Peer Support Mentor 6 Month Eval Survey

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* 8. How useful were the initial letter and written materials sent to you in explaining the Peer Support Program and preparing you to work with the new state dental director/OH program manager?

Very Useful

Moderately Useful

Slightly Useful

Not Useful

Comments and suggestions

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* 9. Were you satisfied with the process of how you were matched with the new state dental director/OH program manager?

Very Satisfied

Moderately Satisfied

Slightly Satisfied

Not Satisfied

Didn't know how matching was done

Comments and suggestions

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* 10. When do you consider to be the best time to appoint a mentor for a newly employed state dental director/OH program manager?

Within one month of employment

1-3 months

4-6 months

7-9 months

10-12 months

Other (specify below)

Other (please specify)

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* 11. Were there any barriers/challenges you encountered during the mentoring process that prevented you from creating an optimal experience for the new state dental director/OH program manager?

Yes

If yes, what were they and how were those addressed?

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* 12. Which methods did you use to communicate with the new state dental director/OH program manager? (Check all that apply.)

Phone

Meetings you both attended

Social media

On-site visits

Other (specify below)

Other (please specify)

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* 13. Which methods were most effective? (Check all that apply.)

Phone

Meetings you both attended

Social media

On-site visits

Other (specify below)

Other (please specify and provide any comments/suggestions)

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* 14. Based on your experience as a mentor, is there anything else that ASTDD could do to assist new state dental directors/OH program managers immediately upon their employment?

Yes

Comments and suggestions

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* 15. Is there anything ASTDD could do to prepare or assist you more as a mentor?

Yes

Comments and suggestions

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* 16. Which of the Ten Essential Public Health Services to Promote Oral Health did you focus on the most with the new state dental director/OH program manager? (Check all that apply).

Assess and monitor the population's oral health status, factors that influence oral health, and community needs and assets.

Investigate, diagnose and address oral health problems and hazards affecting the population.

Communicate effectively to inform and educate people about oral health and influencing factors and educate/empower them to achieve and maintain optimal oral health.

Mobilize community partners to leverage resources and advocate for/act on oral health issues.

Develop, champion and implement policies, laws and systematic plans that support state and community oral health efforts.

Review, educate about and enforce laws and regulations that promote oral health and ensure safe oral health practices.

Reduce barriers to care and assure access to and use of personal and population-based oral health services.

Assure an adequate, culturally competent and skilled public and private oral health workforce.

Improve and innovate dental public health functions through ongoing evaluation, research and continuous quality improvement.

Build and maintain a strong organizational infrastructure for dental public health.

List some examples and any outcome/progress you saw.

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* 17. Which of the Competencies Guiding Principles did you focus on the most with the new state dental
director/OH program manager? (Check all that apply)

Integrating oral health and general health

Programming for all life stages (lifespan approach)

Recognizing and reducing oral health disparities

Identifying, leveraging and using resources

Social responsibility to advocate for/serve underserved populations

Demonstrating an understanding and respect for other professions, their goals and roles

Respecting diversity and attaining cultural competency, including fostering health literacy

Dedication to lifelong learning and quality improvement

Build Support

Plan and Evaluate Programs

Influence Policy and Systems Change

Manage People

Manage Programs and Resources

Use Public Health Science

Lead Strategically

List some examples and any outcomes/progress you saw.

Question Title

* 18. Which of the Competency Domains did you focus on the most with the new state dental
director/OH program manager? (Check all that apply)

Build Support for Collective Impact

Collect, Analyze and Summarize Data

Assess, Plan, Implement and Evaluate Programs

Influence Policies and Systems Change

Recruit and Retain a Competent and Adequate Workforce

Assure Support for Programs

Use Public Health and Dental Public Health Science

Lead Strategically

List some examples and any other outcomes/progress you saw.

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* 19. As a result of the Peer Support Program, do you and the new state dental director/OH program manager intend to continue the Peer Support relationship beyond the initial 6 months?

Yes

Maybe

Don't Know

Comments and suggestions

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* 20. As a result of the Peer Support Program, are you aware of any changes the new state dental director/OH program manager plans to make/already has made to their state program, staffing or processes?

Yes

If yes, describe the changes.

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* 1. Name:

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* 2. In which state program do you currently work?

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* 3. Date started with this New Director (month/year):

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* 4. Current Date:

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* 5. Name of New Director:

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* 6. Title of New Director:

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* 7. New Director's State:

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* 8. How useful were the initial letter and written materials sent to you in explaining the Peer Support Program and preparing you to work with the new state dental director/OH program manager?

Question Title

* 9. Were you satisfied with the process of how you were matched with the new state dental director/OH program manager?

Question Title

* 10. When do you consider to be the best time to appoint a mentor for a newly employed state dental director/OH program manager?

Question Title

* 11. Were there any barriers/challenges you encountered during the mentoring process that prevented you from creating an optimal experience for the new state dental director/OH program manager?

Question Title

* 12. Which methods did you use to communicate with the new state dental director/OH program manager? (Check all that apply.)

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* 13. Which methods were most effective? (Check all that apply.)

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* 14. Based on your experience as a mentor, is there anything else that ASTDD could do to assist new state dental directors/OH program managers immediately upon their employment?

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* 15. Is there anything ASTDD could do to prepare or assist you more as a mentor?

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* 16. Which of the Ten Essential Public Health Services to Promote Oral Health did you focus on the most with the new state dental director/OH program manager? (Check all that apply).

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* 17. Which of the Competencies Guiding Principles did you focus on the most with the new state dental director/OH program manager? (Check all that apply)

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* 18. Which of the Competency Domains did you focus on the most with the new state dental director/OH program manager? (Check all that apply)

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* 19. As a result of the Peer Support Program, do you and the new state dental director/OH program manager intend to continue the Peer Support relationship beyond the initial 6 months?

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* 20. As a result of the Peer Support Program, are you aware of any changes the new state dental director/OH program manager plans to make/already has made to their state program, staffing or processes?

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* 21. Relative to this particular Peer Support Program experience, what worked well?

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* 22. Relative to this particular Peer Support Program experience, what would you change?

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* 23. Please provide any lessons learned from this experience.

* 17. Which of the Competencies Guiding Principles did you focus on the most with the new state dental
director/OH program manager? (Check all that apply)

* 18. Which of the Competency Domains did you focus on the most with the new state dental
director/OH program manager? (Check all that apply)