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Purpose
Content Domain - Capacity for a number of services including HIV inpatient and outpatient medical, mental health, substance abuse inpatient and outpatient treatment, shelter, basic needs, social services, family counseling, and ancillary services. Clients served. Likelihood of service expansion and barriers to expansion. Operational Data Items - Date, Site Code, Program Information, Type of Agency, Activities of Agency, Services for Individuals with HIV, Services for Targeted Group, Number of Staff (total, and by type), Five items (Availability, Increased Capacity, Number of Males and Females Served, Percent Males and Females HIV Positive, Percent Males and Females in Target Group, Likelihood of Increasing Capacity for Service for Target Group) for each of 11 services (Office-Based Medical Care, Office-Based Dental Care, Mental Health Treatment, Substance Abuse Treatment, Rehabilitation Services, Case Management, Home Health Care, Hospice, Client Advocacy Services, Support Services, Education/Risk Reduction Techniques for Individuals and Groups), Barriers (19 items). Citation - Huba, G. J., Melchior, L. A., Staff of The Measurement Group, and HRSA/HAB's SPNS Cooperative Agreement Steering Committee (1995). Module 7: Agency Capacity and Needs Assessment Questionnaire. Available: www.TheMeasurementGroup.com. Culver City, California: The Measurement Group. Usage - Permission is granted for non-commercial use so long as form is not altered, the copyright is not removed, and a proper citation is made to the instrument. Non-commercial use is use by a not-for-profit organization in which the instrument is not sold. If you have questions about appropriate and proper uses, contact The Measurement Group. Findings from Evaluating HIV/AIDS Programs Reliability and Validity Studies
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