Appendix A.

Items on Administrator Baseline Survey asking number of staff with direct client contact

1. Approximately how many people—both paid and volunteer—work in your organization?

a. Number of Paid employees ____

b. Number of Volunteer workers ____

2. Approximately how many full-time equivalent (FTE) paid staff does your organization employ in each of the following categories? (If none, please write NONE or 0).

Psychiatrists	_____FTE
Psychologists (licensed or waivered)	_____FTE
Professional Social Workers (licensed or waivered)	_____FTE
Marriage and Family Therapists (licensed or waivered)	_____FTE
Other Mental Health Staff (e.g. occupational therapist, psychiatric nurses or technicians, etc)	_____FTE
(please specify)_______________________________
Substance Abuse Specialists (licensed or certified)	_____FTE
Physicians (excluding Psychiatrists)	_____FTE
Other licensed medical staff (e.g., RNs, NPs, Phys Assistants)	_____FTE
(please specify)_______________________________