We are having a drawing for two fifty dollar TOPS gift cards to survey participants.  If you are interested please fill out information at the end of the survey.

Thank you for taking the time to answer this survey.  It should only take 10 minutes.  The responses from the Consumer/Recipients will be listed in the 2018 Erie County Mental Hygiene Plan. 

* 1. Clinical Services - Please list in order of importance the following, one (1) being the most important and six (6) being the least important

  First Second Third Fourth Fifth Sixth
More access to Mental Health/Psychiatry Outpatient services in Erie County
More services/access to Outpatient Substance Abuse & Suboxone services
More Substance Abuse detox and rehabilitation services
More combined Medical and Mental Health treatment- in the same place
More/frequent access to Psychiatry
More access to Medical Care

* 2. Non-clinical Services - Please list in order of importance the following, one (1) being the most important and eight (8) being the least important

  First Second Third Fourth Fifth Sixth Seventh Eigth
More affordable housing for people on fixed income
More services to improve employment/education/self-sufficiency & recovery
More and accessible transportation
Access to Life Coaching/case management services
More peer services
More access to Case Management Services
More access to social events activities
More access to physical activities

* 3. I have to travel more than five miles to attend Counseling/Psychiatry appointments

* 4. I am clear about what a Health Home is?

* 5. Do you know if you are in a Health Home?

* 6. If you indicated yes, what services have you received from your Health Home? (Please list)

* 7. I am confident that Doctors, Counselors, Case Managers and others involved in my care, communicate with each other to better coordinate my services.

* 8. What type of transportation do you use to go to these appointments?

* 9. The outpatient Substance Abuse services are adequate in Erie County.

* 10. The inpatient Substance Abuse services, detox and rehabilitation are adequate in Erie County.

* 11. I feel listened to and my services meet my needs.

* 12. Have you ever been discriminated against due to your mental health / Substance Abuse challenge?

* 13. Do you feel people have treated you differently after they knew you had a mental health / Substance Abuse challenge

* 14. What do you think the barriers are to accessing care?

* 15. Is there a service that is needed in the community that was not listed - Please list

* 16. Additional comments

* 17. If you want to be considered for the TOPS gift card please leave your first name, phone number or e-mail address so that if you win we can get you the card.  Thank you.

CCNY, the organization helping us with this survey, will contact the winner. The information you share with us is private will not be shared with any third-party, ever.

Thank you for your time and consideration.  If you have additional questions, contact Gregg Nuessle LCSW-R 716-858-8538, Gregg.nuessle@erie.gov

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