Abstract
Statistical reliability of the Treatment Perceptions Survey (TPS) questionnaire was examined using data from 19 California counties. The 14-item TPS was designed for clients receiving substance use disorder services at publicly funded community-based programs. The TPS is being used for evaluation of the State’s 1115 Medicaid Waiver, external quality review of county-based systems of care, and quality improvement efforts. The survey addresses four domains of access to care, quality of care, care coordination, and general satisfaction that each include multiple items, plus a single item focused on self-reported outcome. Reliability test results of the four domains as composite measures were statistically significant. General satisfaction ratings were the best predictor of self-reported outcome in a path analysis model, followed by ratings of care coordination and quality of care. Separate analyses of TPS data from clients receiving specialty mental health services suggest the questionnaire can also be used reliably in mental health settings.
Highlights
IntroductionMeasuring client perceptions of and satisfaction with substance use disorder (SUD) treatment services is an integral part of the evaluation of the waiver, quality improvement efforts, and provision of client-centered care
In 2015, the Centers for Medicare and Medicaid Services (CMS) approved the request from the California Department of Health Care Services (DHCS) for a 5-year Sect. 1115 Waiver to initiate an innovative demonstration program called the Drug Medi-Cal[1] Organized Delivery System (DMCODS)
A standard survey in widespread use for clients receiving specialty substance use disorder (SUD) services does not exist as it does for clients receiving specialty mental health (MH) services (e.g., Mental Health Statistics Improvement Program [MHSIP] Consumer Survey2)
Summary
Measuring client perceptions of and satisfaction with SUD treatment services is an integral part of the evaluation of the waiver, quality improvement efforts, and provision of client-centered care. A client perceptions of care survey is not required for grantees of state Substance Abuse Prevention and Treatment Block Grant funds as it is for grantees of Community Mental Health Services Block Grant funds.[1,2,3,4] In addition, a standard survey in widespread use for clients receiving specialty SUD services does not exist as it does for clients receiving specialty mental health (MH) services (e.g., Mental Health Statistics Improvement Program [MHSIP] Consumer Survey[2]). Some of the items have been used in several California counties (e.g., San Francisco, Contra Costa, Solano) with populations receiving specialty SUD treatment.[5]
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