments. This is a research project being conducted by the George Mason University in collaboration with the Crime and Justice Institute. The project involves a new initiative designed to improve assessments, service placements, and management of offenders and staff. The research will study these practices, help identify how they can be made more effective, and test strategies for training staff to make improvements to assessments, service placements, and supervision of offenders in the community. If you agree to participate, you will be asked to take a survey on up to four occasions over a year. The surveys will include questions about assessment, referral, and case management practices employed by MDPSCS staff and your perceptions of the organization. The surveys should take about 30 minutes of your time to complete.

RISKS
The foreseeable risk or discomforts associated with your participation in this study are limited. In answering questions, you may provide information or opinions about your workplace environment that are critical of your agency or may be viewed unfavorably by administrators, your supervisors, or fellow employees, with the small risk that this information or opinions may be seen by others. Research staff will implement procedures to reduce these risks.

BENEFITS
There are no direct benefits to you as a participant other than to further research on evidence-based practices in community supervision. Survey responses will help researchers understand what are the greatest needs in community supervision practice so that those needs can be addressed through the use of evidence-based practices.

CONFIDENTIALITY
We will employ a number of procedures to help keep your personal information confidential. We will not inform anyone about who is and who is not participating in the research. If you complete the first survey, your email address will be included on a cover sheet of the survey and you will be assigned an identification number thereafter. The key linking your name to the number will be kept in a secure location and only be accessible to the GMU project director and designated project staff. Signed consent forms and completed survey forms will also be kept in separate locked file cabinets in an office at GMU. Your survey responses will not be made available to anyone at MDPSCS or anyone else other than research project staff. No names will be used in reports or presentations, and we will not provide any information that might allow someone to identify individual respondents. If we write a report or article about this research project, your identity will be protected to the maximum extent possible.

PARTICIPATION
Your participation is voluntary, and you may withdraw from the study at any time and for any reason. If you decide not to participate or if you withdraw from the study, there is no penalty or loss of benefits to which you are otherwise entitled. There are no costs to you or any other party.

CONTACT
This research is being conducted by Dr. Faye Taxman, Department of Criminology, Law, & Society, at George Mason University. She may be reached at 703-993-8555 or [email protected] for questions or to report a research-related problem. You may contact the George Mason University Office of Research Subject Protections at 703-993-4121 or [email protected] if you have questions or comments regarding your rights as a participant in the research.

Your participation in the study indicates that: you are at least 18 years of age; the research has been explained to you; your questions have been fully answered; and you freely and voluntarily choose to participate in this research project.
 
 
* Name
   
 
 
* Electronic Signature
   
 
 
* Date
   
 
 
 
Mission/Goals of Community Corrections
 
To what extent are the following goals a priority in your office? Please do not use the same priority level (for example, highest) for more than 4 of the following items.
(from 1=lowest to 5=highest)

Lowest Low Neither High Nor Low High Highest
a. Provide public safety and protection.
b. Provide an opportunity for individual offender change/reintegration.
c. Provide safe and humane services to offenders.
d.Provide offender accountability.
e. Provide adequate offender supervision and control.
f. Provide a secure way to incapacitate offenders.
g. Provide a way to ensure victim rights.
h.Provide a safe work environment for all staff.
i. Provide work environment for staff growth and enrichment.
j. Provide effective use of resources to reduce costs.
 
 
 
Organization Culture and Climate
 
Definition: Degree to which individuals view their organization as open to change and supportive of new ideas.

Please respond to the following statements in terms of the degree to which they accurately reflect the climate in your organization.
(from 1=strongly disagree to 5=strongly agree)

In my organization…
1 (Strongly Disagree) 2 3 (Neither Agree Nor Disagree) 4 5 (Strongly Agree)
a. Most staff are aware of and agree about where we should be in the future
b. There is a shared understanding of the changes needed to help our organization achieve its long-term objectives
c. There are discussions involving all of the staff about the vision of the organization and ways to achieve it
d. We have well-defined performance outcomes and specific plans in place for how to achieve them
e. We systematically measure important outcomes for this facility/location that assess our performance
f. Managers and staff periodically meet and talk about what is working well and what isn’t working to improve our performance
g. Information on new or best practices is made available to staff to use in their work
h. Opportunities are provided for staff to attend training or other developmental opportunities
i. Learning new knowledge and skills, and using it in your job is highly valued by supervisors and managers
j. Staff feel comfortable promoting different ideas or suggestions, even if they conflict with establish policy or practice
k. Managers are open and wiling to try new ideas or ways of doing things
l. Innovative actions and initiatives undertaken by staff are highly valued
m. Staff generally feel comfortable discussing mistakes, errors, or problems with supervisors and managers
n. When mistakes or errors are made, managers tend to treat them as opportunities to learn rather than respond by using punishment
o. Most staff here believe that they can have open discussion with supervisors and managers about work-related difficulties or problems
 
 
 
Probation Practice Beliefs
 
How much do you agree or disagree with the following statements about treatment?

(from 1 = strongly disagree to 5 = strongly agree)
1 (Strongly Disagree 2 3 (Neither Agree nor Disagree) 4 5 (Strongly Agree)
a. Computer information systems are essential for tracking offenders’ assessment history and their involvement in programs.
b. Realistically, offenders have very few strengths upon which to build an effective case plan.
c. Seriousness of the current offense should be the primary determinant in considering type of treatment.
d. Probation cannot address the offender’s motivation for change.
e. It is important for prison treatment programs to invest in efforts to link inmates to community-based programs that they can attend after their release.
f. Investing time in learning a computer information system is not worth the time it takes away from working with offenders.
g. People who use drugs and people who sell drugs should get the same treatment.
h. Agents working with offenders after they return to the community should know about the treatment provided to inmates in prison.
i. Inmates who complete an intensive prison treatment program generally won’t need further treatment in the community.
j. It is necessary to formulate a comprehensive and individualized assessment of each offender’s situation, needs, and goals.
k. The main function of computer information systems is for supervisors to keep track of line staff.
l. It is not the probation office’s responsibility to motivate offenders to change their behavior.
m. It is impractical for probation agencies to provide services that are tailored to individual offenders.
n. Offenders can only really be helped if they come to the program motivated and ready for treatment.
o. All substance-abusing offenders should participate in the same treatment regimen.
 
 
 
Work Place Conditions
 
Please respond to the following statements in terms of the degree to which they reflect the conditions in and the functioning of your facility/location.
(from 1=strongly disagree to 5=strongly agree)
1 (Strongly disagree) 2 3 (Neither Agree Nor Disagree) 4 5 (Strongly agree)
a. We have few difficulties in adequately staffing our facility/location
b. We have trouble retaining highly competent staff in this facility/location
c. Our staff frequently say that they are overworked and/or don’t have enough time to get done what they need to do
d. We have enough staff to meet the needs of this facility/location
e. Our staff lack access to the training and development programs they need
f. Our staff integrate new knowledge and techniques into their work to improve the way in which services are provided
g. Our staff stay current with new techniques that relate to their jobs
h. The training and development programs for our staff are of very high quality
i. Attending training and development programs is made a priority for our staff
j.We have funding available to introduce new programs and/or initiatives if they are needed
1 (Strongly disagree) 2 3 (Neither Agree Nor Disagree) 4 5 (Strongly agree)
k.We have had to cut or significantly reduce programs and/or services due to funding constraints
l. We would significantly expand/enhance certain programs and/or services if funding were available
m. Our physical facilities are designed to meet the specific needs of most of the important services and programs we run
n. Our offices and other facilities are well maintained and kept fully functional
o. We have the necessary physical space for the services and programs we run
p. We have computer and information technology tools/resources to efficiently access offender records
q. Our staffs feel very comfortable using computers and information technology tools to do their jobs
r. Our staff lack the computer skills necessary to proficiently access offender records
s. We regularly integrate new services, programs, and/or initiatives into our operations at this facility/location
t. Our programs, services, and/or initiatives are designed to address multiple offender needs
u. We have a high level of coordination across units, and/or departments when it comes to delivering services and programs to offenders
v. We have significant challenges in generating the necessary political support for important priorities, new programs, and/or initiatives for offenders
w. We have the support we need from communities for important priorities, new programs, and/or initiatives for offender
x. We have extensive collaborations/partnerships with external groups (e.g., outside service providers) that facilitate important priorities, new programs, and/or initiatives for offenders
 
 
 
Commitment to the Organization
 
To what extent do you agree or disagree with the following statements?
(from 1=strongly disagree to 5=strongly agree)

Working for your agency based on your experiences at this facility/location…
1 (Strongly disagree) 2 3 (Neither Agree Nor Disagree) 4 5 (Strongly agree)
a. I am quite proud to be able to tell people who it is that I work for
b. What this organization stands for is important to me
c. I work for an organization that is incompetent and unable to accomplish its mission
d. I feel a strong sense of belonging to this organization
e. I feel like “part of the family” at this organization
f. The people I work for do not care about what happens to me
g. This organization appreciates my accomplishment on the job
h. This organization does all that it can to recognize employees for good performance
i. My efforts on the job are largely ignored or overlooked by this organization
 
 
 
Perceptions of Supervisor
 
The leader (supervisor) of this office…
(from 1=strongly disagree to 5=strongly agree)
1 (Strongly Disagree) 2 3 (Neither Agree Nor Disagree) 4 5 (Strongly Agree)
a. Is able to get others to be committed to his/her vision for this office
b.Leads by “doing” rather than simply by “telling”
c. Gets people to work together for the same goal
d. Insists on only the best performance
e. Takes the time to carefully listen to and discuss people’s concerns
f. Suggests new ways of looking at how we do our jobs
g. Gives special recognition to others’ work when it is very good
h. Provide well-defined performance goals and objectives
i. Stays well informed in what is being done in my work group
j. Provides us with the necessary resources and assistance we need to get our work completed
 
 
 
Leadership
 
To what extent do you agree with the following statements about your direct supervisor?
(from 1=strongly disagree to 5=strongly agree)
1 (Strongly disagree) 2 3 (Neither Agree Nor Disagree) 4 5 (Strongly agree)
a. My supervisor helps me solve work-related problems
b. My supervisor encourages me to develop new skills
c. My supervisor keeps informed about how employees think and feel about things
d. My supervisor encourages employees to participate in important decisions
e. My supervisor praises good work
f. My supervisor encourages employees to speak up when they disagree with a decision
g. My supervisor refuses to explain his or her actions
h. My supervisor rewards me for good performance
i. My supervisor always seems to be around checking on my work
j. My supervisor tells me what shall be done and how it shall be done
k. My supervisor never gives me a chance to make important decisions on my own
l. My supervisor leaves it up to me to decide how to go around doing my job
 
 
 
Attitudes Towards Rehabilitation and Punishment
 
To what extent do you agree or disagree with the following statements about crime reduction?
(from 1=strongly disagree to 5=strongly agree)

The best way to reduce crime is to…
1 (Strongly disagree) 2 3 (Neither Agree Nor Disagree) 4 5 (Strongly agree)
a. Show people who use drugs they will be punished severely if they don’t stop
b. Make sure criminals get effective treatment for addictions and other problems while they’re in prison/jail, or on community supervision
c. Keep criminals in prison/jail and off the streets
d. Use the “eye for an eye, tooth for a tooth” principle
e. Deter future offenders by severely punishing criminals who are caught and convicted
f. Provide criminals with treatment to address addictions, mental health problems, or other problems
g. Make sure that the treatment provided is matched to the offender’s needs
h. Keep criminals in prison/jail where they can’t bother law abiding citizens
i. Provide more treatment, jobs, and educational programs to address problems that often contribute to crime
j. Keep drug users in prison/jail and off the streets
k. Punish addicts in prison/jail to stop them from using drugs
l. Deter future criminals by severely punishing drug users who are caught and convicted
 
 
 
Professional Quality of Life Scale
 
Your work puts you in direct contact with the personal lives of others. As you probably have experiences, your compassion for those you help has both positive and negative aspects. This survey explores your experiences as a Probation Agent. Select a number that honestly reflect how frequently you experienced these feelings in the last 30 days.
0 (Never) 1 (Rarely) 2 (A Few Times) 3 (Somewhat Often) 4 (Often) 5 (Very Often)
a. I am happy
b. I am preoccupied with more than one person I help
c. I get satisfaction from being able to help people
d. I feel connected to others
e. I jump or am startled by unexpected sounds
f. I feel invigorated after working with those I help
g. I find it difficult to separate my personal life from my life as a Probation Agent
h. I am looking sleep over traumatic experiences of a person I help
i. I think that I might have been “infected” by the traumatic stress of those I help
j. I feel trapped by my work as a Probation Agent
0 (Never) 1 (Rarely) 2 (A Few Times) 3 (Somewhat Often) 4 (Often) 5 (Very Often)
k. Because of my helping, I have felt “on edge” about various things
l. I like my work as a Probation Agent
m. I feel depressed as a result of my work as a Probation Agent
n. I feel as though I am experiencing the trauma of someone I have helped.
o. I have beliefs that sustain me
p. I am pleased with how I am able to keep up with helping techniques and protocols
q. I am the person I always wanted to be
r. My work makes me feel satisfied
s. Because of my work as a Probation Agent, I feel exhausted
t. I have happy thoughts and feelings about those I help and how I could help them
0 (Never) 1 (Rarely) 2 (A Few Times) 3 (Somewhat Often) 4 (Often) 5 (Very Often)
u. I feel overwhelmed by the amount of work of the size of my case load I have to deal with
v. I believe I can make a difference through my work
w. I avoid certain activities or situations because they remind me of frightening experiences of the people I help
x. I am proud of what I can do to help
y. As a result of my helping, I have intrusive, frightening thoughts
z. I feel “bogged down” by the system
aa. I have thoughts that I am a “success” as a Probation Agent.
bb. I can’t recall important parts of my work with trauma victims
cc. I am a very sensitive person
dd. I am happy that I chose to do this work
 
 
 
Stress Diagnostic Survey
 
The following survey is designed to provide you with an indication of the extent to which various individual-level stressors are sources of stress to you. For each item, you should indicate the frequency with which the condition described is a source of stress.
Example, 1= the condition described is something that is never a source of stress.
Never Rarely Occasionally Sometimes Often Usually Always
a. My job duties and work objectives are unclear to me
b. I work on unnecessary tasks or projects
c. I have to take worked home in the evenings or on weekends to stay caught up
d. The demands for work quality made upon me are unreasonable
e. I lack the proper opportunities to advance in this organization
f. I am held accountable for the development of other employees
g. I am unclear about whom I report to and/or who reports to me
h. I get caught in the middle between my supervisors and my subordinates (clients)
i. I spend too much time in unimportant meetings that take me away from my work
j. My assigned tasks are sometimes too difficult and/or complex
Never Rarely Occasionally Sometimes Often Usually Always
k. If I want to get promoted, I have to look for a job with another organization
l. I am responsible for counseling with my subordinates (clients) and /or helping them solve their problems
m. I lack the authority to carry about my job responsibilities
n. The formal chain of command is not adhered to
o. I am responsible for an almost unmanageable number of projects or assignments at the same time
p. Tasks seem to be getting more and more complex
q. I am hurting my career progress by staying with this organization
r. I take action or make decisions that affect the safety and well-being of others
s. I do not fully understand what is expected of me
t. I do things on the job that are accepted by one person and not by others
Never Rarely Occasionally Sometimes Often Usually Always
u. I simply have more work to do than can be done in an ordinary day
v. The organization expects more of me than my skills and/or abilities provide
w. I have few opportunities to grow and learn new knowledge and skills in my job
x. My responsibilities in this organization are more for people than for things
y. I do not understand the part my job plays in meeting overall organizational objectives
z. I receive conflicting requests from two or more people
aa. I feel that I just don’t have time to take an occasional break
bb. I have insufficient training and/or experience to discharge my duties properly
cc. I feel that I am at a standstill in my career
dd. I have responsibility for the future (careers) of others
 
 
 
Change
 
Please indicate the extent to which you agree or disagree with the following statements about efforts to make changes in the organization in which you work.
(from 1=strongly disagree to 5=strongly agree).
Strongly Disagree Disagree Neither Agree no Disagree Agree Strongly Agree
a. I’ve pretty much given up trying to make suggestions for improvements around here
b. Changes to the usual way of doing things at this facility/location are more trouble than they are worth
c. When we try to change things here they just seem to go from bad to worse
d. Efforts to make improvement in this facility/location usually fail
e. It’s hard to be hopeful about the future because people have such bad attitudes
 
 
 
The following questions are designed to get at the performance of the Field Supervisors who you supervise. Please fill out the following questions for each of the field supervisors you supervise. Put the name of the FS1 you are referring to before each set of survey questions. If you supervise more than one FS1, please fill out one set of scales for each supervisor; if you only supervise one FS1 please only fill out the scale ONCE.
 
 
Field Supervisor's Name
   
 
 
Case Planning
 
To what extent do the FS1(s) you supervise routinely encourage their staff to use the following in creating treatment service plans for clients on their caseload? (Please check one for each row)
Not used Used some of the time Used about half of the time Used most of the time Used all of the time
a. Court-ordered evaluation report or social history.
b. Screen or assessment done upon probation placement
c. Meeting with clinician/evaluation specialist
d. Reports provided by clinician/evaluation specialist
d. Interview with client’s family
e. Interview with client
 
 
Case Management and Monitoring
 
To what extent do the FS1(s) you supervise encourage staff to use the following case management practices with clients on their caseload? (Please check one for each row)
Never Some of the time About half of the time Most of the time Always
a. Provide the client with a written plan that includes rules and conditions of supervision (not counting the service plan).
b. Client and parent/guardian or family both sign written copy of plan that includes rules and conditions of supervision (not counting the service plan).
c. Graduated sanctions
d. Graduated incentives
 
In monitoring the progress of a client who is attending a treatment program or other service, how frequently do the FS1(s) you supervise encourage staff to engage in each of the following activities? (Check one for each row)
Never Every 2-3 months Once a month Every 2 weeks Weekly or more
a. Face-to-face contact with client
b. Face-to-face contact with client’s family
c. Telephone or face-to-face contact with program staff
d. Review urinalysis results
 
Please indicate the extent to which you see the FS1(s) you supervise encouraging the following. (Check one for each row)
Very Uncomfortable Uncomfortable Neutral Comfortable Very Comfortable
a. Praise the client for successful completion of a task or for achieving a goal
b. Establish or review a behavioral contract
c. Remind the client that he/she should be more committed to change.
d. Letting the client know that they have a valid point
e. Tell the client that they have to tell their family and/or friends about their problems.
f. Asking questions that allow the client to comment on their progress made
g. Summarize what the client said to allow him/her to hear their own ideas
h. Repeat the exact words that the client said to get feedback from him/her
i. Tell the client that he/she needs to change their behavior or they will be violated
j. Reiterate to the client an area that they should desire to change.
Very Uncomfortable Uncomfortable Neutral Comfortable Very Comfortable
k. Work at getting the client to discuss change
l. Explore how the client can strengthen their commitment to change
m. Indicate to the client that what they are doing is not right.
n. Help the client see the difference between where his/her life is and where the client wants to be in the future
o. Ask the client to identify different ways that they could handle a difficult situation in the future
p. Tell the client to take your advice since you have handled many problems in the past.
q. Ask only specific questions to avoid getting into a lengthy discussion
r. Be sure to remind the client that he is under supervision and needs to be more careful in his/her decision
 
 
 
Field Supervisor's Name
   
 
 
Case Planning
 
To what extent do the FS1(s) you supervise routinely encourage their staff to use the following in creating treatment service plans for clients on their caseload? (Please check one for each row)
Not used Used some of the time Used about half of the time Used most of the time Used all of the time
a. Court-ordered evaluation report or social history.
b. Screen or assessment done upon probation placement
c. Meeting with clinician/evaluation specialist
d. Reports provided by clinician/evaluation specialist
d. Interview with client’s family
e. Interview with client
 
 
Case Management and Monitoring
 
To what extent do the FS1(s) you supervise encourage staff to use the following case management practices with clients on their caseload? (Please check one for each row)
Never Some of the time About half of the time Most of the time Always
a. Provide the client with a written plan that includes rules and conditions of supervision (not counting the service plan).
b. Client and parent/guardian or family both sign written copy of plan that includes rules and conditions of supervision (not counting the service plan).
c. Graduated sanctions
d. Graduated incentives
 
In monitoring the progress of a client who is attending a treatment program or other service, how frequently do the FS1(s) you supervise encourage staff to engage in each of the following activities? (Check one for each row)
Never Every 2-3 months Once a month Every 2 weeks Weekly or more
a. Face-to-face contact with client
b. Face-to-face contact with client’s family
c. Telephone or face-to-face contact with program staff
d. Review urinalysis results
 
Please indicate the extent to which you see the FS1(s) you supervise encouraging the following. (Check one for each row)
Very Uncomfortable Uncomfortable Neutral Comfortable Very Comfortable
a. Praise the client for successful completion of a task or for achieving a goal
b. Establish or review a behavioral contract
c. Remind the client that he/she should be more committed to change.
d. Letting the client know that they have a valid point
e. Tell the client that they have to tell their family and/or friends about their problems.
f. Asking questions that allow the client to comment on their progress made
g. Summarize what the client said to allow him/her to hear their own ideas
h. Repeat the exact words that the client said to get feedback from him/her
i. Tell the client that he/she needs to change their behavior or they will be violated
j. Reiterate to the client an area that they should desire to change.
Very Uncomfortable Uncomfortable Neutral Comfortable Very Comfortable
k. Work at getting the client to discuss change
l. Explore how the client can strengthen their commitment to change
m. Indicate to the client that what they are doing is not right.
n. Help the client see the difference between where his/her life is and where the client wants to be in the future
o. Ask the client to identify different ways that they could handle a difficult situation in the future
p. Tell the client to take your advice since you have handled many problems in the past.
q. Ask only specific questions to avoid getting into a lengthy discussion
r. Be sure to remind the client that he is under supervision and needs to be more careful in his/her decision
 
 
 
Field Supervisor's Name
   
 
 
Case Planning
 
To what extent do the FS1(s) you supervise routinely encourage their staff to use the following in creating treatment service plans for clients on their caseload? (Please check one for each row)
Not used Used some of the time Used about half of the time Used most of the time Used all of the time
a. Court-ordered evaluation report or social history.
b. Screen or assessment done upon probation placement
c. Meeting with clinician/evaluation specialist
d. Reports provided by clinician/evaluation specialist
d. Interview with client’s family
e. Interview with client
 
 
Case Management and Monitoring
 
To what extent do the FS1(s) you supervise encourage staff to use the following case management practices with clients on their caseload? (Please check one for each row)
Never Some of the time About half of the time Most of the time Always
a. Provide the client with a written plan that includes rules and conditions of supervision (not counting the service plan).
b. Client and parent/guardian or family both sign written copy of plan that includes rules and conditions of supervision (not counting the service plan).
c. Graduated sanctions
d. Graduated incentives
 
In monitoring the progress of a client who is attending a treatment program or other service, how frequently do the FS1(s) you supervise encourage staff to engage in each of the following activities? (Check one for each row)
Never Every 2-3 months Once a month Every 2 weeks Weekly or more
a. Face-to-face contact with client
b. Face-to-face contact with client’s family
c. Telephone or face-to-face contact with program staff
d. Review urinalysis results
 
Please indicate the extent to which you see the FS1(s) you supervise encouraging the following. (Check one for each row)
Very Uncomfortable Uncomfortable Neutral Comfortable Very Comfortable
a. Praise the client for successful completion of a task or for achieving a goal
b. Establish or review a behavioral contract
c. Remind the client that he/she should be more committed to change.
d. Letting the client know that they have a valid point
e. Tell the client that they have to tell their family and/or friends about their problems.
f. Asking questions that allow the client to comment on their progress made
g. Summarize what the client said to allow him/her to hear their own ideas
h. Repeat the exact words that the client said to get feedback from him/her
i. Tell the client that he/she needs to change their behavior or they will be violated
j. Reiterate to the client an area that they should desire to change.
Very Uncomfortable Uncomfortable Neutral Comfortable Very Comfortable
k. Work at getting the client to discuss change
l. Explore how the client can strengthen their commitment to change
m. Indicate to the client that what they are doing is not right.
n. Help the client see the difference between where his/her life is and where the client wants to be in the future
o. Ask the client to identify different ways that they could handle a difficult situation in the future
p. Tell the client to take your advice since you have handled many problems in the past.
q. Ask only specific questions to avoid getting into a lengthy discussion
r. Be sure to remind the client that he is under supervision and needs to be more careful in his/her decision
 
 
 
Field Supervisor's Name
   
 
 
Case Planning
 
To what extent do the FS1(s) you supervise routinely encourage their staff to use the following in creating treatment service plans for clients on their caseload? (Please check one for each row)
Not used Used some of the time Used about half of the time Used most of the time Used all of the time
a. Court-ordered evaluation report or social history.
b. Screen or assessment done upon probation placement
c. Meeting with clinician/evaluation specialist
d. Reports provided by clinician/evaluation specialist
d. Interview with client’s family
e. Interview with client
 
 
Case Management and Monitoring
 
To what extent do the FS1(s) you supervise encourage staff to use the following case management practices with clients on their caseload? (Please check one for each row)
Never Some of the time About half of the time Most of the time Always
a. Provide the client with a written plan that includes rules and conditions of supervision (not counting the service plan).
b. Client and parent/guardian or family both sign written copy of plan that includes rules and conditions of supervision (not counting the service plan).
c. Graduated sanctions
d. Graduated incentives
 
In monitoring the progress of a client who is attending a treatment program or other service, how frequently do the FS1(s) you supervise encourage staff to engage in each of the following activities? (Check one for each row)
Never Every 2-3 months Once a month Every 2 weeks Weekly or more
a. Face-to-face contact with client
b. Face-to-face contact with client’s family
c. Telephone or face-to-face contact with program staff
d. Review urinalysis results
 
Please indicate the extent to which you see the FS1(s) you supervise encouraging the following. (Check one for each row)
Very Uncomfortable Uncomfortable Neutral Comfortable Very Comfortable
a. Praise the client for successful completion of a task or for achieving a goal
b. Establish or review a behavioral contract
c. Remind the client that he/she should be more committed to change.
d. Letting the client know that they have a valid point
e. Tell the client that they have to tell their family and/or friends about their problems.
f. Asking questions that allow the client to comment on their progress made
g. Summarize what the client said to allow him/her to hear their own ideas
h. Repeat the exact words that the client said to get feedback from him/her
i. Tell the client that he/she needs to change their behavior or they will be violated
j. Reiterate to the client an area that they should desire to change.
Very Uncomfortable Uncomfortable Neutral Comfortable Very Comfortable
k. Work at getting the client to discuss change
l. Explore how the client can strengthen their commitment to change
m. Indicate to the client that what they are doing is not right.
n. Help the client see the difference between where his/her life is and where the client wants to be in the future
o. Ask the client to identify different ways that they could handle a difficult situation in the future
p. Tell the client to take your advice since you have handled many problems in the past.
q. Ask only specific questions to avoid getting into a lengthy discussion
r. Be sure to remind the client that he is under supervision and needs to be more careful in his/her decision
 
 
 
Field Supervisor's Name
   
 
 
Case Planning
 
To what extent do the FS1(s) you supervise routinely encourage their staff to use the following in creating treatment service plans for clients on their caseload? (Please check one for each row)
Not used Used some of the time Used about half of the time Used most of the time Used all of the time
a. Court-ordered evaluation report or social history.
b. Screen or assessment done upon probation placement
c. Meeting with clinician/evaluation specialist
d. Reports provided by clinician/evaluation specialist
d. Interview with client’s family
e. Interview with client
 
 
Case Management and Monitoring
 
To what extent do the FS1(s) you supervise encourage staff to use the following case management practices with clients on their caseload? (Please check one for each row)
Never Some of the time About half of the time Most of the time Always
a. Provide the client with a written plan that includes rules and conditions of supervision (not counting the service plan).
b. Client and parent/guardian or family both sign written copy of plan that includes rules and conditions of supervision (not counting the service plan).
c. Graduated sanctions
d. Graduated incentives
 
In monitoring the progress of a client who is attending a treatment program or other service, how frequently do the FS1(s) you supervise encourage staff to engage in each of the following activities? (Check one for each row)
Never Every 2-3 months Once a month Every 2 weeks Weekly or more
a. Face-to-face contact with client
b. Face-to-face contact with client’s family
c. Telephone or face-to-face contact with program staff
d. Review urinalysis results
 
Please indicate the extent to which you see the FS1(s) you supervise encouraging the following. (Check one for each row)
Very Uncomfortable Uncomfortable Neutral Comfortable Very Comfortable
a. Praise the client for successful completion of a task or for achieving a goal
b. Establish or review a behavioral contract
c. Remind the client that he/she should be more committed to change.
d. Letting the client know that they have a valid point
e. Tell the client that they have to tell their family and/or friends about their problems.
f. Asking questions that allow the client to comment on their progress made
g. Summarize what the client said to allow him/her to hear their own ideas
h. Repeat the exact words that the client said to get feedback from him/her
i. Tell the client that he/she needs to change their behavior or they will be violated
j. Reiterate to the client an area that they should desire to change.
Very Uncomfortable Uncomfortable Neutral Comfortable Very Comfortable
k. Work at getting the client to discuss change
l. Explore how the client can strengthen their commitment to change
m. Indicate to the client that what they are doing is not right.
n. Help the client see the difference between where his/her life is and where the client wants to be in the future
o. Ask the client to identify different ways that they could handle a difficult situation in the future
p. Tell the client to take your advice since you have handled many problems in the past.
q. Ask only specific questions to avoid getting into a lengthy discussion
r. Be sure to remind the client that he is under supervision and needs to be more careful in his/her decision
 
 
 
Training Needs
 
Please indicate how much you agree or disagree with each of the following statements about the need for additional guidance or training in your unit. (Check  one for each row)

My office needs additional guidance or training in…
1 (Strongly Disagree) 2 (Disagree) 3 (Neither Agree Nor Disagree) 4 (Agree) 5 (Strongly Agree)
a. Matching client needs with services.
b. Developing more effective case management strategies.
c. Using client assessments to guide case management decisions.
d. Using client assessments to track client progress.
e. Assessing client’s problems and needs.
f. Increasing client participation in treatment.
g. Monitoring client progress.
h. Improving rapport with client.
 
 
 
Your Job
 
 
We would like to know what your day-to-day job activities look like. Please note how many hours PER WEEK you spend on the following tasks:
Meeting with offenders for check-in
Appointments
Entering case notes into the computer
Checking email
Staff Meetings
Meeting with offenders for unscheduled appointments
Dealing with technology-related problems (e.g. internet not working, OCMS not working)
In court (including wait time due to docketing)
Developing liaisons and networks with other parole officers, community agencies, staff in correctional institutions, psychiatric facilities and after-care agencies.
Arranging for medical, mental health, or substance abuse treatment services according to individual needs and/or court orders
Provide offenders or inmates with assistance in matters concerning detainers, sentences in other jurisdictions, writs, and applications for social assistance.
Gather information about offenders' backgrounds by talking to offenders, their families and friends, and other people who have relevant information
Traveling for Meetings
Traveling for Court
Traveling for Home Visits
Traveling for Other
Home Visits
Creating case plans with/for offenders
Breaks (e.g. coffee, lunch, walking around to stretch)
Training (internal/external)
0
 
 
 
What is your caseload type (e.g. VPI, Sex Offenders, General, Mixed, etc.)?
   
 
 
 
Approximately how many people are on your caseload CURRENTLY?
   
 
 
 
On average, how many offenders do you see in one week in the office (e.g. check-in meetings)?
   
 
 
 
On average how many offenders do you see in one week in the field (e.g. home visits)?
   
 
 
 
On average, how many hours do you work per week?
   
 
 
 
External Caseload Events
 
 

Have any of the following events ever occurred under your supervision? Please check all that apply.
 
Offender Suicide
 
Violent re-offense resulting in the death of a victim
 
Violent re-offense using a weapon
 
Violent re-offense resulting in victim hospitalization
 
Crimes involving child victims
 
Sexual recidivism

 
 
 
About You
 
 
 
What is the exact title of your position?
   
 
 
 
What office are you currently located in?
   
 
 
 
What are the names of the FS1s you supervise?
   
 
 
 
Which region do you work in?
 
Central Region
 
Northern Region
 
Southern Region
 
 
 
What is your highest level of education? (Check one)
 
High school
 
Associate degree
 
B.A./B.S.
 
Some graduate studies
 
MBA/Masters
 
J.D.
 
Ph.D./Ed.D.
 
M.D.
 
Other (Specify)
 
 
 
 
In what field did you receive your highest degree? (Check one)
 
Business
 
Criminal Justice
 
Law
 
Medicine
 
Political Science
 
Psychology
 
Sociology
 
Social Work
 
Other (Specify)
 
 
 
 
Are you:(Check one)
 
Male
 
Female
 
 
 
Current age:(Years)
   
 
 
 
Are you: (Check all that apply)
 
White
 
Middle Eastern
 
Hispanic/Latino
 
Asian/Pacific Islander
 
American Indian/Alaska Native
 
Black or African American
 
Other (Specify)
 

 
 
 
Have you worked in any of the following fields? (Check all that apply)
 
Law enforcement
 
Prosecution
 
Defense
 
Judiciary
 
Juvenile justice
 
Criminal justice policy
 
Military
 
Substance abuse treatment
 
Social work
 
Public health
 
Political activities
 
Correctional Officer

 
 
 
How long have you been with this organization?
   
 
 
 
How long have you been in your current position? (months)
   
 
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