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Hawaiʻi Mental Health Pediatric Access Line (HI-MPAL) Pediatric Primary Care Provider Pre-Survey

Mahalo for your time in taking this brief survey as a provider utilizing or considering utilizing the Hawaiʻi Mental Health Pediatric Access Line (HI-MPAL). We appreciate your honest feedback which will help with program evaluation. Your participation in this survey will be your consent to include your data in the analysis of all survey responses for a program evaluation report.

If you have any questions about this survey, please contact Renzymeir Baloran at renzymeir.baloran@doh.hawaii.gov.
1.Please create a unique code using the last 2 letters of your last name and the last 3 digits of your phone number.
2.Please rate how knowledgeable and comfortable you feel in the following items for: Attention Disorders such as Attention-Deficit/ Hyperactivity Disorder (ADHD)
Not at all
Only Minimally
Somewhat
Moderately
Highly
Screening and Diagnosing
Treating and Managing
3.Please rate how knowledgeable and comfortable you feel in the following items for: Depression/Anxiety.
Not at all
Only Minimally
Somewhat
Moderately
High
Screening/Diagnosing
Treating/Managing
4.Please rate how knowledgeable and comfortable you feel in the following items for: Developmental Disorders such as Autism Spectrum Disorder (ASD).
Not at all
Only Minimally
Somewhat
Moderately
High
Screening/Diagnosing
Treating/Managing
5.Please rate how knowledgeable and comfortable you feel in the following items for: Suicide Risk.
Not at all
Only Minimally
Somewhat
Moderately
High
Screening/Diagnosing
Treating/Managing
6.Please rate how knowledgeable and comfortable you feel in the following items for: Other mental health conditions.
Not at all
Only Minimally
Somewhat
Moderately
High
Screening/Diagnosing
Treating/Managing
7.Please describe other mental health conditions referred to in #6 above.
8.What screening tools do you currently utilize in your practice?
9.Please choose your role:
10.Primary Work Setting:
11.Within Hawaiʻi, please provide the zip code(s) that you cover:
Ouside of Hawai'i, please provide your location and regions or states that you cover:
12.Please answer the following question based on the Hawaiʻi Pediatric Mental Health Directory:
Very Useful
Useful
Somewhat Useful
Not Useful
N/A--Have not used the directory
How useful is the directory to your practice?
13.If you are interested in receiving a gift card as a token of our appreciation for your time, please provide your full name and email address below. Your final survey responses will have all identifying information removed. You may be contacted separately with an invitation to a brief interview in the future to share feedback about trainings, resources, or the warmline.