Systems of Care (SOC) Services Needed Survey Question Title * 1. Name of Respondent OK Question Title * 2. Name and Type of Agency OK Question Title * 3. Who are the youth primarily connected to when they engage with you for services? (Rank top 3 with 1 being the most). 1 2 3 4 5 6 1) Biological parent (s) 1 2 3 4 5 6 2) Biological grandparent (s) 1 2 3 4 5 6 3) Foster parent (s) 1 2 3 4 5 6 4) Adoptive parent(s) 1 2 3 4 5 6 5) Other biological family member 1 2 3 4 5 6 6) Non-biological kin (step-parent, community member) OK Question Title * 4. What do you believe is the biggest challenge/biggest issue when working with youth? Check all that apply. Bullying Building or maintaining relationships Dealing with past trauma Following rules/conduct Self-harm Success in school environment Suicidal ideation or attempt Transitioning activities/change Verbal outbursts Violence or tantrums Other (please specify) OK Question Title * 5. What services do your clients access that are external to your agency? Rank these services based on importance with 1 being most important. 1) 2) 3) 4) 5) OK Question Title * 6. Do you use any of these resources when working with the youth/families you serve? Check all that apply. Birth to Three Mobile Crisis Children with Special Health Care Needs Positive Behavior Support Children’s Wrap Around Regional Youth Centers Family Advocacy Support and Training (FAST) Substance Use Prevention Family therapy Suicide Prevention Home visitation In home programs or services Individual therapy Intellectual Developmental Waiver (IDDW) Other (please specify) OK Question Title * 7. Are any of the following services and supports needed when working with the youth/families you serve in our region? Check all that apply. Crisis safety plan (a plan to help a family manage a crisis or help keep their children at home, with their family while maintaining safety) i.e. suicide prevention Applying for insurance Behavior support Childcare for other children in home, during appointments Parent support groups/networks Referrals to healthcare professionals/specialists Crisis services, other than 911 In home services All needs are being met Behavioral health services (individual and family therapy) in the client or families area Other (please specify) OK Question Title * 8. What unmet needs are you aware of in the community/region 2? Rank these unmet needs based on importance with 1 being the most important. 1) 2) 3) 4) 5) OK Question Title * 9. Does your agency provide these classes or trainings? Check all that apply. Circle of Parents- provides a friendly, supportive environment led by parents and other caregivers. It’s a place where anyone in a parenting role can openly discuss the successes and challenges of raising children. It’s a place where parents can find and share support. Healthy Grand Families- offers grandparents tools, resources, and contacts within the community that can be useful when parenting in the 21st century. Nurturing Parents- a family centered, trauma informed, initiative designed to build nurturing parenting skills. Positive Behavior Support- offers a package of evidence-based strategies to improve quality of life and decrease challenging behaviors. It teaches people new skills and alternative responses to replace challenging behaviors. This approach is positive, proactive, and focuses on preventing challenging behaviors before they occur. Strengthening Families- in-home family educators are in the home during the early years to assist families in identifying and recognizing their strengths. Trauma Informed Training- training that helps parents understand how a child’s past experiences impact his or he behavior, how to encourage a child to develop strength and resilience, and how to adapt your parenting style to a child’s needs. Other (please specify) OK Question Title * 10. How can Prestera Center’s Regional System of Care (SOC) Family Coordinator assist you? OK DONE