How many of your program faculty have a private practice? Does your university allow faculty release time for non-univeristy business (consulting, private practice)? Does your university allow faculty to use the clinic for all or some of their private practice? If Yes, how many facutly use your clinic for all or some of their private practice? If Yes, what are the benefits of having faculty private practice in the clinic? (Mark all that apply) If Yes, what are the monetary arrangements? (Mark all that apply) 7.If yes to choice f above, what portion of collected fees does the faculty member receive? (in %) 7.What portion does the clinic receive? (in %) If yes to choice i above, what portion of collected fees does the faculty member receive for their account? (in %) What portion does the clinic receive? (in %) Please describe any other private plan operating in your clinic or training program. Is your lcinic administratively located within a psychology department? If No, in what administrative units is the clinic located? Is your clinic seperated physically from your department/administrative unit? If one or more service units/satellite clinics are located elsewhere, where are they located? What percent of clients served on campus? What percent of the clients served off campus? How many years has your clinic been in existence? How many years has there been a clinic director in place? Average # of phone calls per day Number of student therapists Waiting room: check if you have one 18.Clinic staff: Please indicate the number of staff working in each position and the average number of hours each person works when the clinic is open.
Does your clinic have a psychologist as clinic director? Is the clinic director a: If a tenure track position, did this person receive tenure before or after becoming clinic director? Was the clinic director promoted to his/her current level (i.e., associate or full professor) befire ir after becoming clinic director? If tenure or non-tenure faculty position, describe the nature of the position. Is a percentage of the clinic director's salary paid by the clinic Do you have an assistant clinic director? If Yes, briefly describe the role the assistant director plays in the operation of your clinic? Does your clinical program have a director of clinical training (DCT)? Is the director of clinical training (DCT) and the clinic director the same position? If Yes, is the DCT/clinic director position tenure-track? If Yes, did this person earn tenure before or after becoming director of clinical training? If yes to item 29, is the director of clinical training/clinic director a If Yes, was the director of clinical training promoted to his/her current level (i.e., associate or full professor) before of after becoming director of clinical training? If Yes, is the director of clinical training a: If Yes, is a percentage of the director of clinical training's salary paid by the clinic? What is your FTE (Full Time Equivalent) appointment as clinic director? What is the length of an academic year at your university? 37.What do you see as your major needs with respect to space and equipment? (Check all that apply)
Does yoru existing equipment adequately meet your requirments in this area? What portion of your equipment expenses are paid out of clinc fees? What source pays for the remainder? Does your clinic have a computer database? Are you basing your responses to this survey on: Are clinic statistics complied regarding the number of clients, fees, referrals, ect., per academic/calendar year? If Yes, is this information complied in a report? If Yes, this report is distributed to: What types of clinic information do you regularly code/enter into computer files? (Specify) a. Training students in assessment b. Training students in psychotherapy/counseling c. Training studnets in alternative modalities (Specify) d. Training students in clinical research e. Providing services to the community How are these priorities established? Is your clinic (Mark all that apply) How is the clinic policy determined? (Mark all that apply) How is your clinic administered? How are clients assigned to student trainees? If No, who makes the final decision? What factors are considered in the assignment of clients to student therapists? (Mark all that apply) Are licensed supervisors on site at all sites? Are licensed supervisors on site when trainees are seeing clients? Please mark all the reasons why a case might be terminated at your clinic: In which of the following areas does your clinic have specific written procedures? What do you do to ensure that your trainees initially inform their clients about limits of confidentiality in therapy? (Mark all that apply) With regard to emergency procedures, which of the following does your clinic employ? (Mark all that apply) Must clients agree to be video-or audio taped to be accepted as a clinic client? a. We have no policy on this An ongoing client is allowd _____ no shows A new client is allowed _____ no shows Do you have a protocol of calls and/or letters for closing such no-show cases? Whose decision is it to close a case? Who has the final responsibility for ensuring that trainees meet professional practice minimums on documentation ect.? What enforcement leverage mechanisms are in place for ensuring the above: Who oversees compliance with ethical practice (HIPPA, state regulations,e ct.)? |
Survey software
Leading survey software to help you turn data into decisions.
Research Edition
Intelligent market research surveys that uncover actionable insights.
Customer Experience
Experiences change the world. Deliver the best with our CX management software.
Workforce
Powerful insights to help you create the best employee experience.
