2016 Families Together in New York State Policy Survey

Each year, Families Together in New York State releases a Policy Agenda to guide our advocacy and policy initiatives. The voices of children, youth and families as well as our friends from across New York State inform the development of our annual priorities. Please take a minute to tell us about your needs and the needs in your community.

If you have any questions, please contact Brad Hansen, Public Policy Coordinator, at bhansen@ftnys.org or 518.432.0333 x 28.

Visit our website at www.ftnys.org.

Kindly complete this survey by November 25, 2015. We appreciate your help and feedback.

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* 1. In your opinion, what policy change would have the most positive impact on families of children with social, emotional, behavioral health and cross-systems challenges? Please explain in detail.

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* 2. County of residence where services are accessed.

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* 3. I am (check all that apply):

A youth or young adult

Family member/ caregiver of a child or youth with social, emotional or behavioral challenges

Caregiver of a child or youth involved in foster care or kinship

Youth with experience with a system (foster care, juvenile justice, mental health, special education, substance abuse services, etc.)

Professional in children’s mental health or other child serving services

Representative of a local, county or state government child serving agency

Family advocate or peer support person

Other (please specify)

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* 4. The child or youth in my family is having/has had: (check all that apply):

Police Involvement

Criminal Court Involvement

Family Court Involvement

Emotional challenges

Difficulty in school

Social challenges

A developmental disability

Substance abuse or addiction issues

Learning challenges

Child Welfare System Involvement

Special Education Student Services

Other (please specify)

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* 5. Please describe any details you wish to share about the experiences you selected in question four.

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* 6. Families Together believes the family voice is absolutely necessary for effective policy-making. Please identify statewide policy efforts you may be interested in participating in:

Forums

Press Conferences

Focus Groups

Legislator Visits

Opinion editorials

Planning Committees

Other (please specify)

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* 7. If interested in any of the advocacy opportunities mentioned above, please provide your contact information:

Name

Company

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 8. Would you like to be added to our listserve and receive information regarding children's mental health and family support issues as well as an invitation to our next Legislative Awareness Day 2016 and other events?

Yes

If yes, please add your email address