Mental Health Services Act (MHSA) Community Survey 2020 
(MHSA Three Year Plan FY 20/21 - 22/23)

This survey is a part of the Community Planning Process for the Mental Health Services Act (MHSA) in Amador County.  The purpose of this survey is to hear what you think about the mental health needs and services provided in Amador County. The information you provide will help Amador County Behavioral Health Services design mental health programs that fit the needs of our county.  In order to develop mental health programs that meet the needs of the people in our community, we need to hear from you!

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* 1. What is your connection to behavioral health services? Select all that apply. 
I am a...

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* 2. Which age group are you in?

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* 3. What is your preferred language?

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* 4. What is your race/ethnicity?

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* 5. Do any of the following descriptions apply to you? (Mark all that apply.)

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* 6. What city/town do you live in?

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* 7. MHSA funds the programs and services listed below. What MHSA-funded programs are you familiar with?

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* 8. As a whole, how do you feel MHSA-funded programs are doing in serving the following?

  Poor Fair Good Excellent I Don't Know
Children 0-5
Youth 6-12
Teens 13-17
Young Adult 18-24
Adults 25-59
Seniors (60+)
Latinos
Native Americans
Oth. Minority Groups (i.e. Asians, African Americans)
Veterans
LGBTQ
Homeless
Those w/ serious mental illness
Those who might be at risk of mental illness
Pregnant Women 

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* 9. What are some issues or barriers that may prevent people from seeking Mental Health services in Amador County? Please check all that apply.

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* 10. In your experience (either directly or indirectly) what has been the most beneficial mental health program and/or services implemented in your community? Please describe below.

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* 11. Programs that have been funded using time-limited reversion funds will no longer be funded effective July 1, 2020. In order for Amador County Behavioral Health to determine funding priorities, please select which reversion-funded programs are most beneficial to Amador County below.

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* 12. Who CURRENTLY has the highest need for mental health services and supports? Please only check three choices.

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* 13. In your opinion, what behavioral health services are working well in Amador County? Why?

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* 14. What suggestions do you have for improving behavioral health services in Amador County? 

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* 15. What additional training, if any, would benefit Amador County? 

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* 16. How do you get your information?

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* 17. If you access mental health services at Amador County Behavioral Health, how do you feel we are doing with the following?

  Poor Fair Good Excellent
Client & family focused
Culturally-competent staff
Recovery-based services
Welcoming environment
Collaboration w/ community
Smooth referrals to & from other providers

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* 18. Please feel free to add any additional comments you would like us to know about the programs and services now being funded by MHSA. If you would like to be contacted, please include your name and number.

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