1.

Setting in which you work, Please Check all that apply

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* 1. Setting in which you work, Please Check all that apply

I work primarily with ages (under 17), (18-24), (25-35), (36 – 60), (60 and above)

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* 2. I work primarily with ages (under 17), (18-24), (25-35), (36 – 60), (60 and above)

In your role, on a scale of 1-5, how problematic do you find.....(5 being strongly agree and 1 being strongly disagree)

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* 3. In your role, on a scale of 1-5, how problematic do you find.....(5 being strongly agree and 1 being strongly disagree)

5 Timely access to crisis intervention services (Mass Health Product or no insurance) - Inpatient 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 4. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Timely access to crisis intervention services (Mass Health Product or no insurace) -Outpatient 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 5. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Timely access to crisis intervention services (Private or commercial insurance) -Inpatient 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 6. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Timely access to crisis intervention services (Private or commercial insurance) -Outpatient 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 7. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Timely access for bed in detox 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 8. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Timely access for mental health services 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 9. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Timely access for Co-morbid conditions (mental health and substance use) services 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 10. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Timely access for Tri-morbid conditions (substance use/mental health and medical conditions) 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 11. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Timely access for co-morbid Cognitive Impairment/Developmental Disability and Mental Health Conditions 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 12. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Child or Adolescent CBAT or Inpatient Bed 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 13. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Section 35 Process 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 14. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Over-utilization of ER 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 15. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Lack of psychopharmacology services 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 16. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Different provider options (inter agency) when attempting to coordinate services for a client 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 17. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Partial Hospitalization Services 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 18. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Specialized, evidenced based practices:  Dialectical Behavior Therapy (DBT) 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 19. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Specialized, evidenced based practices:  Substance abuse treatment for adolescents 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 20. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Specialized, evidenced based practices:  Treatment for sexual offenders 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 21. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Specialized, evidenced based practices:  Treatment for people who hoard 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 22. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Specialized, evidenced based practices:  Treatment for Post-traumatic Stress Disorder (PTSD) 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 23. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Specialized, evidenced based practices: Other____________________________ 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 24. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Specialized, evidenced based practices: Coordinating services with schools 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 25. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Specialized, evidenced based practices: Coordinating services with the court system 1
i We adjusted the number you entered based on the slider’s scale.
In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

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* 26. In your role, on a scale of 1-5, how problematic do you find... (5 being strongly agree and 1 being strongly disagree)

5 Section 12 Process 1
i We adjusted the number you entered based on the slider’s scale.
What else impedes the delivery of behavioral health services on Cape Cod?

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* 27. What else impedes the delivery of behavioral health services on Cape Cod?

Have insurance policies/practices impeded your ability to provide appropriate services to your clients? If so, how?

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* 28. Have insurance policies/practices impeded your ability to provide appropriate services to your clients? If so, how?

Please identify the areas of strategic focus you would like to see the Behavioral Health Coalition focus on:

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* 29. Please identify the areas of strategic focus you would like to see the Behavioral Health Coalition focus on:

Would you be interested in getting more involved with the Behavioral Health Coalition in any of the following way:

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* 30. Would you be interested in getting more involved with the Behavioral Health Coalition in any of the following way:

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