Needs Assessment for Healthcare Professionals Serving the TBI Population

This survey will take approximately 10 minutes of your time.

Please take this opportunity to provide input about your professional affiliation with traumatic brain injury, your training needs, and your opinions regarding the successes and challenges of serving those living with brain injury.

Survey results will help us better understand the resource/service needs/gaps of those with or at risk for traumatic brain injury. It will also gather data on barriers that those living with brain injury face, as well as the needs of professionals who serve the brain injury population.

The survey is voluntary and anonymous, and you will not be individually identified. Staff members of the TBI State Partnership Program and the Arkansas Trauma Rehabilitation Program will compile and summarize the results, which will be available for public review at a later date.

Thank you for helping us build a stronger support infrastructure for the Arkansas TBI population.

Question Title

What is the name of your organization? (optional)

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What is your organization's service area?

Central Arkansas

Northwest Arkansas

Northeast Arkansas

Southwest Arkansas

Southeast Arkansas

Statewide

Other (please specify)

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Which of these positions best describe you?

Attorney

Caseworker

Department of Corrections Personnel

First Responder

In-Home Care Provider

Law Enforcement Personnel

Mental Health Professional

Social Worker

Vocational Rehabilitation Personnel

Youth Sports Coach

Advocate (e.g., domestic violence, independent living specialist, etc.)

Health Care Professional - Clinical

Health Care Professional - Non-Clinical

Program Administrator/Manager

Other (please specify)

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Please indicate who you serve:

I serve only people with TBI

I serve others in addition to people with TBI

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How long have you served individuals with TBI?

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Please estimate the number of individuals with TBI that YOU currently serve or have had contact with in the last year:

1-10

Over 10

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How were TBIs identified within the population that you serve? (check all that apply)

By me

By other professionals in my organization

By outside professionals

By referral sources

I don't know

Other (please specify)

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Please indicate the type of services you and/or your organization provide to people with TBI. (check all that apply)

Advocacy Services

Case Management

Clinical Services

Counseling

Education/Coaching

Employment

Life Skills

Neurobehavioral Training

Prevention Services

Trauma/Medical Care

Support Services

Other (please specify)

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Are the TBI survivors that you serve identified as part of an underserved population? (check all that apply)

Rural

Incarcerated

Veterans

Homeless

Older Adult

Native American

Other (please specify)

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In your opinion, what barriers do individuals with TBI and their families face in accessing services and supports? (check all that apply)

Cognitive Limitations

Difficulty Understanding Paperwork

Difficulty with English Language

Difficulty with Enrollment/Admissions

Inability to Pay for Needed Services

Inadequate Insurance

Inadequate Support to Find Employment

Inadequate Support to Live in Setting of Choice

Lack of Insurance

Lack of Transportation

Need help with Financial Management

Physical Limitations

Services and Resources Not Located Near Their Home

Unaware of Services and Resources

Other (please specify)

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Please rate your knowledge of available services and supports for Arkansans with TBI and their families:

A great deal of knowledge

Moderate knowledge

Minimal knowledge

No knowledge

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Do you or other staff within your organization access training or information regarding TBI from external sources?

Yes

I don't know

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Does your organization provide education or training to the community on TBI?

Yes

I don't know

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What additional training or information do you or others within your organization need to improve your capacity to serve people with TBI and their families?

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Please rank your preferred method to obtain training and information. (1 is most preferred and 5 is least preferred)

Online Training

In-Service Training

State Conference

Regional Training

Professional Organization

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Are there other methods through which to obtain additional training and information that are different than the options above?

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Please share any other comments.

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If you would like to discuss your input to this survey or receive additional information about the work being done by the TBI Advisory Board Workgroup or the Arkansas Trauma Rehabilitation Program, please indicate your name, email address, and phone number below.

Name

Email Address

Phone Number

50% of survey complete.

Question Title

* What is the name of your organization? (optional)

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* What is your organization's service area?

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* Which of these positions best describe you?

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* Please indicate who you serve:

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* How long have you served individuals with TBI?

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* Please estimate the number of individuals with TBI that YOU currently serve or have had contact with in the last year:

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* How were TBIs identified within the population that you serve? (check all that apply)

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* Please indicate the type of services you and/or your organization provide to people with TBI. (check all that apply)

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* Are the TBI survivors that you serve identified as part of an underserved population? (check all that apply)

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* In your opinion, what barriers do individuals with TBI and their families face in accessing services and supports? (check all that apply)

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* Please rate your knowledge of available services and supports for Arkansans with TBI and their families:

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* Do you or other staff within your organization access training or information regarding TBI from external sources?

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* Does your organization provide education or training to the community on TBI?

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* What additional training or information do you or others within your organization need to improve your capacity to serve people with TBI and their families?

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* Please rank your preferred method to obtain training and information. (1 is most preferred and 5 is least preferred)

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* Are there other methods through which to obtain additional training and information that are different than the options above?

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* Please share any other comments.

Question Title

* If you would like to discuss your input to this survey or receive additional information about the work being done by the TBI Advisory Board Workgroup or the Arkansas Trauma Rehabilitation Program, please indicate your name, email address, and phone number below.

What is the name of your organization? (optional)

What is your organization's service area?

Which of these positions best describe you?

Please indicate who you serve:

How long have you served individuals with TBI?

Please estimate the number of individuals with TBI that YOU currently serve or have had contact with in the last year:

How were TBIs identified within the population that you serve? (check all that apply)

Please indicate the type of services you and/or your organization provide to people with TBI. (check all that apply)

Are the TBI survivors that you serve identified as part of an underserved population? (check all that apply)

In your opinion, what barriers do individuals with TBI and their families face in accessing services and supports? (check all that apply)

Please rate your knowledge of available services and supports for Arkansans with TBI and their families:

Do you or other staff within your organization access training or information regarding TBI from external sources?

Does your organization provide education or training to the community on TBI?

What additional training or information do you or others within your organization need to improve your capacity to serve people with TBI and their families?

Please rank your preferred method to obtain training and information. (1 is most preferred and 5 is least preferred)

Are there other methods through which to obtain additional training and information that are different than the options above?

Please share any other comments.

If you would like to discuss your input to this survey or receive additional information about the work being done by the TBI Advisory Board Workgroup or the Arkansas Trauma Rehabilitation Program, please indicate your name, email address, and phone number below.