There are five primary categories of assessment methods: (1) document review, (2) observation, (3) interviews, (4) surveys, and (5) tracers. These are the places where peer reviewers find data to support their ratings. Peer reviewers can also reference empirical data that are not listed here to support their ratings.

As you approach an activity on the site visit agenda, you should be mindful of which tools are most likely to be helpful in that activity (e.g., a discussion with leadership may use mostly interview and observation). The most rigorous scoring will reference multiple tools that converge. Each standard should have at least one tool checked as a primary source of the rating; otherwise, you will need to provide a narrative of rationale for the score.

Tracers represent a method for review of a service, process or person. Tracers can be individually focused (e.g. person receiving service) or assess a “system function” (e.g., leadership, protection of confidentiality). Tracers can also cross or combine both individual experience and system functions. For example, discussion with a participant might reveal his/her experience of a recovery principle in action: “When I came for service, I was warmly welcomed and quickly felt at ease; there was great diversity at the site and I felt the staff embraced cultural diversity-I also needed some help with language translation and this was quickly available to me.”

A key process of the tracer method is to listen to the person receiving service and link to the dimension (e.g., recovery principle) under review. In this case, a link might also be made to the orientation process (system tracer) for peer support staff to review their orientation, training, and performance with regard to cultural competency. Tracers can also be conducted overtime revealing the continuous experience of the individual or the reliability and rigor of the system function.

Following is a list of the common items that you will find in each of the categories.

Documents & Data
  1. Code of ethics
  2. Formal definition of “peer”
  3. Leadership vision
  4. Policy & procedures
    1. HR
    2. Financial
  5. Access to service philosophy
  6. Guidelines for boundaries
  7. Human resources files
    1. Job descriptions
    2. Competencies
  8. Minutes & notes
  9. Organizational context
    1. Organization chart
    2. Organizational plans
  10. Orientation manual
  11. Training manuals
  12. Training logs
  13. Evaluation data
    1. Written needs assessments
    2. Data pictures-performance
    3. Data pictures-satisfaction
    4. Utilization data
  14. Annual summaries
  15. External reports
  16. Quality indicators
  17. Annual self evaluation
Observations
  1. Observation of group
  2. Observation of first visit
  3. Participatory processes
  4. Walk through
  5. Team observations
  6. Organizational climate
  7. Education sessions
  8. Cultural diversity
  9. Safety & security
  10. Welcoming environment
  11. Peer celebration
  12. Recovery celebration
  13. Symbols, rituals
  14. Meetings of key groups
  15. Secure records
  16. Data used for decision support
  17. Indicators of authenticity
  18. Recovery planning
  19. Strength language use
Interviews
  1. Semi-structured interviews
  2. Interviews with:
    1. Stakeholders
    2. Peers
    3. Peer leaders (peer workers)
    4. Peer supervisors
    5. Community representatives
  3. Topic areas:
    1. Recovery
    2. Principles and values
    3. Recovery capital
    4. Recovery design
    5. Authenticity
    6. Person centered service
    7. Access to service
    8. Open process environment
    9. Boundaries
    10. Competencies
    11. Quality & outcomes
Surveys & Measures
  1. Focus groups
  2. Recovery measures
  3. Satisfaction surveys
  4. Perception of service survey
  5. Stakeholder survey
  6. Organizational climate survey
  7. Cultural audit
Tracers & Service Reviews
  1. Service review
    1. Recovery principles
    2. Culture
    3. Recovery outcome
    4. Ethics
    5. Peer progression
    6. Self identification
  2. Review person-centered service
  3. Review-individual choice
  4. Review-boundary management
  5. Adverse event reviews
  6. Review recovery plan

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