Caregiver Feedback Survey
We would like your feedback on your experience with your therapist and the Intensive Home-Based Treatment service you and your family received. Questions include: I felt the therapist understood and respected our family and culture; Therapist listened to and valued our opinions and ideas; Therapist gave my family hope; I felt supported and safe while talking with our therapist; Therapist identified and acknowledged our strengths; Therapist was responsive and available when our family was in crisis; Therapist worked with me to identify safety concerns and to develop a safety plan; Therapist helped me with strategies to better monitor my child’s safety; Therapist met with and talked to our whole family; Therapist understood my child’s/family’s problems and worked with us to develop helpful solutions; I feel better equipped to handle my child’s problems; and Therapist worked with my child to develop new ways to better manage their emotions and/or behavior.
DOWNLOAD Caregiver Feedback Survey
IHBT FIDELITY REVIEW: Caregiver Feedback Survey (Spanish Language Version)
We would like your feedback on your experience with your therapist and the Intensive Home-Based Treatment service you and your family received. Questions include: I felt the therapist understood and respected our family and culture; Therapist listened to and valued our opinions and ideas; Therapist gave my family hope; I felt supported and safe while talking with our therapist; Therapist identified and acknowledged our strengths; Therapist was responsive and available when our family was in crisis; Therapist worked with me to identify safety concerns and to develop a safety plan; Therapist helped me with strategies to better monitor my child’s safety; Therapist met with and talked to our whole family; Therapist understood my child’s/family’s problems and worked with us to develop helpful solutions; I feel better equipped to handle my child’s problems; and Therapist worked with my child to develop new ways to better manage their emotions and/or behavior.
DOWNLOAD SPANISH LANGUAGE VERSION OF Caregiver Feedback Survey
IHBTOhio.org is presented by The Center for Innovative Practices (CIP)
and the Child and Adolescent Behavioral Health Center of Excellence (CABH COE)
Part of the Begun Center for Violence Prevention
at Case Western Reserve University’s Mandel School of Applied Social Services
Mailing Address: 10900 Euclid Avenue | Cleveland, OH 44106-7164
© 2022 Center for Innovative Practices, Cleveland, Ohio 44106
Consistent with the Ohio Department of Medicaid’s (ODM) and OhioMHAS, rules to promote high-quality service, the IHBT Fidelity Tool was developed to ensure compliance with IHBT service delivery standards. Providers choosing to bill services under Medicaid’s IHBT bundled rate must be certified. Certification assures minimum fidelity standards are being met.