1. HB-1032 Crisis Response Survey

OBH wants to learn about your community's crisis response system - what exists, what's working and what's missing. Your input will help us assess the crisis response needs for this state.

* 1. Please indicate your affiliation and geographic location

* 2. What crisis response services are currently available in your community? (please mark all that apply and feel free to write in additional information)

* 3. How would you rate the following services for your community?

  Exceptional More Than Adequate Adequate Inadequate Nonexistent N/A
Availability of crisis services (business hours and after hours)
Response time to initial crisis
Timely access to follow up services
Detox services (Social model)
Overall continuum of care

* 4. How is the crisis response system working with citizens and other agencies in your community? Please rate the following:

  High Above Average Average Below Average Poor N/A
Community knowledge of available services
Collaboration between crisis response entities and other agencies
Outreach and communication with grassroots groups and individuals
Consumer satisfaction

* 5. Please rate how well the current crisis response system is working in your community?

* 6. What are three positive outcomes you have seen from the current crisis response system in your community?

* 7. What are three services that are missing in your community's crisis response system?

* 8. If resources and funding were unlimited, what would your "ideal" crisis response system look like?

* 9. Given existing funding and resources, what would be the best response system for your community?

* 10. Would you prefer to a statewide or a local crisis response system?

* 11. What is most important to you when receiving support/services during a crisis

* 12. What recovery and wellness components are the most important to you in relation to crisis services?

T