Resources for Families Impacted by Opioid Use Survey

The Walworth County Drug and Alcohol Coalition remains committed to combatting the negative impact of unhealthy substance use in our community. To that end, we are requesting feedback from the community to support the development of resources for individuals and families impacted by opioid and other substance use. We are looking for information regarding the types of services or supports to help:

· promote coping and healing when there has been the loss of a loved one;

·strengthen connections to the community through social and/or recreational engagement; and/or

·build knowledge about and access to healthy alternatives to deal with stress and anxiety.

If you or someone you know has been impacted by opioid or other substance use, please feel free to complete the survey.

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1.How many close family members do you have with a current substance use disorder?

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3.Have you faced any of the following challenges due to your relationship with a family member with a substance use disorder? (check all that apply)

Financial hardship

Loss of transportation, employment, or housing

Emotional distress

Other (please specify)

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4.Are you currently caring for a child as a result of your family member’s substance use disorder?

Yes

Other (please specify)

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5.If yes to question 4, what services would be helpful for you or the child you are caring for?

Support group for caregivers

Support group for family members impacted by opioid use

Traditional therapy/counseling services

Participation in activities like sports, recreation activities, or community events

Non-traditional therapeutic services (examples include equine therapy, play therapy)

Information about addiction and treatment options

Information about applying for benefits such as SSI, food share, Medicaid, death benefits

Community programs like Big Brothers/Big Sisters, Safe Families, or Boys and Girls Club

Other (please specify)

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6.Is funding a barrier for participation in any of the activities listed in question 5?

Yes

Other (please specify)

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7.Is transportation a barrier for you?

Yes

Other (please specify)

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8.If new services/programs for families impacted by substance use disorders becomes available, would you prefer to attend them in person, online, or both?

In Person

Online

Both or No Preference

Other (please specify)

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9.What is your preferred way to learn about information and services for families impacted by substance use disorders? (If you are willing to provide you name and contact information, please also provide this under the comment box in the "other" section.

Health and Human Services Website

Facebook/Social Media

Other (please specify)