STAFFING

1. Caseload size:
   - How many clients does each vocational staff person (full-time equivalent) have on his/her caseload?
2. Vocational services staff:
   - Do any of the vocational staff provide other services besides vocational, such as case management or residential services
   - How much of their time do they provide nonvocational services?
3. Vocational generalists:
   - Do different vocational staff provide different aspects of the vocational service? For example, one person only does job development or one person only
   does job support. What different aspects of the vocational process does each provide?

ORGANIZATION

1. Integration of rehabilitation treatment with mental health treatment:
   - Do vocational workers interact with case managers about their mutual clients? (e.g., In what situations do they interact and how regularly (meetings, telephone, etc.)?
   - Are vocational workers assigned to work with specific case managers or case management teams?
   - Do they participate in shared decision making about client services? Who (staff) makes the final decision?
   - Where are the offices located for case managers and for vocational workers?
2. Vocational unit:
   - Do the vocational workers have the same supervisor?
   - Do the vocational workers meet as a group for supervision? How often?
   - Do the vocational workers provide services for each others' clients?
   - Where are their offices?
3. Zero exclusion criteria:
   - What are the criteria to be eligible to receive vocational services?
   - Who conducts the screening?
   - Are there provisions made for being sure no one is excluded?

SERVICES

1. Ongoing, work-based vocational assessment:
   - Does the program include vocational evaluation procedures?
   - What type of assessment procedures do you use and in which settings?
   - Are their certain assessment procedures that must be completed prior to job placement, e.g. testing, prevocational work adjustment?
   - How much preplacement assessment do you do?
2. Rapid search for competitive job:
   - What is the average length of time between when a person begins the program and the first contact with a competitive employer? What is the range of time?
   - What is the philosophy of the program about when to start the job search?
3. Individualized job search job search:
   - How is it decided which jobs should be targeted for clients? Who makes these decisions? What information is it based on?
   - How has the nature of the job market affected jobs the type of jobs clients obtained?
4. Diversity of jobs developed:
   - Does the vocational worker ever suggest to clients that they work at the same job setting as other clients? What percentage of each vocational worker's clients work in the same job settings?
   - Does the vocational worker ever suggest to clients that they obtain the same type of job as other clients? What percentage of each vocational worker's clients have the same type of work?
5. Permanence of jobs developed:
   - What percentage of the jobs that the vocational worker suggests to clients are permanent, competitive jobs?
   - Does the vocational worker ever suggest jobs that are temporary or time-limited? How often?
6. Jobs as transitions:
   - Do vocational workers help clients to find another job when one ends?
   - What percentage of the vocational worker's clients who have ended jobs have been provided assistance in finding another job?
   - What are reasons a vocational worker would not help a client find another job when one has ended? (e.g., client was fired due to poor attendance.)
7. Follow-along supports:
   - Does the vocational worker provide follow-along supports to the client and the employer? What kind of supports?
   - What percentage of working clients has follow-along supports provided?
   - Is there a time limit for providing supports?
8. Community-based services:
   - Where do the vocational workers spend most of their time?
   - What percentage of their time is spent outside the mental health facility?
9. Assertive engagement and outreach:
   - Does the vocational worker provide any outreach if a client does not engage or drops out of services?
   - What kinds of outreach are provided? How often are outreach attempts made? Is there a time limit to providing outreach if a client stops attending? What is the time limit?