Prevention Survey Part 1

The Bureau for Behavioral Health has been tasked by the West Virginia Legislature to identify prevention activities that are being implemented throughout the state. As a result, the Bureau is asking all community-based prevention organizations complete the following survey, keeping in mind all the various populations each organization serves.

The goal of this survey is to identify the reach of implemented prevention efforts, collect information on who is implementing prevention activities, and describe the prevention infrastructure and available resources in West Virginia. This project is being conducted in collaboration with the West Virginia Department of Education. Individual survey responses will be kept confidential.

While completing the survey, please include prevention programs or curriculum that reduce risk factors and those that increase protective factors.

If you have any questions regarding this survey please contact Laura Hunt by phone (304-356-4376) or email (Laura.N.Hunt@wv.gov). Thank you for your time and responses!

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* 1. Contact Information

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* 2. Job Title

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* 3. How many people in your organization directly implement prevention programming?

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* 4. How many full-time equivalents (FTEs) implement prevention programming in your organization? For example, if a staff member is 0.5 FTE fulfilling the role of administrator and 0.5 FTE is designated to implementing prevention programming, the organization would only report 0.5 FTE for this individual.

  Number of Employees
Number of Full Time Staff - 1.0 FTE (e.g., typically works 40 hours in a 40 hour work week)
Number of Part-time Staff - 0.9 FTE (e.g., works approximately 36 hours in a 40 hour work week)
Number of Part-time Staff - 0.8 FTE (e.g., works approximately 32 hours in a 40 hour work week)
Number of Part-time Staff - 0.7 FTE (e.g., works approximately 28 hours in a 40 hour work week)
Number of Part-time Staff - 0.6 FTE (e.g., works approximately 24 hours in a 40 hour work week)
Number of Part-time Staff - 0.5 FTE (e.g., works approximately 20 hours in a 40 hour work week)
Number of Part-time Staff - 0.4 FTE (e.g., works approximately 16 hours in a 40 hour work week)
Number of Part-time Staff - 0.3 FTE (e.g., works approximately 12 hours in a 40 hour work week)
Number of Part-time Staff - 0.2 FTE (e.g., works approximately 8 hours in a 40 hour work week)
Number of Part-time Staff - 0.1 FTE (e.g., works approximately 4 hours in a 40 hour work week)
Number of Part-time Staff - 0.05 FTE (e.g., works approximately 2 hours in a 40 hour work week or less than 8 hours a month)

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* 5. How many people in your organization have received the Prevention Specialist I Certification and/or Prevention Specialist II Certification from The West Virginia Certification Board for Addiction & Prevention Professionals (WVCBAPP)?

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* 6. What is your organization’s role in implementing prevention in the state? Select all that apply.

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* 7. How does your organization generally or most often provide prevention training?

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* 8. How do you or other staff within your organization prefer to receive prevention training?

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* 9. If your organization provides prevention training, in which counties is this offered?

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* 10. At what levels does your organization provide prevention programming implementation training to school staff (including teachers and school counselors)? Check all that apply.

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* 11. On which of the following topic areas does your organization provide prevention programming training? Who generally attends these trainings? Check all that apply .

  Coalitions Counselors Other Mental Health professionals Other Prevention Professionals Peers School counselors Social workers Teachers
Alcohol Misuse
Body Autonomy
Body Safety
Bullying
Bystander Intervention
Character Building
Conflict Resolution
Cultural Competency
Cyber Bullying/Safety
Healthy Relationships/Stalking/Teen Dating Violence
Leadership
Mindfulness
Physical Violence
Pregnancy Prevention
Prescription Drug Misuse
Resilience/Adverse Childhood Experiences (ACEs)
Sexual Violence/Abuse/Harassment/Human Trafficking
Social Emotional Learning
Stigma
Substance Use/Drug Use
Suicide
Tobacco/Nicotine (all forms including smoking, vaping, and smokeless)
Trauma
Not Applicable

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* 12. Does your organization track prevention programing implementation for individuals who have received training?

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* 13. If your organization tracks trainee implementation, approximately what percentage of individuals with training implement the programming? Please ensure the percentage is displayed in the box to the right to have your response counted.

0% 50% 100%
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i We adjusted the number you entered based on the slider’s scale.

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* 14. What other groups or agencies, if any, do you partner with to present prevention programming?

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* 15. Please indicate which of the following school-community partnership programs or initiatives your organization is involved in. Select all that apply.

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* 16. In addition to primary prevention, does your organization provide early intervention programs?

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* 17. Please indicate your organization’s approximate funding sources by percentage of total funding. Total funding should be equal to 100%.

  Percentage of Funding (Round to the Nearest Percentage)
Bureau for Behavioral Health (e.g., Expanded School Mental Health (ESMH))
Bureau for Children and Families
Bureau for Public Health (e.g., Rape Prevention Education (RPE), The Personal Responsibility Education Program (PREP))
Corporations
Department of Education
Direct Federal Funding
Donations
Local/County Government
Philanthropic Organizations/Community Groups

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* 18. Please rank the top five barriers (1-5) to providing prevention programs in your community with 1 being the largest barrier. Lack of funding is a common barrier for prevention implementation; therefore this question is aimed at looking at other barriers or what barriers would still need addressed if more funding were available.  *Use the drag and drop feature to rank the top 5 barriers, the remaining rankings (beyond number 5) will not be assessed.

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* 19. Please select all items/sources that your organization uses to plan prevention programming.

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* 20. Which of the following basic needs programs does your organization oversee, provide, or is responsible for managing in the community this organization serves?

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* 21. Is there anything else you would like us to know about your organization, not described above?

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* 22. If employees in your organization are interested in additional prevention training, which topic areas are needed?

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* 23. May we or other prevention experts contact you regarding training opportunities?

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