Mental Health Services Act Annual Update FY 24/25: Community Program Planning Process Fall 2023

Community Feedback Survey

Your voice matters! We’d like to hear what you think Tuolumne County Behavioral Health Department should spend Mental Health Service Act dollars on going forth as we are planning for fiscal year 2024/25. We invite community members of Tuolumne County of all ages, races, ethnicities, sexual orientation, gender identity, and religious or spiritual beliefs to take this survey so we can hear the mental health needs of the diverse populations within the community and create relevant programs.

What is MHSA? The Mental Health Services Act (MHSA) was passed by California voters in 2004 to transform and expand the mental health system. MHSA is funded by a tax of 1% on individual income over a million dollars and funds county programs as well as state-wide programs to provide services to people with mental illness or those at risk of developing mental illness, to educate and train mental health workers and to ensure that counties have the proper facilities to serve those in need.

This survey takes about 10 minutes to complete. If you or someone you know needs help taking this survey in another language or accessing this survey in another format please call TCBH at (209) 533-6245 and ask for the MHSA Agency Program Manager.

The survey will close on November 30th, 2023. Thank you for your participation!

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* 1. Listed below are some of the potential issues facing someone living with an untreated mental health challenge. Please select three that you feel are the most important to address.

Suicide / Suicidal thoughts

Incarceration

Severe and/or untreated medical conditions (e.g. Cancer, diabetes, heart disease)

Isolation

Joblessness/ Limited income or lack of income

School Failure (e.g. Suspension, truancy, expulsion)

Homelessness

Housing needs

Substance Use

Children in foster care or juvenile justice system

LGBTQIA+ (lesbian, gay, bisexual, transgender, transsexual, two-spirit, queer, questioning, intersex, asexual, ally) resources

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* 2. Listed below are some of the challenges that may be a barrier to those seeking mental health services in Tuolumne County. Please check the top five that you believe are the biggest barriers.

Lack of transportation

Mental health stigma/stigma around accessing help

High turnover of staff/high vacancies/focus on job retainment

Denial of mental health issues/challenges

Communication issues/cultural differences/language barriers

Lack of Insurance/insurance issues/health insurance coverage

Lack of providers and their availability

Timeliness

Lack of accessibility/need more evening availability

Lack of affordable/transitional/supportive housing

Virtual challenges and geographic isolation

Lack of local residential treatment/services/facilities

Siloed programs/need improved information sharing between agencies and organizations to work collaboratively

Increased need for more outreach and engagement/more outreach to those with severe mental illnesses

Need better working relationships with local law enforcement

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* 3. When thinking about housing options for the mentally ill, what would be the best use of TCBH funds?

TCBH purchasing housing to offer transitional/ supportive housing

TCBH paying for short stays in hotel/ motels

TCBH paying for partial or full rent to private landlords

TCBH to pay for housing/ placement out of town

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* 4. When thinking about the allowance for MHSA funding to be used for supportive housing of unsheltered individuals experiencing severe mental illness, which, if any, of the homeless services should be supported by TCBH?

Case management for local housing projects

Homeless Resource Center/ Emergency Sheltering

Basic Needs items and services for severely mentally ill living on the street

Housing for severely mentally ill people experiencing homelessness

Job opportunities/ training programs

None

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* 5. Which of the following Behavioral Health (substance use and mental health) services for homeless should be TCBH's top priority?

Treatment and Counseling

Housing with Behavioral Health treatment

Treatment, counseling and case management

Hospitalization

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* 6. Below is a list of priorities that Prevention and Early Intervention programs are directed by MHSA regulations to address. Please rate them in importance as services to provide for the residents of Tuolumne County.

	Not Important At All	Slightly Important	Of Average Importance	Very Important	Absolutely Essential
Childhood trauma prevention and early intervention to deal with the early origins of mental health needs	Childhood trauma prevention and early intervention to deal with the early origins of mental health needs Not Important At All	Childhood trauma prevention and early intervention to deal with the early origins of mental health needs Slightly Important	Childhood trauma prevention and early intervention to deal with the early origins of mental health needs Of Average Importance	Childhood trauma prevention and early intervention to deal with the early origins of mental health needs Very Important	Childhood trauma prevention and early intervention to deal with the early origins of mental health needs Absolutely Essential
Early psychosis and mood disorder detection and early intervention; mood disorder and suicide prevention programming that occurs across the lifespan	Early psychosis and mood disorder detection and early intervention; mood disorder and suicide prevention programming that occurs across the lifespan Not Important At All	Early psychosis and mood disorder detection and early intervention; mood disorder and suicide prevention programming that occurs across the lifespan Slightly Important	Early psychosis and mood disorder detection and early intervention; mood disorder and suicide prevention programming that occurs across the lifespan Of Average Importance	Early psychosis and mood disorder detection and early intervention; mood disorder and suicide prevention programming that occurs across the lifespan Very Important	Early psychosis and mood disorder detection and early intervention; mood disorder and suicide prevention programming that occurs across the lifespan Absolutely Essential
Youth outreach and engagement strategies that target secondary school and transition age youth, with a priority on partnership with college mental health programs	Youth outreach and engagement strategies that target secondary school and transition age youth, with a priority on partnership with college mental health programs Not Important At All	Youth outreach and engagement strategies that target secondary school and transition age youth, with a priority on partnership with college mental health programs Slightly Important	Youth outreach and engagement strategies that target secondary school and transition age youth, with a priority on partnership with college mental health programs Of Average Importance	Youth outreach and engagement strategies that target secondary school and transition age youth, with a priority on partnership with college mental health programs Very Important	Youth outreach and engagement strategies that target secondary school and transition age youth, with a priority on partnership with college mental health programs Absolutely Essential
Culturally competent and linguistically appropriate prevention and intervention	Culturally competent and linguistically appropriate prevention and intervention Not Important At All	Culturally competent and linguistically appropriate prevention and intervention Slightly Important	Culturally competent and linguistically appropriate prevention and intervention Of Average Importance	Culturally competent and linguistically appropriate prevention and intervention Very Important	Culturally competent and linguistically appropriate prevention and intervention Absolutely Essential
Strategies targeting the mental health needs of older adults	Strategies targeting the mental health needs of older adults Not Important At All	Strategies targeting the mental health needs of older adults Slightly Important	Strategies targeting the mental health needs of older adults Of Average Importance	Strategies targeting the mental health needs of older adults Very Important	Strategies targeting the mental health needs of older adults Absolutely Essential
Stigma and discrimination reduction for those experiencing mental illness	Stigma and discrimination reduction for those experiencing mental illness Not Important At All	Stigma and discrimination reduction for those experiencing mental illness Slightly Important	Stigma and discrimination reduction for those experiencing mental illness Of Average Importance	Stigma and discrimination reduction for those experiencing mental illness Very Important	Stigma and discrimination reduction for those experiencing mental illness Absolutely Essential
Access and linkage to treatment including timely access to services for underserved populations	Access and linkage to treatment including timely access to services for underserved populations Not Important At All	Access and linkage to treatment including timely access to services for underserved populations Slightly Important	Access and linkage to treatment including timely access to services for underserved populations Of Average Importance	Access and linkage to treatment including timely access to services for underserved populations Very Important	Access and linkage to treatment including timely access to services for underserved populations Absolutely Essential
Outreach and engagement focusing on substance use prevention	Outreach and engagement focusing on substance use prevention Not Important At All	Outreach and engagement focusing on substance use prevention Slightly Important	Outreach and engagement focusing on substance use prevention Of Average Importance	Outreach and engagement focusing on substance use prevention Very Important	Outreach and engagement focusing on substance use prevention Absolutely Essential
Strategies targeting the mental health needs and/or services of parolees or those who are recently released from incarceration	Strategies targeting the mental health needs and/or services of parolees or those who are recently released from incarceration Not Important At All	Strategies targeting the mental health needs and/or services of parolees or those who are recently released from incarceration Slightly Important	Strategies targeting the mental health needs and/or services of parolees or those who are recently released from incarceration Of Average Importance	Strategies targeting the mental health needs and/or services of parolees or those who are recently released from incarceration Very Important	Strategies targeting the mental health needs and/or services of parolees or those who are recently released from incarceration Absolutely Essential
Outreach and engagement focusing on LGBTQIA+ (lesbian, gay, bisexual, transgender, transsexual, two-spirit, queer, questioning, intersex, asexual, ally) populations	Outreach and engagement focusing on LGBTQIA+ (lesbian, gay, bisexual, transgender, transsexual, two-spirit, queer, questioning, intersex, asexual, ally) populations Not Important At All	Outreach and engagement focusing on LGBTQIA+ (lesbian, gay, bisexual, transgender, transsexual, two-spirit, queer, questioning, intersex, asexual, ally) populations Slightly Important	Outreach and engagement focusing on LGBTQIA+ (lesbian, gay, bisexual, transgender, transsexual, two-spirit, queer, questioning, intersex, asexual, ally) populations Of Average Importance	Outreach and engagement focusing on LGBTQIA+ (lesbian, gay, bisexual, transgender, transsexual, two-spirit, queer, questioning, intersex, asexual, ally) populations Very Important	Outreach and engagement focusing on LGBTQIA+ (lesbian, gay, bisexual, transgender, transsexual, two-spirit, queer, questioning, intersex, asexual, ally) populations Absolutely Essential

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* 7. Listed below are Prevention and Early Intervention programs and services that are currently funded by MHSA funds in Tuolumne County. Please rate them in importance as services to provide to those who may be at-risk of mental illness in Tuolumne County.

	Not Important At All	Slightly Important	Of Average Importance	Very Important	Absolutely Essential
Reducing Stigma & Discrimination	Reducing Stigma & Discrimination Not Important At All	Reducing Stigma & Discrimination Slightly Important	Reducing Stigma & Discrimination Of Average Importance	Reducing Stigma & Discrimination Very Important	Reducing Stigma & Discrimination Absolutely Essential
Brief Counseling and Support Services for Older Adults (60+)	Brief Counseling and Support Services for Older Adults (60+) Not Important At All	Brief Counseling and Support Services for Older Adults (60+) Slightly Important	Brief Counseling and Support Services for Older Adults (60+) Of Average Importance	Brief Counseling and Support Services for Older Adults (60+) Very Important	Brief Counseling and Support Services for Older Adults (60+) Absolutely Essential
Suicide Prevention	Suicide Prevention Not Important At All	Suicide Prevention Slightly Important	Suicide Prevention Of Average Importance	Suicide Prevention Very Important	Suicide Prevention Absolutely Essential
Support Services to Native Americans	Support Services to Native Americans Not Important At All	Support Services to Native Americans Slightly Important	Support Services to Native Americans Of Average Importance	Support Services to Native Americans Very Important	Support Services to Native Americans Absolutely Essential
Early Childhood Education for Teachers: Promotion of social & emotional development of young children ages 0-5	Early Childhood Education for Teachers: Promotion of social & emotional development of young children ages 0-5 Not Important At All	Early Childhood Education for Teachers: Promotion of social & emotional development of young children ages 0-5 Slightly Important	Early Childhood Education for Teachers: Promotion of social & emotional development of young children ages 0-5 Of Average Importance	Early Childhood Education for Teachers: Promotion of social & emotional development of young children ages 0-5 Very Important	Early Childhood Education for Teachers: Promotion of social & emotional development of young children ages 0-5 Absolutely Essential
Parenting Education and Support	Parenting Education and Support Not Important At All	Parenting Education and Support Slightly Important	Parenting Education and Support Of Average Importance	Parenting Education and Support Very Important	Parenting Education and Support Absolutely Essential

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* 8. The goal of Prevention and Early Intervention (PEI) is to help counties implement services that promote wellness, foster health, and prevent the suffering that can result from untreated mental illness. The PEI component requires collaboration with consumers and family members in the development of PEI projects and programs.

What other types of Prevention and Early Intervention programs would you like to see in Tuolumne County?

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* 9. Below are unserved/ underserved racial, ethnic and cultural populations. Please indicate which groups you feel have the greatest need for mental health Prevention and Early Intervention programs and services in Tuolumne County.

	Very Low Need	Low Need	Moderate Need	High Need	Very High Need
Transition Aged Youth (aged 16-24 years)	Transition Aged Youth (aged 16-24 years) Very Low Need	Transition Aged Youth (aged 16-24 years) Low Need	Transition Aged Youth (aged 16-24 years) Moderate Need	Transition Aged Youth (aged 16-24 years) High Need	Transition Aged Youth (aged 16-24 years) Very High Need
Veterans	Veterans Very Low Need	Veterans Low Need	Veterans Moderate Need	Veterans High Need	Veterans Very High Need
Homeless	Homeless Very Low Need	Homeless Low Need	Homeless Moderate Need	Homeless High Need	Homeless Very High Need
Older Adults (60+)	Older Adults (60+) Very Low Need	Older Adults (60+) Low Need	Older Adults (60+) Moderate Need	Older Adults (60+) High Need	Older Adults (60+) Very High Need
LGBTQIA+ (lesbian, gay, bisexual, transgender, transsexual, two-spirit, queer, questioning, intersex, asexual, ally)	LGBTQIA+ (lesbian, gay, bisexual, transgender, transsexual, two-spirit, queer, questioning, intersex, asexual, ally) Very Low Need	LGBTQIA+ (lesbian, gay, bisexual, transgender, transsexual, two-spirit, queer, questioning, intersex, asexual, ally) Low Need	LGBTQIA+ (lesbian, gay, bisexual, transgender, transsexual, two-spirit, queer, questioning, intersex, asexual, ally) Moderate Need	LGBTQIA+ (lesbian, gay, bisexual, transgender, transsexual, two-spirit, queer, questioning, intersex, asexual, ally) High Need	LGBTQIA+ (lesbian, gay, bisexual, transgender, transsexual, two-spirit, queer, questioning, intersex, asexual, ally) Very High Need
People with disabilities	People with disabilities Very Low Need	People with disabilities Low Need	People with disabilities Moderate Need	People with disabilities High Need	People with disabilities Very High Need
Native Americans	Native Americans Very Low Need	Native Americans Low Need	Native Americans Moderate Need	Native Americans High Need	Native Americans Very High Need
Latino Americans	Latino Americans Very Low Need	Latino Americans Low Need	Latino Americans Moderate Need	Latino Americans High Need	Latino Americans Very High Need
African Americans	African Americans Very Low Need	African Americans Low Need	African Americans Moderate Need	African Americans High Need	African Americans Very High Need
Asian American / Pacific Islanders	Asian American / Pacific Islanders Very Low Need	Asian American / Pacific Islanders Low Need	Asian American / Pacific Islanders Moderate Need	Asian American / Pacific Islanders High Need	Asian American / Pacific Islanders Very High Need

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* 10. Listed below are Community Services and Supports programs that are currently funded by the MHSA. Please rate them in importance as services to provide to those who may be at-risk for or experiencing mental illness and/or homelessness in Tuolumne County.

	Not Important At All	Slightly Important	Of Average Importance	Very Important	Absolutely Essential	I'm not familiar with this program
Crisis Support (CAIP)	Crisis Support (CAIP) Not Important At All	Crisis Support (CAIP) Slightly Important	Crisis Support (CAIP) Of Average Importance	Crisis Support (CAIP) Very Important	Crisis Support (CAIP) Absolutely Essential	Crisis Support (CAIP) I'm not familiar with this program
Full-Service Partnership Program (FSP) - a "whatever it takes" service intensive program	Full-Service Partnership Program (FSP) - a "whatever it takes" service intensive program Not Important At All	Full-Service Partnership Program (FSP) - a "whatever it takes" service intensive program Slightly Important	Full-Service Partnership Program (FSP) - a "whatever it takes" service intensive program Of Average Importance	Full-Service Partnership Program (FSP) - a "whatever it takes" service intensive program Very Important	Full-Service Partnership Program (FSP) - a "whatever it takes" service intensive program Absolutely Essential	Full-Service Partnership Program (FSP) - a "whatever it takes" service intensive program I'm not familiar with this program
Enrichment Center (Peer-run groups, peer support, social support and connection, computers, showers, laundry, referrals to resources, access to community programs)	Enrichment Center (Peer-run groups, peer support, social support and connection, computers, showers, laundry, referrals to resources, access to community programs) Not Important At All	Enrichment Center (Peer-run groups, peer support, social support and connection, computers, showers, laundry, referrals to resources, access to community programs) Slightly Important	Enrichment Center (Peer-run groups, peer support, social support and connection, computers, showers, laundry, referrals to resources, access to community programs) Of Average Importance	Enrichment Center (Peer-run groups, peer support, social support and connection, computers, showers, laundry, referrals to resources, access to community programs) Very Important	Enrichment Center (Peer-run groups, peer support, social support and connection, computers, showers, laundry, referrals to resources, access to community programs) Absolutely Essential	Enrichment Center (Peer-run groups, peer support, social support and connection, computers, showers, laundry, referrals to resources, access to community programs) I'm not familiar with this program
Dental services at the Enrichment Center	Dental services at the Enrichment Center Not Important At All	Dental services at the Enrichment Center Slightly Important	Dental services at the Enrichment Center Of Average Importance	Dental services at the Enrichment Center Very Important	Dental services at the Enrichment Center Absolutely Essential	Dental services at the Enrichment Center I'm not familiar with this program
Lambert Community Center (Food, social & emotional support, referrals to resources, computers)	Lambert Community Center (Food, social & emotional support, referrals to resources, computers) Not Important At All	Lambert Community Center (Food, social & emotional support, referrals to resources, computers) Slightly Important	Lambert Community Center (Food, social & emotional support, referrals to resources, computers) Of Average Importance	Lambert Community Center (Food, social & emotional support, referrals to resources, computers) Very Important	Lambert Community Center (Food, social & emotional support, referrals to resources, computers) Absolutely Essential	Lambert Community Center (Food, social & emotional support, referrals to resources, computers) I'm not familiar with this program
Mobile shower services at David Lambert Community Drop-In Center	Mobile shower services at David Lambert Community Drop-In Center Not Important At All	Mobile shower services at David Lambert Community Drop-In Center Slightly Important	Mobile shower services at David Lambert Community Drop-In Center Of Average Importance	Mobile shower services at David Lambert Community Drop-In Center Very Important	Mobile shower services at David Lambert Community Drop-In Center Absolutely Essential	Mobile shower services at David Lambert Community Drop-In Center I'm not familiar with this program
Housing for those with severe mental illness	Housing for those with severe mental illness Not Important At All	Housing for those with severe mental illness Slightly Important	Housing for those with severe mental illness Of Average Importance	Housing for those with severe mental illness Very Important	Housing for those with severe mental illness Absolutely Essential	Housing for those with severe mental illness I'm not familiar with this program

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* 11. The MHSA funds Workforce Education and Training on behavioral health topics to county staff, county-contracted staff, and community organization staff who provide behavioral health services in the community. On what topics would you like to see training offered to these providers?

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* 12. The MHSA funds Innovation projects such as Tuolumne County's "Family Ties: Youth and Family Wellness," which was approved by the Mental Health Services Oversight and Accountability Commission (MHSOAC) in June 2023. This project will connect youth and families with non-mandated activities and alternatives, and non-traditional mental health approaches. The primary problem is we need to reduce the recidivism rate for youth by increasing their length of stay within the first admission by engaging youth and families concurrently. This project is approved for FYs 2022-2027.

During our Community Program Planning Process in Winter 2023, community members voiced these ideas for Tuolumne County's MHSA Innovation Plan.

Please indicate which alternative activities/mental health approaches you feel have the greatest impact for mental health Innovation programs and services in Tuolumne County.

Mindfulness classes

Meditation

Sound therapy

Yoga

Movie nights

Themed food nights

Bingo nights

Equestrian services

Job training/job search

Cooking classes/healthy eating and shopping

Art therapy

Music therapy

Writing therapy/journaling

Exercise therapy/sports/physical activities

Conflict resolution

Mental health values

Walking/Exploring nature

Tai chi

Breathing therapy

Light therapy

Animal therapy

Nights out to dinner

Education and prevention support groups for the family and youth

Productivity

Knowing your emotions

Group counseling

Acupressure/acupuncture

Rock climbing and ropes courses

Other (please specify)

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* 13. Please rate the following statements:

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I feel adequately educated about mental health signs and symptoms.	I feel adequately educated about mental health signs and symptoms. Strongly Disagree	I feel adequately educated about mental health signs and symptoms. Disagree	I feel adequately educated about mental health signs and symptoms. Neutral	I feel adequately educated about mental health signs and symptoms. Agree	I feel adequately educated about mental health signs and symptoms. Strongly Agree
I feel adequately educated about the availability of mental health services in Tuolumne County.	I feel adequately educated about the availability of mental health services in Tuolumne County. Strongly Disagree	I feel adequately educated about the availability of mental health services in Tuolumne County. Disagree	I feel adequately educated about the availability of mental health services in Tuolumne County. Neutral	I feel adequately educated about the availability of mental health services in Tuolumne County. Agree	I feel adequately educated about the availability of mental health services in Tuolumne County. Strongly Agree
I feel that there is unfair stigma and discrimination toward those living with a mental illness.	I feel that there is unfair stigma and discrimination toward those living with a mental illness. Strongly Disagree	I feel that there is unfair stigma and discrimination toward those living with a mental illness. Disagree	I feel that there is unfair stigma and discrimination toward those living with a mental illness. Neutral	I feel that there is unfair stigma and discrimination toward those living with a mental illness. Agree	I feel that there is unfair stigma and discrimination toward those living with a mental illness. Strongly Agree
I feel that mental health can impact physical health and vice versa.	I feel that mental health can impact physical health and vice versa. Strongly Disagree	I feel that mental health can impact physical health and vice versa. Disagree	I feel that mental health can impact physical health and vice versa. Neutral	I feel that mental health can impact physical health and vice versa. Agree	I feel that mental health can impact physical health and vice versa. Strongly Agree
I feel that mental illness and substance use are related.	I feel that mental illness and substance use are related. Strongly Disagree	I feel that mental illness and substance use are related. Disagree	I feel that mental illness and substance use are related. Neutral	I feel that mental illness and substance use are related. Agree	I feel that mental illness and substance use are related. Strongly Agree
I feel that there is unfair stigma and discrimination toward those who are homeless/unhoused.	I feel that there is unfair stigma and discrimination toward those who are homeless/unhoused. Strongly Disagree	I feel that there is unfair stigma and discrimination toward those who are homeless/unhoused. Disagree	I feel that there is unfair stigma and discrimination toward those who are homeless/unhoused. Neutral	I feel that there is unfair stigma and discrimination toward those who are homeless/unhoused. Agree	I feel that there is unfair stigma and discrimination toward those who are homeless/unhoused. Strongly Agree
Suicide should not be talked about because it can be 'contagious.'	Suicide should not be talked about because it can be 'contagious.' Strongly Disagree	Suicide should not be talked about because it can be 'contagious.' Disagree	Suicide should not be talked about because it can be 'contagious.' Neutral	Suicide should not be talked about because it can be 'contagious.' Agree	Suicide should not be talked about because it can be 'contagious.' Strongly Agree
People suffering from a mental illness are dangerous.	People suffering from a mental illness are dangerous. Strongly Disagree	People suffering from a mental illness are dangerous. Disagree	People suffering from a mental illness are dangerous. Neutral	People suffering from a mental illness are dangerous. Agree	People suffering from a mental illness are dangerous. Strongly Agree
People with mental health challenges, such as depression and anxiety, are weak and should just 'get over it.'	People with mental health challenges, such as depression and anxiety, are weak and should just 'get over it.' Strongly Disagree	People with mental health challenges, such as depression and anxiety, are weak and should just 'get over it.' Disagree	People with mental health challenges, such as depression and anxiety, are weak and should just 'get over it.' Neutral	People with mental health challenges, such as depression and anxiety, are weak and should just 'get over it.' Agree	People with mental health challenges, such as depression and anxiety, are weak and should just 'get over it.' Strongly Agree
Mental illness should be treated like physical illness (e.g. Annual check-ups, depression screenings)	Mental illness should be treated like physical illness (e.g. Annual check-ups, depression screenings) Strongly Disagree	Mental illness should be treated like physical illness (e.g. Annual check-ups, depression screenings) Disagree	Mental illness should be treated like physical illness (e.g. Annual check-ups, depression screenings) Neutral	Mental illness should be treated like physical illness (e.g. Annual check-ups, depression screenings) Agree	Mental illness should be treated like physical illness (e.g. Annual check-ups, depression screenings) Strongly Agree

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* 14. On March 19, 2023, Gov. Newsom proposed a 2024 ballot initiative to improve how California treats mental illness, substance abuse, and homelessness: a bond to build state-of-the-art mental health treatment residential settings in the community to house Californians with mental illness and substance use disorders and to create housing for homeless veterans and modernize the Mental Health Services Act. The ballot would also include an amendment to the Mental Health Services Act (MHSA), leading to at least $1 billion every year in local assistance for housing and residential services for people experiencing mental illness and substance use disorders, and allowing MHSA funds to serve people with substance use disorders.

Are you familiar with MHSA Modernization?

Yes

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* 15. Are you familiar with the services offered at Tuolumne County Behavioral Health Department (TCBHD)?

Yes

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* 16. Do you know where TCBHD is located?

Yes

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* 17. During our Community Program Planning Process in Winter 2023, community members voiced that these were the top five most concerning gaps in the behavioral health system. Please rank these in order of importance from 1 (most important) to 5 (least important) for the residents of Tuolumne County.

Lack of providers/the need for additional personnel who are trained

The need for our own local facility

Access to and timeliness of care

The need for in-field work that focuses on mental health crises (example: Mobile Crisis Unit)

Community outreach

Other gaps not mentioned

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* 18. Also, during our Community Program Planning Process in Winter 2023, community members also voiced that these were the top seven biggest challenges facing Tuolumne County in regards to mental health and wellness. Please rank these in order of importance from 1 (most important) to 7 (least important) for the residents of Tuolumne County.

Lack of providers/high turnover/retainment of staff

Homelessness

Mental health stigma

Need for increased funding

Lack of affordable housing

Substance Use

Denial of mental health issues/challenges

Other gaps not mentioned

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* 19. Is this the first time you have participated in a MHSA Community Survey?

Yes

I don't know

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* 20. Choose as many options below that best describe you:

Mental Health Client/Consumer

Family Member of a Mental Health Client/Consumer

County Behavioral Health Department Employee

Substance Abuse Service Provider

Private Mental Health Therapist

Community Based Organization

Children / Family Services

Professor, Teacher, School Staff, Education Provider

Law Enforcement, including prison and jail staff

Probation

Veterans Services

Hospital / Physical Health Care Provider

Senior Services

Faith Based Support Provider

Student

Advocate

Prefer not to answer

Other (please specify)

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* 21. What city, town, or locale do you currently live in?

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* 22. Answers to the following demographic questions will help us identify who is taking the survey on an aggregate level. Your individual responses will be kept confidential; however, we respect your right to decline to answer any or all of the questions.

What is your age?

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* 23. What is your race?

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White

More than one race

Prefer not to answer

Other (please specify)

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* 24. What is your Ethnicity?

	Non-Hispanic or Non-Latino	Hispanic or Latino
Ethnicity	Ethnicity Non-Hispanic or Non-Latino menu	Ethnicity Hispanic or Latino menu

Other (please specify)

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* 25. What was your assigned gender at birth?

Female

Male

Prefer not to answer

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* 26. What gender do you identify as?

Female

Male

Transgender

Genderqueer

Gender neutral

Questioning or unsure of gender identity

Prefer Not to Answer

Other (please specify)

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* 27. Are you a veteran?

Yes

Prefer not to answer

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* 28. What best describes your current living arrangement?

Rent

Own home

Homeless (e.g. living outside, living in your car, couch surfing, etc)

Live with parents/ family/ friends

Temporary housing (e.g. motel/ hotel)

Other (please specify)

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* 29. What language do you mainly speak at home?

English

Spanish

Prefer not to answer

Other (please specify)

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* 1. Listed below are some of the potential issues facing someone living with an untreated mental health challenge. Please select three that you feel are the most important to address.

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* 2. Listed below are some of the challenges that may be a barrier to those seeking mental health services in Tuolumne County. Please check the top five that you believe are the biggest barriers.

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* 3. When thinking about housing options for the mentally ill, what would be the best use of TCBH funds?

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* 4. When thinking about the allowance for MHSA funding to be used for supportive housing of unsheltered individuals experiencing severe mental illness, which, if any, of the homeless services should be supported by TCBH?

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* 5. Which of the following Behavioral Health (substance use and mental health) services for homeless should be TCBH's top priority?

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* 6. Below is a list of priorities that Prevention and Early Intervention programs are directed by MHSA regulations to address. Please rate them in importance as services to provide for the residents of Tuolumne County.

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* 7. Listed below are Prevention and Early Intervention programs and services that are currently funded by MHSA funds in Tuolumne County. Please rate them in importance as services to provide to those who may be at-risk of mental illness in Tuolumne County.

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* 9. Below are unserved/ underserved racial, ethnic and cultural populations. Please indicate which groups you feel have the greatest need for mental health Prevention and Early Intervention programs and services in Tuolumne County.

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* 10. Listed below are Community Services and Supports programs that are currently funded by the MHSA. Please rate them in importance as services to provide to those who may be at-risk for or experiencing mental illness and/or homelessness in Tuolumne County.

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* 11. The MHSA funds Workforce Education and Training on behavioral health topics to county staff, county-contracted staff, and community organization staff who provide behavioral health services in the community. On what topics would you like to see training offered to these providers?

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* 13. Please rate the following statements:

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* 15. Are you familiar with the services offered at Tuolumne County Behavioral Health Department (TCBHD)?

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* 16. Do you know where TCBHD is located?

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* 19. Is this the first time you have participated in a MHSA Community Survey?

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* 20. Choose as many options below that best describe you:

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* 21. What city, town, or locale do you currently live in?

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* 22. Answers to the following demographic questions will help us identify who is taking the survey on an aggregate level. Your individual responses will be kept confidential; however, we respect your right to decline to answer any or all of the questions.What is your age?

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* 23. What is your race?

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* 24. What is your Ethnicity?

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* 25. What was your assigned gender at birth?

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* 26. What gender do you identify as?

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* 27. Are you a veteran?

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* 28. What best describes your current living arrangement?

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* 29. What language do you mainly speak at home?

* 22. Answers to the following demographic questions will help us identify who is taking the survey on an aggregate level. Your individual responses will be kept confidential; however, we respect your right to decline to answer any or all of the questions.

What is your age?