Returning Veterans & Their Families Provider Survey
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1. Provider Survey
1
. Which of the following best describes you?
Which of the following best describes you?
Alcohol & Drug Professional
Mental Health Professional
Education Professional
Emergency Services Professional
Corrections Professional
Criminal Justice Professional
Private Sector Professional
National Guard
Reserves
Active Duty Military
State Employee
Other (please specify)
2
. Are you a veteran?
Are you a veteran?
Yes
No
3
. Are you a combat veteran?
Are you a combat veteran?
Yes
No
4
. If yes, what branch of the military?
If yes, what branch of the military?
Army
Navy
Marine Corps
Air Force
Coast Guard
Reserves
National Guard
5
. If you are a combat veteran, are you a veteran of:
If you are a combat veteran, are you a veteran of:
Global War on Terror (GWOT) to include Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF)
Desert Storm
Vietnam
Other
Other (please specify)
6
. If you are a veteran of the GWOT to include OEF/OIF, how many times have you deployed?
If you are a veteran of the GWOT to include OEF/OIF, how many times have you deployed?
7
. If you are a mental health and/or substance abuse treatment agency, are you currently providing services to veterans and their families, particularly combat veteran's of the GWOT?
If you are a mental health and/or substance abuse treatment agency, are you currently providing services to veterans and their families, particularly combat veteran's of the GWOT?
Yes
No
8
. Please briefly describe these services:
Please briefly describe these services:
9
. If yes, how prepared are you to deal with this increased demand?
If yes, how prepared are you to deal with this increased demand?
Prepared
Somewhat Prepared
Somewhat Unprepared
Unprepared
10
. If you are a mental health and/or substance abuse treatment agency do you collect data regarding the veteran's status of your clients?
If you are a mental health and/or substance abuse treatment agency do you collect data regarding the veteran's status of your clients?
Yes
No
If yes (please specify)
11
. If you are a mental health and/or substance abuse agency, have you noticed or do you expect an increase in demand for services by combat veteran's of the GWOT and their families?
If you are a mental health and/or substance abuse agency, have you noticed or do you expect an increase in demand for services by combat veteran's of the GWOT and their families?
Yes
No
12
. Please briefly describe:
Please briefly describe:
13
. If yes, how prepared are you to deal with this increased demand?
If yes, how prepared are you to deal with this increased demand?
Prepared
Somewhat Prepared
Somewhat Unprepared
Unprepared
14
. If you are a criminal justice professional, have you noticed or do you expect increased involvement in your system with combat veteran's of the GWOT and their families?
If you are a criminal justice professional, have you noticed or do you expect increased involvement in your system with combat veteran's of the GWOT and their families?
Yes
No
15
. Please briefly describe:
Please briefly describe:
16
. If yes, how prepared are you to deal with this increased demand?
If yes, how prepared are you to deal with this increased demand?
Prepared
Somewhat Prepared
Somewhat Unprepared
Unprepared
17
. If you are an emergency services professional, have you noticed or do you expect increased involvement in your system with combat veteran's of the GWOT and their families?
If you are an emergency services professional, have you noticed or do you expect increased involvement in your system with combat veteran's of the GWOT and their families?
Yes
No
18
. Please briefly describe:
Please briefly describe:
19
. If yes, how prepared are you to deal with this increased demand?
If yes, how prepared are you to deal with this increased demand?
Prepared
Somewhat Prepared
Somewhat Unprepared
Unprepared
20
. Rate your understanding of the following items on a scale of 1-5 with 5 being the greatest amount of understanding and 1 being the least amount of understanding:
1
2
3
4
5
Military Culture
Rate your understanding of the following items on a scale of 1-5 with 5 being the greatest amount of understanding and 1 being the least amount of understanding: Military Culture 1
2
3
4
5
Post Traumatic Stress Disorder (PTSD)
Post Traumatic Stress Disorder (PTSD) 1
2
3
4
5
Traumatic Brain Injury (TBI)
Traumatic Brain Injury (TBI) 1
2
3
4
5
Suicide Risk
Suicide Risk 1
2
3
4
5
Substance Abuse Prevention
Substance Abuse Prevention 1
2
3
4
5
Substance Abuse Treatment
Substance Abuse Treatment 1
2
3
4
5
21
. Would you be interested in attending a 1-day training on the impact of the Global War on Terror to include OIF/OEF on the substance use and mental health needs of returning veterans and their families?
Would you be interested in attending a 1-day training on the impact of the Global War on Terror to include OIF/OEF on the substance use and mental health needs of returning veterans and their families?
Yes
No
22
. Are there other training areas of interest? If yes, please list:
Are there other training areas of interest? If yes, please list:
23
. It would be most convenient to attend training in:
It would be most convenient to attend training in:
Knoxville
Nashville
Memphis
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