SlideShare a Scribd company logo
1 of 3
Download to read offline
Sample Participant Cover Letter for Mailed Questionnaire

     Respondent
     Address

     Dear Respondent,
          I am a student [faculty/staff member] at Lakeland College, and I am conducting a study examining mental
     health court participants’ perceptions of the mental health court experience. Mental health courts are new and
     innovative, and there is little research that has examined court participants’ perceptions of the experience. The
     results of this study will hopefully improve the operations of mental health courts. It is my understanding that
     you are currently, or have participated in a Mental Health Court.

          I am interested in your experiences in the mental health court, so I have enclosed a questionnaire which
     asks you to respond to a series of statements and questions. The items in the questionnaire focus on your
     decision to enter the mental health court and how you thought you were treated by the judge while participating
     in the court program. Items also ask you to report how often you were compliant in taking prescribed
     medications, attending treatment sessions and meeting with the judge for court appearances and other program
     requirements. Finally, the questionnaire includes statements evaluating how helpful you think the court has been
     across a number of mental health, social service and quality of life areas.

         I want to stress that your participation in this study is voluntary and all efforts to protect your identity and
     keep the information confidential will be taken.

          I have enclosed a consent form for your review. Please read the form and feel free to contact me if you
     have any questions about the study. If you choose to participate, please sign, initial and date the consent
     information form and return it along with the completed questionnaire in the self-addressed envelope. I look
     forward to learning about your experiences in the mental health court. Your participation will be greatly
     appreciated.

     Sincerely,
     Name
     Lakeland College
     P.O. Box 359
     Sheboygan, WI 53082-0359
     Phone Number(s)


This study was reviewed and approved by the Institutional Review Board (IRB) of Lakeland College. Questions concerning your rights as a
participant in this research may be addressed to the IRB Chairperson (Dr. Alan Mock, Lakeland College, P.O. Box 359, Sheboygan, WI 53081;
Phone: 920-565-1234; E-mail: mocka@lakeland.edu).
[Sample Informed Consent Form]

    Before agreeing to participate in this research study, it is important that you read and understand the following
    explanation of the proposed procedures. It describes the procedures, benefits, risks and discomforts of the study.
    It also describes your right to withdraw from the study at any time.

Purpose of study: Mental health courts are a fairly new development. There is growing evidence that mental health
courts do a better job than traditional courts in helping persons with mental disorders. However, there remains a
need to understand how and why mental health courts work. This study will examine mental health court
participants’ perceptions of the mental health court experience. The study will focus on participants’ decisions to
enter a mental health court and how they felt they were treated by the judge as well as self-reported program
compliance and satisfaction with the court and services provided.

Procedures involved in the study: The researcher will attempt to contact participants for a phone interview and
asked to respond to statements using options provided by the phone interviewer. For example, some items ask about
the percentage of time (0=100%) participants engaged in treatment and program requirement behaviors while other
items ask the extent to which participants agree with a statement (strongly disagree to strongly agree). The phone
interview will take approximately 15-20 minutes. As a secondary procedure, participants will receive a notification
letter, the consent form and a copy of the questionnaire to complete and return in a self-addressed envelope [In the
event that phone numbers have been disconnected, the information provided to the researcher is incorrect, the
researcher has been unable to reach participants via phone, or contacted participants would prefer to complete a
paper-pencil survey].

Confidentiality of Research Records:
        • Only the researcher has access to contact information and responses
        • Your personal identifying information will only be used to contact you. Your responses will be recorded
             on a form that contains a code number created by the researcher.
        • After interviewing you or if you decline to participate, the researcher will take a black marker and cross
             through your name and information. At the end of the study, the contact sheet will be shredded, leaving
             no possible way to match code numbers/responses with your name.
        • Your personal/individual responses will not be given to the judge or court personnel
        • During the study, all data will be kept in a locked, secure, filing cabinet
        • By using code numbers, in the event that the results were subpoenaed, your individual responses could
             not be singled out

Potential Risks and Discomforts:
         • No physical, social or economic risks are posed to participants.
         • Participating in the study will not affect your current legal status, services provided or status in the
    program. For participants in the study who are currently enrolled in the mental health court, your participation
    in this study will in no way alter the level or type of services you are receiving from the court or change your
    legal status in the court. For example, reporting medication noncompliance to the researcher will not result in a
    program violation. The information that participants provide will remain confidential and the researcher is
    under no legal obligation to report program non-compliances, such as usage of alcohol or drugs, medication
    noncompliance and treatment non-attendance to the judge or other court personnel. If you have already
    completed the mental health court program or were terminated from the program, your results are also
    confidential and will in no affect the previous outcome/disposal of your case.
     • Breaking confidentiality and mandatory reporting. If a participant provides detailed information about crimes
    committed that are unknown to the court (a crime that you were not caught, charged or convicted of) the
    researcher will be legally obligated to report the crime to the court or appropriate authorities. Similarly, if
    participants discuss plans to harm themselves or others during the phone interview, and the interviewer
    perceives the threat to be real and imminent (going to happen soon), the researcher is obligated to report the
    threats to the appropriate authorities. To reduce the likelihood of this risk, the researcher will instruct the
    participant to refrain from providing information about specific criminal behaviors and to only respond using
    the response options for questions provided in the phone interview.
Potential Benefits: By participating in this study, you will get an opportunity to provide information about how you
felt you were treated in the mental health court; identify positive and negative aspects of mental health courts; and
potentially improve the services provided to mental health court clients. This is a participant’s chance to give the
research community and the mental health court important feedback on the operations of the court. The research
community often overlooks client perceptions and experiences in the criminal justice system and in new programs.
Your responses are highly valued and could possibly explain what makes mental health courts different from
standard courts and why mental health courts are effective or ineffective in helping persons with mental disorders.

Voluntariness & Withdrawal from Study:
         Your participation in this study is strictly voluntary and will not affect your current legal situation or result
    in adverse reactions from the mental health court. Neither the judge nor court personnel will know who has or
    has not participated in the study. If you choose to participate in the phone interview, you may end the interview
    at any time.

I have read the material above, and any questions I asked have been answered to my satisfaction. I understand a
     copy of this form will be made available to me for the relevant information and phone numbers. I realize that I
     may withdraw without prejudice at any time.”


_____________________________________________________________________________________________
Respondent’s Signature                            Date

More Related Content

What's hot

Research paper (pre ed 2)
Research paper (pre ed 2)Research paper (pre ed 2)
Research paper (pre ed 2)
Ysa Garcera
 

What's hot (20)

Research Procedure
Research ProcedureResearch Procedure
Research Procedure
 
Final Defense PowerPoint
Final Defense PowerPointFinal Defense PowerPoint
Final Defense PowerPoint
 
Examples of quantitative research titles
Examples of quantitative research titlesExamples of quantitative research titles
Examples of quantitative research titles
 
Statistical treatment of data
Statistical treatment of dataStatistical treatment of data
Statistical treatment of data
 
Chapters 1 5
Chapters 1 5Chapters 1 5
Chapters 1 5
 
Quantitative Research Instruments
Quantitative Research InstrumentsQuantitative Research Instruments
Quantitative Research Instruments
 
Chapter 3
Chapter 3Chapter 3
Chapter 3
 
Chapter 6-THEORETICAL & CONCEPTUAL FRAMEWORK
Chapter 6-THEORETICAL & CONCEPTUAL FRAMEWORKChapter 6-THEORETICAL & CONCEPTUAL FRAMEWORK
Chapter 6-THEORETICAL & CONCEPTUAL FRAMEWORK
 
letter of permission for practical research
letter of permission for practical researchletter of permission for practical research
letter of permission for practical research
 
Reference survey questionnaire
Reference survey questionnaireReference survey questionnaire
Reference survey questionnaire
 
Manelyn L. Mananap Thesis (Chapter 3)
Manelyn L. Mananap Thesis (Chapter 3)Manelyn L. Mananap Thesis (Chapter 3)
Manelyn L. Mananap Thesis (Chapter 3)
 
Research paper (pre ed 2)
Research paper (pre ed 2)Research paper (pre ed 2)
Research paper (pre ed 2)
 
Thesis Writing
Thesis WritingThesis Writing
Thesis Writing
 
Sample survey-cover-letter
Sample survey-cover-letterSample survey-cover-letter
Sample survey-cover-letter
 
The research synthesis example g-lv_2003
The research synthesis example g-lv_2003The research synthesis example g-lv_2003
The research synthesis example g-lv_2003
 
Review of Related Literature-Thesis Guide
Review of Related Literature-Thesis GuideReview of Related Literature-Thesis Guide
Review of Related Literature-Thesis Guide
 
Kabanata 1 sa pananaliksik (suliranin at kaligiran)
Kabanata 1 sa pananaliksik (suliranin at kaligiran)Kabanata 1 sa pananaliksik (suliranin at kaligiran)
Kabanata 1 sa pananaliksik (suliranin at kaligiran)
 
Chapter 2
Chapter 2Chapter 2
Chapter 2
 
Related Literature and Related Studies
Related Literature and Related StudiesRelated Literature and Related Studies
Related Literature and Related Studies
 
Significance of thesis
Significance of thesisSignificance of thesis
Significance of thesis
 

Viewers also liked

Letter For Permission To Use Location
Letter For Permission To Use LocationLetter For Permission To Use Location
Letter For Permission To Use Location
genieabbott
 
Exam 1 review_301_b
Exam 1 review_301_bExam 1 review_301_b
Exam 1 review_301_b
kaminc19
 
Research proposal sample
Research proposal sampleResearch proposal sample
Research proposal sample
Vanessa Cuesta
 
Letter For Permission To Use Location
Letter For Permission To Use LocationLetter For Permission To Use Location
Letter For Permission To Use Location
Jordan
 

Viewers also liked (20)

Letter For Permission To Use Location
Letter For Permission To Use LocationLetter For Permission To Use Location
Letter For Permission To Use Location
 
Effect of Education, Experience, and Media on USC Students’ Preferences for D...
Effect of Education, Experience, and Media on USC Students’ Preferences for D...Effect of Education, Experience, and Media on USC Students’ Preferences for D...
Effect of Education, Experience, and Media on USC Students’ Preferences for D...
 
meal planning for endurance athletes
meal planning for endurance athletesmeal planning for endurance athletes
meal planning for endurance athletes
 
Exam 1 review_301_b
Exam 1 review_301_bExam 1 review_301_b
Exam 1 review_301_b
 
Sy4 research methods A2
Sy4 research methods A2Sy4 research methods A2
Sy4 research methods A2
 
Freedom of Information Request Letter - Template
Freedom of Information Request Letter - TemplateFreedom of Information Request Letter - Template
Freedom of Information Request Letter - Template
 
Methodology Framework
Methodology FrameworkMethodology Framework
Methodology Framework
 
Authorization Letter
Authorization LetterAuthorization Letter
Authorization Letter
 
Mcpon letter request form
Mcpon letter request formMcpon letter request form
Mcpon letter request form
 
Conflict (Social Psychology)
Conflict (Social Psychology)Conflict (Social Psychology)
Conflict (Social Psychology)
 
overview of banking project
overview of banking projectoverview of banking project
overview of banking project
 
Ethics & informed consent
Ethics & informed consent Ethics & informed consent
Ethics & informed consent
 
Approval sheet (action research)
Approval sheet (action research)Approval sheet (action research)
Approval sheet (action research)
 
Administrative Functions
Administrative FunctionsAdministrative Functions
Administrative Functions
 
Cheque Book Request Letter Format
Cheque Book Request Letter FormatCheque Book Request Letter Format
Cheque Book Request Letter Format
 
Format thesis
Format thesisFormat thesis
Format thesis
 
Survey research
Survey researchSurvey research
Survey research
 
Research proposal sample
Research proposal sampleResearch proposal sample
Research proposal sample
 
Letter For Permission To Use Location
Letter For Permission To Use LocationLetter For Permission To Use Location
Letter For Permission To Use Location
 
permission letter
permission letterpermission letter
permission letter
 

Similar to Sample cover letter and informed consent

Interventions by Rand L. Kannenberg
Interventions by Rand L. KannenbergInterventions by Rand L. Kannenberg
Interventions by Rand L. Kannenberg
Rand Kannenberg
 
1Study 5Agency Description and Research Instrument’s Ap.docx
1Study 5Agency Description and Research Instrument’s Ap.docx1Study 5Agency Description and Research Instrument’s Ap.docx
1Study 5Agency Description and Research Instrument’s Ap.docx
jesusamckone
 
1Study 5Agency Description and Research Instrument’s Ap.docx
1Study 5Agency Description and Research Instrument’s Ap.docx1Study 5Agency Description and Research Instrument’s Ap.docx
1Study 5Agency Description and Research Instrument’s Ap.docx
aulasnilda
 
1Research5Agency Description and.docx
1Research5Agency Description and.docx1Research5Agency Description and.docx
1Research5Agency Description and.docx
jesusamckone
 
Data Collection Techniques.ppt
Data Collection Techniques.pptData Collection Techniques.ppt
Data Collection Techniques.ppt
PapuKumarNaik1
 

Similar to Sample cover letter and informed consent (20)

Informed Consent Form: Purpose, Definition, Rules, Elements, Process, Excepti...
Informed Consent Form: Purpose, Definition, Rules, Elements, Process, Excepti...Informed Consent Form: Purpose, Definition, Rules, Elements, Process, Excepti...
Informed Consent Form: Purpose, Definition, Rules, Elements, Process, Excepti...
 
Ppt data collection
Ppt data collectionPpt data collection
Ppt data collection
 
Research-Ethics-Communication.pptx
Research-Ethics-Communication.pptxResearch-Ethics-Communication.pptx
Research-Ethics-Communication.pptx
 
Interventions by Rand L. Kannenberg
Interventions by Rand L. KannenbergInterventions by Rand L. Kannenberg
Interventions by Rand L. Kannenberg
 
Ethical Issues in Assessment
Ethical Issues in AssessmentEthical Issues in Assessment
Ethical Issues in Assessment
 
Surveys method in research methodology
Surveys  method in research methodologySurveys  method in research methodology
Surveys method in research methodology
 
1Study 5Agency Description and Research Instrument’s Ap.docx
1Study 5Agency Description and Research Instrument’s Ap.docx1Study 5Agency Description and Research Instrument’s Ap.docx
1Study 5Agency Description and Research Instrument’s Ap.docx
 
1Study 5Agency Description and Research Instrument’s Ap.docx
1Study 5Agency Description and Research Instrument’s Ap.docx1Study 5Agency Description and Research Instrument’s Ap.docx
1Study 5Agency Description and Research Instrument’s Ap.docx
 
Rationale of psychological testing
Rationale of psychological testingRationale of psychological testing
Rationale of psychological testing
 
Introduction to Research Methodology.pptx
Introduction to Research Methodology.pptxIntroduction to Research Methodology.pptx
Introduction to Research Methodology.pptx
 
1Research5Agency Description and.docx
1Research5Agency Description and.docx1Research5Agency Description and.docx
1Research5Agency Description and.docx
 
ETHICAL STANDARDS IN TESTING.
ETHICAL STANDARDS IN TESTING.ETHICAL STANDARDS IN TESTING.
ETHICAL STANDARDS IN TESTING.
 
psychological assessment for college students
psychological assessment for college studentspsychological assessment for college students
psychological assessment for college students
 
Data Collection Techniques.ppt
Data Collection Techniques.pptData Collection Techniques.ppt
Data Collection Techniques.ppt
 
Method of data collection
Method of data collectionMethod of data collection
Method of data collection
 
How to nail that Residency interview?
How to nail that Residency interview?How to nail that Residency interview?
How to nail that Residency interview?
 
research questioner preparation
research questioner preparation research questioner preparation
research questioner preparation
 
Questionnaire and its Types
Questionnaire and its Types Questionnaire and its Types
Questionnaire and its Types
 
Survey Research
Survey ResearchSurvey Research
Survey Research
 
Informed consent process
Informed consent processInformed consent process
Informed consent process
 

More from University Of Central Punjab

More from University Of Central Punjab (20)

Causal Relationship between Macroeconomic Factors and Stock Prices in Pakistan
Causal Relationship between Macroeconomic Factors and Stock Prices in PakistanCausal Relationship between Macroeconomic Factors and Stock Prices in Pakistan
Causal Relationship between Macroeconomic Factors and Stock Prices in Pakistan
 
A letter from DNA pioneer francis crick to his son
A letter from DNA pioneer francis crick to his sonA letter from DNA pioneer francis crick to his son
A letter from DNA pioneer francis crick to his son
 
International accounting standards ias intro
International accounting standards   ias introInternational accounting standards   ias intro
International accounting standards ias intro
 
Iasb framework
Iasb frameworkIasb framework
Iasb framework
 
Ias 7
Ias 7Ias 7
Ias 7
 
Ias 2
Ias 2Ias 2
Ias 2
 
Ias 1
Ias 1Ias 1
Ias 1
 
Cash flow
Cash flowCash flow
Cash flow
 
Annual report 2011 Packages
Annual report 2011 PackagesAnnual report 2011 Packages
Annual report 2011 Packages
 
Electricity & its regulations in America
Electricity & its regulations in AmericaElectricity & its regulations in America
Electricity & its regulations in America
 
Tobacco industry strategy
Tobacco industry strategyTobacco industry strategy
Tobacco industry strategy
 
Tobacco industrial article 2012
Tobacco industrial article 2012Tobacco industrial article 2012
Tobacco industrial article 2012
 
Corporate lobbying
Corporate lobbyingCorporate lobbying
Corporate lobbying
 
Federalism in india
Federalism in indiaFederalism in india
Federalism in india
 
Seven layers of atmosphere
Seven layers of atmosphereSeven layers of atmosphere
Seven layers of atmosphere
 
Scientific explanation for the event of miraj
Scientific explanation for the event of mirajScientific explanation for the event of miraj
Scientific explanation for the event of miraj
 
Reason for makkah being most peacful place
Reason for makkah being most peacful placeReason for makkah being most peacful place
Reason for makkah being most peacful place
 
Mentors are meant to be respected
Mentors are meant to be respectedMentors are meant to be respected
Mentors are meant to be respected
 
Makkah as center mean point of the world
Makkah as center mean point of the worldMakkah as center mean point of the world
Makkah as center mean point of the world
 
The power of quran healing
The power of quran healingThe power of quran healing
The power of quran healing
 

Recently uploaded

1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 -  Danh muc Sach Giao Khoa 10 . pdf1029 -  Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdf
QucHHunhnh
 
Spellings Wk 3 English CAPS CARES Please Practise
Spellings Wk 3 English CAPS CARES Please PractiseSpellings Wk 3 English CAPS CARES Please Practise
Spellings Wk 3 English CAPS CARES Please Practise
AnaAcapella
 
1029-Danh muc Sach Giao Khoa khoi 6.pdf
1029-Danh muc Sach Giao Khoa khoi  6.pdf1029-Danh muc Sach Giao Khoa khoi  6.pdf
1029-Danh muc Sach Giao Khoa khoi 6.pdf
QucHHunhnh
 

Recently uploaded (20)

Third Battle of Panipat detailed notes.pptx
Third Battle of Panipat detailed notes.pptxThird Battle of Panipat detailed notes.pptx
Third Battle of Panipat detailed notes.pptx
 
1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 -  Danh muc Sach Giao Khoa 10 . pdf1029 -  Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdf
 
ICT role in 21st century education and it's challenges.
ICT role in 21st century education and it's challenges.ICT role in 21st century education and it's challenges.
ICT role in 21st century education and it's challenges.
 
Kodo Millet PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...
Kodo Millet  PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...Kodo Millet  PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...
Kodo Millet PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...
 
UGC NET Paper 1 Mathematical Reasoning & Aptitude.pdf
UGC NET Paper 1 Mathematical Reasoning & Aptitude.pdfUGC NET Paper 1 Mathematical Reasoning & Aptitude.pdf
UGC NET Paper 1 Mathematical Reasoning & Aptitude.pdf
 
How to Create and Manage Wizard in Odoo 17
How to Create and Manage Wizard in Odoo 17How to Create and Manage Wizard in Odoo 17
How to Create and Manage Wizard in Odoo 17
 
Dyslexia AI Workshop for Slideshare.pptx
Dyslexia AI Workshop for Slideshare.pptxDyslexia AI Workshop for Slideshare.pptx
Dyslexia AI Workshop for Slideshare.pptx
 
Accessible Digital Futures project (20/03/2024)
Accessible Digital Futures project (20/03/2024)Accessible Digital Futures project (20/03/2024)
Accessible Digital Futures project (20/03/2024)
 
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx
 
Unit-V; Pricing (Pharma Marketing Management).pptx
Unit-V; Pricing (Pharma Marketing Management).pptxUnit-V; Pricing (Pharma Marketing Management).pptx
Unit-V; Pricing (Pharma Marketing Management).pptx
 
Food safety_Challenges food safety laboratories_.pdf
Food safety_Challenges food safety laboratories_.pdfFood safety_Challenges food safety laboratories_.pdf
Food safety_Challenges food safety laboratories_.pdf
 
Spellings Wk 3 English CAPS CARES Please Practise
Spellings Wk 3 English CAPS CARES Please PractiseSpellings Wk 3 English CAPS CARES Please Practise
Spellings Wk 3 English CAPS CARES Please Practise
 
Python Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docxPython Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docx
 
Unit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptxUnit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptx
 
Spatium Project Simulation student brief
Spatium Project Simulation student briefSpatium Project Simulation student brief
Spatium Project Simulation student brief
 
PROCESS RECORDING FORMAT.docx
PROCESS      RECORDING        FORMAT.docxPROCESS      RECORDING        FORMAT.docx
PROCESS RECORDING FORMAT.docx
 
Grant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy ConsultingGrant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy Consulting
 
Mixin Classes in Odoo 17 How to Extend Models Using Mixin Classes
Mixin Classes in Odoo 17  How to Extend Models Using Mixin ClassesMixin Classes in Odoo 17  How to Extend Models Using Mixin Classes
Mixin Classes in Odoo 17 How to Extend Models Using Mixin Classes
 
Making communications land - Are they received and understood as intended? we...
Making communications land - Are they received and understood as intended? we...Making communications land - Are they received and understood as intended? we...
Making communications land - Are they received and understood as intended? we...
 
1029-Danh muc Sach Giao Khoa khoi 6.pdf
1029-Danh muc Sach Giao Khoa khoi  6.pdf1029-Danh muc Sach Giao Khoa khoi  6.pdf
1029-Danh muc Sach Giao Khoa khoi 6.pdf
 

Sample cover letter and informed consent

  • 1. Sample Participant Cover Letter for Mailed Questionnaire Respondent Address Dear Respondent, I am a student [faculty/staff member] at Lakeland College, and I am conducting a study examining mental health court participants’ perceptions of the mental health court experience. Mental health courts are new and innovative, and there is little research that has examined court participants’ perceptions of the experience. The results of this study will hopefully improve the operations of mental health courts. It is my understanding that you are currently, or have participated in a Mental Health Court. I am interested in your experiences in the mental health court, so I have enclosed a questionnaire which asks you to respond to a series of statements and questions. The items in the questionnaire focus on your decision to enter the mental health court and how you thought you were treated by the judge while participating in the court program. Items also ask you to report how often you were compliant in taking prescribed medications, attending treatment sessions and meeting with the judge for court appearances and other program requirements. Finally, the questionnaire includes statements evaluating how helpful you think the court has been across a number of mental health, social service and quality of life areas. I want to stress that your participation in this study is voluntary and all efforts to protect your identity and keep the information confidential will be taken. I have enclosed a consent form for your review. Please read the form and feel free to contact me if you have any questions about the study. If you choose to participate, please sign, initial and date the consent information form and return it along with the completed questionnaire in the self-addressed envelope. I look forward to learning about your experiences in the mental health court. Your participation will be greatly appreciated. Sincerely, Name Lakeland College P.O. Box 359 Sheboygan, WI 53082-0359 Phone Number(s) This study was reviewed and approved by the Institutional Review Board (IRB) of Lakeland College. Questions concerning your rights as a participant in this research may be addressed to the IRB Chairperson (Dr. Alan Mock, Lakeland College, P.O. Box 359, Sheboygan, WI 53081; Phone: 920-565-1234; E-mail: mocka@lakeland.edu).
  • 2. [Sample Informed Consent Form] Before agreeing to participate in this research study, it is important that you read and understand the following explanation of the proposed procedures. It describes the procedures, benefits, risks and discomforts of the study. It also describes your right to withdraw from the study at any time. Purpose of study: Mental health courts are a fairly new development. There is growing evidence that mental health courts do a better job than traditional courts in helping persons with mental disorders. However, there remains a need to understand how and why mental health courts work. This study will examine mental health court participants’ perceptions of the mental health court experience. The study will focus on participants’ decisions to enter a mental health court and how they felt they were treated by the judge as well as self-reported program compliance and satisfaction with the court and services provided. Procedures involved in the study: The researcher will attempt to contact participants for a phone interview and asked to respond to statements using options provided by the phone interviewer. For example, some items ask about the percentage of time (0=100%) participants engaged in treatment and program requirement behaviors while other items ask the extent to which participants agree with a statement (strongly disagree to strongly agree). The phone interview will take approximately 15-20 minutes. As a secondary procedure, participants will receive a notification letter, the consent form and a copy of the questionnaire to complete and return in a self-addressed envelope [In the event that phone numbers have been disconnected, the information provided to the researcher is incorrect, the researcher has been unable to reach participants via phone, or contacted participants would prefer to complete a paper-pencil survey]. Confidentiality of Research Records: • Only the researcher has access to contact information and responses • Your personal identifying information will only be used to contact you. Your responses will be recorded on a form that contains a code number created by the researcher. • After interviewing you or if you decline to participate, the researcher will take a black marker and cross through your name and information. At the end of the study, the contact sheet will be shredded, leaving no possible way to match code numbers/responses with your name. • Your personal/individual responses will not be given to the judge or court personnel • During the study, all data will be kept in a locked, secure, filing cabinet • By using code numbers, in the event that the results were subpoenaed, your individual responses could not be singled out Potential Risks and Discomforts: • No physical, social or economic risks are posed to participants. • Participating in the study will not affect your current legal status, services provided or status in the program. For participants in the study who are currently enrolled in the mental health court, your participation in this study will in no way alter the level or type of services you are receiving from the court or change your legal status in the court. For example, reporting medication noncompliance to the researcher will not result in a program violation. The information that participants provide will remain confidential and the researcher is under no legal obligation to report program non-compliances, such as usage of alcohol or drugs, medication noncompliance and treatment non-attendance to the judge or other court personnel. If you have already completed the mental health court program or were terminated from the program, your results are also confidential and will in no affect the previous outcome/disposal of your case. • Breaking confidentiality and mandatory reporting. If a participant provides detailed information about crimes committed that are unknown to the court (a crime that you were not caught, charged or convicted of) the researcher will be legally obligated to report the crime to the court or appropriate authorities. Similarly, if participants discuss plans to harm themselves or others during the phone interview, and the interviewer perceives the threat to be real and imminent (going to happen soon), the researcher is obligated to report the threats to the appropriate authorities. To reduce the likelihood of this risk, the researcher will instruct the participant to refrain from providing information about specific criminal behaviors and to only respond using the response options for questions provided in the phone interview.
  • 3. Potential Benefits: By participating in this study, you will get an opportunity to provide information about how you felt you were treated in the mental health court; identify positive and negative aspects of mental health courts; and potentially improve the services provided to mental health court clients. This is a participant’s chance to give the research community and the mental health court important feedback on the operations of the court. The research community often overlooks client perceptions and experiences in the criminal justice system and in new programs. Your responses are highly valued and could possibly explain what makes mental health courts different from standard courts and why mental health courts are effective or ineffective in helping persons with mental disorders. Voluntariness & Withdrawal from Study: Your participation in this study is strictly voluntary and will not affect your current legal situation or result in adverse reactions from the mental health court. Neither the judge nor court personnel will know who has or has not participated in the study. If you choose to participate in the phone interview, you may end the interview at any time. I have read the material above, and any questions I asked have been answered to my satisfaction. I understand a copy of this form will be made available to me for the relevant information and phone numbers. I realize that I may withdraw without prejudice at any time.” _____________________________________________________________________________________________ Respondent’s Signature Date