THE
HEAD START FAMILY AND CHILD EXPERIENCES SURVEY
FAMILY
SERVICE WORKER INTERVIEW
Spring, 1999
|
The purpose of FACES is to learn how the Head Start program
helps families around the country get services for their children. I want
to talk with you so we can understand how Head Start interacts with families
from your point of view. I will ask questions about your background and
how you work with parents and children. Information from this study will
be used to help Head Start improve its understanding of the families that
are served by the program and to improve services provided to families.
I will ask you questions and write down your answers. You may stop me
at any time, and you may go back to earlier questions to change your answers.
No one else from the Head Start program will see or hear your answers.
The things you tell me are very important, so please be as complete as
possible. Our interview should take approximately 40 minutes. Do you have
any questions?
Before we begin, let me read the following to you:
NOTICE : According to
the Paperwork Reduction Act of 1995, no persons are required to respond
to a collection of information unless it displays a valid OMB Control
Number. The valid OMB Control Number for this information collection
is 0970-0151 (expires 6/2000). The time required to complete this
information collection is estimated to average 40 minutes per response,
including time to review instructions, search existing data resources,
gather the data needed, and complete and review the information collection. |
At the end of the interview, I will give you some addresses
and phone numbers in case you would like more information. Do you have
any questions before we begin?
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Date: |
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mo |
day |
yr |
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Interviewer: _______________________ |
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Interviewer ID #: |
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____ |
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Program Name: ____________________ |
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Program #: |
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Center Name: _____________________ |
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Center #: |
____ |
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Interviewee Name: __________________ |
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Interviewee ID # |
____ |
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A. |
HEAD START EMPLOYMENT |
|
I'd like to start by asking you some questions
about your professional background and your job with Head Start. |
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A1. |
How long have you been employed by this
Head Start program? |
_______ |
|
(ROUND RESPONSE TO NEAREST # OF YEARS.) |
years |
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A2. |
In total, how many years have you worked with any
Head Start program? |
_______ |
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(ROUND RESPONSE TO NEAREST # OF YEARS.) |
years |
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A3. |
Before you started working with Head Start, did you
have any work or volunteer |
|
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experience as a social worker
or case manager in a family support program? |
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No
01 |
(SKIP TO A5) |
|
Yes02 |
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A4. |
How many years experience
did you have with such programs before you joined Head |
_______ |
|
Start? (ROUND RESPONSE TO NEAREST # OF YEARS.) |
years |
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A5. |
How many hours per week are
you paid to work for Head Start? |
_______ |
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hrs./wk. |
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A6. |
How many hours per week do
you actually work for Head Start? |
_______ |
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hrs./wk. |
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A7. |
How many months per year
are you paid to work for Head Start? |
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(INTERVIEWER: IF RESPONSE IS IN WEEKS OR DAYS PER
YEAR, ENTER IN |
_______ |
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SPACE PROVIDED. WRITE "NA" IN OTHER SPACES.) |
mos./yr. |
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or _______ |
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wks./yr. |
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or _______ |
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days/yr. |
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A8. |
What is your annual salary? $
_____________ |
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per year |
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A9. |
What positions/job titles
do you have with Head Start now, how long
have you held each position, and how much time
would you say each position takes each month?
(ROUND TO NEAREST NUMBER OF HEAD START YEARS.)
(PROMPT:
BEST ESTIMATE?) |
|
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RESPONSIBILITIES /JOB TITLES |
# OF YEARS IN THIS POSITION |
% OF WORK
TIME PER MONTH |
|
______________________________________ |
________________ |
________________ |
|
______________________________________ |
________________ |
________________ |
|
______________________________________ |
________________ |
________________ |
A10. |
What other positions/job titles,
if any, have you held over your entire experience with Head Start? |
|
RESPONSIBILITIES /JOB TITLES |
|
_____________________________________________________________________________ |
|
_____________________________________________________________________________ |
|
_____________________________________________________________________________ |
A11. |
In your current Head Start
position(s), do any of the following make
it harder for you to do your job well?
(READ
LIST AND CIRCLE ONE FOR EACH. USE STEM, AS NEEDED:
AIs (are) there ______________ that make(s) it harder for you?") |
|
|
NO |
YES |
a. |
Time constraints (not enough time to do all that is
required) |
01 |
02 |
b. |
An undefined role (unclear guidelines on job responsibilities) |
01 |
02 |
c. |
Not a high enough salary for job demands |
01 |
02 |
d. |
Lack of support staff |
01 |
02 |
e. |
Not enough training for secondary responsibilities |
01 |
02 |
f. |
Not enough support and communication from administration |
01 |
02 |
g. |
Not enough funds for supplies and activities |
01 |
02 |
h. |
Other (SPECIFY) |
01 |
02 |
A12. |
Now I=d like to read you a list of reasons
people continue in a job. How important is each of these to you in
continuing to work for Head Start? (READ LIST AND
CIRCLE ONE FOR EACH. REPEAT STEM AS NEEDED:
"How important
is/are __________________________to you in continuing to work for
Head Start?") |
|
|
Not
Important |
Somewhat
important |
Very
important |
NA |
a. |
Job security |
01 |
02 |
03 |
98 |
b. |
The pleasure of working with young children |
01 |
02 |
03 |
98 |
c. |
The professional respect of this job/career |
01 |
02 |
03 |
98 |
d |
Your salary |
01 |
02 |
03 |
98 |
e |
The benefits (e.g., health or life insurance) |
01 |
02 |
03 |
98 |
f. |
The ability to have your own children at your workplace |
01 |
02 |
03 |
98 |
g. |
Your work schedule (e.g., length of day, summers off) |
01 |
02 |
03 |
98 |
h. |
The working conditions (e.g., clean, well-organized) |
01 |
02 |
03 |
98 |
i. |
The opportunity to work with other adults (teachers,
parents) |
01 |
02 |
03 |
98 |
j. |
The opportunity to use your experience and/or education
in child development |
01 |
02 |
03 |
98 |
k. |
The significance or importance of working with children
and families |
01 |
02 |
03 |
98 |
l. |
[REMOVED] |
|
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m. |
The opportunity for professional advancement |
01 |
02 |
03 |
98 |
n. |
Other (SPECIFY) |
01 |
02 |
03 |
98 |
A13. |
How satisfied
are you with your present position? Would
you say you are:
(READ LIST AND CIRCLE ONE.) |
a. |
Very satisfied |
01 |
b. |
Satisfied |
02 |
c. |
Neither satisfied nor dissatisfied |
03 |
d. |
Dissatisfied |
04 |
e. |
Very dissatisfied |
05 |
A14. |
How satisfied are
you with working in the field of family services?
Would you say you are:
(READ LIST AND CIRCLE ONE.) |
a. |
Very satisfied |
01 |
b. |
Satisfied |
02 |
c. |
Neither satisfied nor dissatisfied |
03 |
d. |
Dissatisfied |
04 |
e. |
Very dissatisfied |
05 |
A15. |
How likely are
you to continue working for Head Start through
the next Head Start year (through 1999-2000)? (CIRCLE
ONE.) |
a. |
Very likely |
01 |
b. |
Somewhat likely |
02 |
c. |
Somewhat unlikely |
03 |
d. |
Very unlikely |
04 |
e. |
Don't know/not sure |
05 |
A16. |
Do you have any children
living in your household who attend Head Start now? |
A17. |
Did any children
who lived in your household in the past
attend Head Start? |
B. |
EDUCATIONAL BACKGROUND |
B1. |
What is the last or highest
grade of school you have completed?
(DO NOT READ LIST. CIRCLE ONLY ONE RESPONSE.) |
No formal schooling |
01 |
|
Vocational, Trade, or Business
School |
Elementary School |
|
|
After High (School Graduation/GED) |
Less than 6th grade |
02 |
|
Less than one year |
10 |
Grades 6S8 |
03 |
|
One to two years |
11 |
High School |
|
|
Two years or more |
12 |
9th grade |
04 |
|
College After High School |
10th grade |
05 |
|
Graduation/GED |
11th grade |
06 |
|
1 year |
13 |
12th grade |
07 |
|
2 years |
14 |
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3 years |
15 |
|
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4 years |
16 |
Adult High School or GED classes |
08 |
|
Graduate school years |
17 |
[Removed] |
09 |
|
Other (SPECIFY) |
|
B2. |
|
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B3. |
WHAT DIPLOMAS, CERTIFICATES, OR DEGREES
DO YOU HAVE? (CIRCLE ALL THAT APPLY. PROBEFOR: HIGH SCHOOL DIPLOMA,
GED, AND CDA.) |
|
|
IF "d" OR "e" (BACHELOR'S
OR GRADUATE DEGREE),
ASK:
IN WHAT FIELD(S) IS/ARE YOUR DEGREES? |
a. |
High school diploma |
01 |
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aa. |
GED certificate |
02 |
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|
_______/___________________ |
b. |
Associate's degree |
03 |
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degree |
field |
bb. |
CDA (Child Development Associate) |
04 |
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c. |
Nursing degree |
05 |
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_______/___________________ |
d. |
Bachelor's degree |
06 |
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degree |
field |
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B.3 |
|
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e. |
Graduate degree |
07 |
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B.3 |
_______/___________________ |
f. |
Other (SPECIFY) |
08 |
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degree |
field |
|
_________________________________ |
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g. |
Other (SPECIFY) |
09 |
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_________________________________ |
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B4. |
Do you have any (other) job-related
licenses or certificates? |
No |
01 |
CPR (Cardiopulmonary Resuscitation) |
02 |
Social Work |
03 |
Registered Nurse |
04 |
Teaching Certificate or License (Other than CDA) |
05 |
Other (SPECIFY) |
06 |
B4. |
Are you currently working on
a degree, certificate or license? |
The next questions are about training that
your Head Start program has provided or made available to you in the
past year. If you have a record of your training activities, you might
find it useful to refer to it. (SITE MANAGERS -- REQUEST RECORD
OF TRAINING OFFERED FROM PROGRAM, IF AVAILABLE.) |
C1. |
How many hours of training, in total, do
you estimate Head Start has provided or made available to you in the
past program year including this past summer? (TOTAL SHOULD =
C2 TOTAL.) |
__________
total hrs |
FOR EACH OF THESE TOPICS, ABOUT
HOW MANY HOURS OF TRAINING HAS BEEN PROVIDED OR MADE AVAILABLE TO
YOU BY HEAD START IN THE PAST PROGRAM YEAR INCLUDING THIS PAST SUMMER?
(READ LIST AND RECORD NUMBER OF HOURS FOR EACH.)
TOPIC |
C2. # HOURS
RECEIVED |
C3. THREE TOPICS
YOU WANT MORE TRAINING IN? (CIRCLE THREE RESPONSES ONLY.) |
a. |
Child development |
|
02 |
b. |
Educational programming |
|
02 |
c. |
Child assessment and evaluation |
|
02 |
d. |
Childrens health issues (e.g.,
immunizations, childhood diseases) |
|
02 |
e. |
Family health issues (e.g., AIDS,
asthma) |
|
02 |
f. |
Mental health issues |
|
02 |
g. |
Bilingual education |
|
02 |
h. |
Multicultural sensitivity |
|
02 |
i. |
Domestic violence/family violence |
|
02 |
j. |
Child abuse and neglect |
|
02 |
k. |
Substance abuse |
|
02 |
l. |
Family needs assessment and evaluation |
|
02 |
m. |
Providing services for children
with special needs |
|
02 |
n. |
Providing case management services
to families |
|
02 |
o. |
Working with other agencies to
assist families |
|
02 |
p. |
Involving parents in program activities |
|
02 |
q. |
Behavior management |
|
02 |
r. |
Providing supervision to staff |
|
02 |
s. |
Administration and program management |
|
02 |
t. |
Head Start principles and practices |
|
02 |
u. |
CPR (Cardiopulmonary Resuscitation) |
|
02 |
v. |
Other (LIST AND SPECIFY NUMBER
OF TRAINING HOURS) |
|
02 |
|
_________________________________________ |
_________ |
02 |
C4. |
This is a list of methods
some Head Start programs use in providing in-service training
to their staff. Please tell me which types of training you have received
by or through Head Start. (READ LIST. CIRCLE NO [1] OR YES [2]
OR DK [99] FOR EACH.) |
|
|
NO |
YES |
DK |
a. |
Training sessions and workshops held within your Head
Start agency |
01 |
02 |
99 |
b. |
Training sessions and workshops held outside the agency |
01 |
02 |
99 |
c. |
Courses and classes made available at community or
four-year colleges |
01 |
02 |
99 |
d. |
A resource library available at your agency for independent
study (print, computers, multimedia) |
01 |
02 |
99 |
e. |
Ongoing supervision and feedback by Head Start staff |
01 |
02 |
99 |
f. |
Follow-up training to help put training ideas into
practice |
01 |
02 |
99 |
g. |
Other (SPECIFY) |
01 |
02 |
99 |
|
_____________________________________________________ |
01 |
02 |
99 |
|
_____________________________________________________ |
01 |
02 |
99 |
|
_____________________________________________________ |
01 |
02 |
99 |
C5. |
Which item from the above list is
most characteristic of the training offered
by or through your Head Start agency? |
_____________
(ENTER ONE LETTER ONLY.) |
C6. |
Overall, how helpful in
doing your job is the training provided by or made available by Head
Start? Would you say it is . . . .
(READ LIST AND CIRCLE
ONE.) |
a. |
Not very helpful |
01 |
b. |
Somewhat helpful |
02 |
c. |
Very helpful |
03 |
D. |
NEED ASSESSMENT & SERVICE
PLANS |
D1. |
Do you complete a written family
needs assessment (FNA) for all, most, some, or none of the families
that are assigned to you? (CIRCLE ONE OPTION.) |
D2. |
What other staff members
have responsibility for completing family needs assessments?
(CIRCLE ALL THAT APPLY.) |
a. |
Center director/administrator |
01 |
b. |
Social service administrator |
02 |
c. |
(Blank) |
03 |
d. |
Parent involvement staff |
04 |
e. |
Education staff/teachers |
05 |
f. |
Health staff |
06 |
g. |
Combination of center and program staff |
07 |
h. |
Other (SPECIFY) ________________________________ |
08 |
i. |
Don't know |
99 |
D3. |
When you or other staff complete
the family needs assessment (FNA), do you do the following:
(READ LIST AND CIRCLE ONE FOR EACH.) |
|
|
No |
Yes |
a. |
Discuss objectives and goals with families |
01 |
02 |
b. |
Prepare written family needs assessment with families |
01 |
02 |
c. |
Review completed needs assessment with families |
01 |
02 |
Now I'd like to ask you about your use of family assistance
plans or a written plan specifying goals and objectives for Head Start
families that you work with. |
D4. |
Do you complete a written
family assistance plan (FAP) or service plan for all, most, some,
or none of the families that are assigned to you? (CIRCLE ONE
OPTION.) |
D5. |
When you develop the family assistance
plan (FAP) or service plan, do you do the following:
(READ
LIST AND CIRCLE ONE FOR EACH.) |
|
|
No |
Yes |
a. |
Discuss objectives and goals with families |
01 |
02 |
b. |
Prepare the written family assistance plan with families |
01 |
02 |
c. |
Ask family to sign a copy of the plan |
01 |
02 |
d. |
Give the family a copy of the plan |
01 |
02 |
D6. |
How often do you review and update the
family assistance plans? (READ LIST AND CIRCLE ONE
OPTION.) |
1. |
More than once a month |
01 |
2. |
At least once a month |
02 |
3. |
At least once every three or four months |
03 |
4. |
At least once every six months |
04 |
5. |
At least once a year |
05 |
6. |
As needed |
06 |
7. |
Other (SPECIFY) ___________________________________ |
07 |
E. |
CASE MANAGEMENT
Now I'd like to ask you about your work with families.
|
E1. |
What was your average
caseload of Head Start families during this past year? |
____________
# families
|
E2. |
Do you think your caseload
this past year was: |
|
Too high |
01 |
Too low |
02 |
About right |
03 |
E3. |
What factors determine the assignment of
families to specific case managers/family service workers? If more
than one factor is considered, please prioritize factors in order
of importance with "1" being the most important consideration.
(READ LIST AND CIRCLE YES OR NO FOR EACH.) |
|
|
No |
Yes |
Priority
Order |
a. |
According to the child's classroom |
01 |
02 |
______ |
aa. |
According to the center |
01 |
02 |
______ |
b. |
Geographic location of family |
01 |
02 |
______ |
c. |
Previous experience with specific families |
01 |
02 |
______ |
d. |
Type or level of families' needs |
01 |
02 |
______ |
e. |
Caseload size |
01 |
02 |
______ |
f. |
Qualifications or experience of staff with specific
family needs |
01 |
02 |
______ |
g. |
Match between race, language, ethnic, and/or cultural
characteristics of family and staff |
01 |
02 |
______ |
h. |
Randomly (without consideration for any of the above
factors) |
01 |
02 |
______ |
i. |
Other (SPECIFY) |
01 |
02 |
______ |
|
_______________________________________________________ |
01 |
02 |
______ |
E4. |
In general, when do you first have contact with
a family in your caseload? (READ LIST AND CIRCLE
ONE.) |
a. |
During recruitment |
01 |
b. |
Upon enrollment |
02 |
c. |
Shortly after the child begins class |
03 |
d. |
Only upon referral from staff |
04 |
e. |
Upon direct request from parents |
05 |
f. |
Other (SPECIFY): |
06 |
E5. |
If a family had a new need for services that emerged
during the Head Start year, how would you most likely learn about
it? (READ LIST AND CIRCLE ONE.) |
a. |
Direct contact initiated by family (telephone call,
letter) |
01 |
b. |
Through routine contact with the family (home visits,
telephone calls) |
02 |
c. |
Through informal contact with the family during Head
Start activities |
03 |
d. |
Referral from other Head Start staff |
04 |
e. |
Other (SPECIFY): |
05 |
E6. |
In the past month, what type(s) of contact
did you have with Head Start families that you work with? For all
families, some families, or no families, did you have contact through:
(SELECT ONE RESPONSE FOR EACH ITEM BELOW.) |
|
Yes,
for all
families |
Yes,
for some
families |
No,
not
at all |
a. |
Individual meetings at Head Start center |
01 |
02 |
03 |
b. |
Individual meetings at families' home |
01 |
02 |
03 |
c. |
Group meetings at Head Start center |
01 |
02 |
03 |
d. |
Telephone calls |
01 |
02 |
03 |
e. |
Notes, postcards |
01 |
02 |
03 |
f. |
Other (SPECIFY): |
01 |
02 |
03 |
E7. |
During the past year, how often did you
have face-to-face contacts with families in your
caseload? What proportion of families did you see: (TOTAL SHOULD
EQUAL 100% OF FAMILIES IN
CASELOAD.) |
|
Percentage of Head Start Families |
a. |
Once or twice a year |
__________________ |
b. |
Three to six times a year |
__________________ |
c. |
About once a month |
__________________ |
d. |
More than once a month |
__________________ |
e. |
About once a week or more |
__________________
100% |
E8. |
What are the minimum number
of home visits you make to the families that you work
with during the Head Start year? (DO NOT READ LIST. CIRCLE ONLY
ONE.) |
a. |
None |
01 |
b. |
One per year |
02 |
c. |
Two per year |
03 |
d. |
Three to six per year |
04 |
dd. |
More than six a year |
05 |
|
E9. |
Do you meet at least monthly either
individually or in a group with any of the following Head Start staff
to discuss the progress and goals of individual families?
(READ LIST AND CIRCLE YES OR NO FOR EACH OPTION.) |
|
|
No |
Yes |
a. |
Program director/administrator |
01 |
02 |
aa. |
Social service administrator |
01 |
02 |
b. |
Center director/administrator |
01 |
02 |
c. |
Parent involvement staff |
01 |
02 |
d. |
Education staff/teachers |
01 |
02 |
e. |
Health staff |
01 |
02 |
f. |
Other (SPECIFY) |
01 |
02 |
E10. |
What are the three major activities
that you spend the most time on in your work with familiesin order
of priority (1, 2, or 3)? (INDICATE ONLY THE TOP 3 BY NUMBERING
TOPICS BELOW 1-3, WITH #1 INDICATING THE TOPIC TAKING THE MOST TIME.
DO NOT ASSIGN THE SAME RANK TO MORE THAN ONE
TOPIC.) |
|
|
Rank |
a. |
Providing educational experiences to the
Head Start child or other children in the household |
_______ |
b. |
Educating the parent or caregiver on parenting/education/child
development issues |
_______ |
c. |
Addressing issues of family health and
nutrition |
_______ |
d. |
Providing informal counseling or addressing
personal issues (e.g., marital stress/family relations) |
_______ |
e. |
Providing social service information/referral
to caregivers (such as employment assistance, adult education, etc.) |
_______ |
f. |
Providing assistance with basic needs
(e.g., food/housing/clothing/medical care) |
_______ |
g. |
Other (SPECIFY) |
_______ |
E11. |
What are the three main concerns or issues
that families need your help with? (INDICATE ONLY THE TOP 3 BY
NUMBERING TOPICS BELOW 1-3, WITH #1 INDICATING THE TOPIC TAKING THE
MOST TIME. DO NOT ASSIGN THE SAME RANK TO MORE THAN ONE TOPIC.)
|
|
|
Rank |
a. |
Basic needs (e.g., food/housing/clothing) |
________ |
b. |
Parenting issues (e.g., child behavior management) |
________ |
c. |
Parent's personal issues (e.g., family relations, marital
stress, substance abuse, domestic violence) |
________ |
d. |
Transportation |
________ |
e. |
Child care issues |
________ |
f. |
Concerns about child's development |
________ |
g. |
Legal issues (e.g., child custody, child support) |
________ |
h. |
Medical and/or dental care |
________ |
i. |
Other (SPECIFY): |
________ |
E12. |
To your knowledge, how many families that
you work with have been reported to an agency for: |
|
|
Number |
Don't Know/
Refuse to Answer |
a. |
Child abuse |
#:__________ |
999 |
b. |
Child neglect |
#:__________ |
999 |
c. |
Other family violence |
#:__________ |
999 |
E13. |
To your knowledge, how many families that
you work with have household members: |
|
|
Number |
Don't Know/
Refuse to Answer |
a. |
With AIDS |
#:__________ |
999 |
b. |
With a substance abuse problem |
#:__________ |
999 |
c. |
In prison |
#:__________ |
999 |
d. |
Who have a physical or mental disability |
#:__________ |
999 |
e. |
Who are the victims of family violence |
#:__________ |
999 |
F. |
CONTACT WITH COMMUNITY PROVIDERS
|
Now I'd like to ask you some questions about your experience
with community service providers. |
FI. |
What percent of your time would you estimate
is spent directly providing services to Head Start families, what
percent is spent contacting and working with community agencies, and
what percent is spent on administrative tasks? (TOTAL MUST ADD
TO 100%.) |
|
|
Percentage
of time |
a. |
% time with families |
_________ |
b. |
% time contacting and working with community agencies |
_________ |
c. |
% time on administrative tasks such as paperwork and
meetings |
_________ |
d. |
Other responsibilities (SPECIFY) |
_________
100% |
F2. |
Upon entering Head Start, would you say
Amost, "some," "a few" or "none" of
the parents new to Head Start (READ STATEMENT)... |
|
|
Most |
Some |
A
Few |
None |
Don't
Know |
a. |
Don't know at all what services are available
in the community |
01 |
02 |
03 |
04 |
99 |
b. |
Know what's available in the community
but don't use the resources |
01 |
02 |
03 |
04 |
99 |
c. |
Are aware of the services that are available
in the community and use them pretty well |
01 |
02 |
03 |
04 |
99 |
F3. |
Upon entering Head Start, would you say
Amost, "some," "a few" or "none" of
the parents new to Head Start (READ STATEMENT)... |
|
|
Most |
Some |
A Few |
None |
Don't
Know |
a. |
Require extensive help from Head Start
staff to contact and use community services |
01 |
02 |
03 |
04 |
99 |
b. |
Are pretty good about contacting and using
community services when staff work closely with them |
01 |
02 |
03 |
04 |
99 |
c. |
Take the initiative on their own to contact
and use community services with little staff effort |
01 |
02 |
03 |
04 |
99 |
F4. |
When you refer families to community service
providers, what proportion of your referrals are handled in the following
ways? (TOTAL MUST ADD TO 100%.) |
|
|
Percentage
of Referrals |
a. |
Specific information about services is given to families
(e.g., location, time of classes, contact person) and the families
arrange for their own services |
________ |
b. |
Individual slots or services are arranged with direct
service providers by Head Start staff |
________ |
c. |
Head Start staff arrange services and accompany family
to services for orientation or first meeting |
________ |
d. |
Other (SPECIFY) |
________ |
|
|
100% |
F5. |
How often do you follow up referrals to
services in the following ways to find out if the family used those
services? (READ LIST AND CIRCLE ONE RESPONSE FOR EACH ITEM.)
|
|
|
Never |
Rarely |
(Sometimes) |
(Frequently)
|
Don't
Know |
a. |
By talking with families |
01 |
02 |
03 |
04 |
99 |
b. |
By talking with community service provider |
01 |
02 |
03 |
04 |
99 |
c. |
By receiving written notice from community service
provider |
01 |
02 |
03 |
04 |
99 |
d. |
Other (SPECIFY) |
01 |
02 |
03 |
04 |
99 |
F6. |
In the past Head Start year, how many families
in your caseload have you referred to the following agencies either
by telephone, written referral, or in-person contact: (CIRCLE
ONE RESPONSE FOR EACH PROVIDER.) |
Agencies that provide: |
None |
1-5 |
6-10 |
More
than 10 |
Don't
Know |
a. |
Income assistance -- like welfare,
SSI, unemployment insurance |
01 |
02 |
03 |
04 |
99 |
b. |
Food and nutrition assistance --
like Food Stamps or WIC |
01 |
02 |
03 |
04 |
99 |
c. |
Help with housing |
01 |
02 |
03 |
04 |
99 |
d. |
Help with utilities (running water,
hot water, heat, telephone service) |
01 |
02 |
03 |
04 |
99 |
e. |
Job training and employment assistance |
01 |
02 |
03 |
04 |
99 |
f. |
Education assistance -- for example,
GED, college, learning to read, English as a second language |
01 |
02 |
03 |
04 |
99 |
g. |
Help getting transportation to
a job or training |
01 |
02 |
03 |
04 |
99 |
h. |
Child care |
01 |
02 |
03 |
04 |
99 |
i. |
MEDICAID/local name for MEDICAID |
01 |
02 |
03 |
04 |
99 |
j. |
Medical or dental care for children/adults |
01 |
02 |
03 |
04 |
99 |
k. |
Alcohol or drug abuse treatment
or counseling |
01 |
02 |
03 |
04 |
99 |
l. |
Mental health services |
01 |
02 |
03 |
04 |
99 |
m. |
Legal aid |
01 |
02 |
03 |
04 |
99 |
n. |
Help dealing with family violence |
01 |
02 |
03 |
04 |
99 |
o. |
Help in solving other family problems |
01 |
02 |
03 |
04 |
99 |
p. |
Other (SPECIFY) |
01 |
02 |
03 |
04 |
99 |
F7. |
How frequently do you meet with staff from
collaborating agencies for the following activities:
(CIRCLE
ONE RESPONSE FOR EACH ACTIVITY.) |
|
|
More than
once a
month |
About
once a
month |
Less than
once a
month |
No
contact |
a. |
Joint membership on an advisory panel or community
board |
01 |
02 |
03 |
04 |
b. |
Meetings to discuss general services for Head Start
families |
01 |
02 |
03 |
04 |
c. |
Meetings to discuss services for specific Head Start
families |
01 |
02 |
03 |
04 |
F8. |
How often have the following been barriers
to collaboration with other community service providers: (CIRCLE
ONE RESPONSE FOR EACH ITEM BELOW.) |
|
|
Never |
Rarely |
(Sometimes) |
(Frequently) |
Don't
Know |
a. |
Limited number of openings for families at collaborating
agency |
01 |
02 |
03 |
04 |
99 |
b. |
Content or focus of agency does not match families'
needs |
01 |
02 |
03 |
04 |
99 |
c. |
Lack of bilingual staff |
01 |
02 |
03 |
04 |
99 |
d. |
Services inaccessible or too far away |
01 |
02 |
03 |
04 |
99 |
e. |
Availability of child care during class or meeting
time |
01 |
02 |
03 |
04 |
99 |
f. |
Schedule does not meet family needs |
01 |
02 |
03 |
04 |
99 |
g. |
Lack of cooperation from staff at collaborating agency |
01 |
02 |
03 |
04 |
99 |
h. |
Cost of service is prohibitive |
01 |
02 |
03 |
04 |
99 |
i. |
Other (SPECIFY) |
01 |
02 |
03 |
04 |
99 |
F9. |
Are there services that Head Start families
need that Head Start or community agencies cannot provide? (CIRCLE
ONE.) |
|
IF YES, EXPLAIN SERVICES NEEDED
AND REASON THEY CANNOT BE PROVIDED: |
|
________________________________________________________________________ |
|
________________________________________________________________________ |
|
________________________________________________________________________ |
F10. |
Is there anything you would change about
your job or the social service component that would improve services
provided to families? (PLEASE EXPLAIN.) |
|
________________________________________________________________________ |
|
________________________________________________________________________ |
|
________________________________________________________________________ |
F11. |
Has there been an impact on Head Start
families because of welfare reform and changes in public
assistance laws? (PLEASE EXPLAIN.) |
|
________________________________________________________________________ |
|
________________________________________________________________________ |
|
________________________________________________________________________ |
F12. |
Has there been an impact on your Head
Start program because of welfare reform and changes
in public assistance laws? (PLEASE EXPLAIN.) |
|
________________________________________________________________________ |
|
________________________________________________________________________ |
|
________________________________________________________________________ |
Thank you very much
for your cooperation. You've been very helpful!
|
If you have any questions about the study or
the interview, you can call or write to any of these people.
(TEAR OFF BACK SHEET OF INTERVIEW AND HAND TO RESPONDENT.) |
FACES: THE HEAD START FAMILY AND CHILD
EXPERIENCES SURVEY |
Thank you very much for your cooperation.
If you have any questions about the study or the interview, you
may call the following numbers: |
Louisa Tarullo, Ed.D.
Administration on Children, Youth and Families
(202) 205-8324
David Connell, Ph.D.
Abt Associates Inc.
(617) 349-2804
Nicholas Zill, Ph.D.
Westat, Inc.
(301) 294-4448 |
You may send your comments regarding
the interview burden or any other aspect of this collection of information,
including suggestions for reducing this burden, to: |
Reports Clearance Officer
Administration for Children and Families
U.S. Department of Health and Human Services
370 L'Enfant Promenade, S.W.
Washington, DC 20447
Office of Management and Budget
Paperwork Reduction Project
OMB Control No. (new request)
Washington, DC 20503 |
|