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Behavioral Health Needs Assessment-Mental Health Organization Survey
Access to Services
1.
What is your primary role within your organization? CHECK ALL THAT APPLY
Administrator (CEO, ED, CFO, etc.)
Direct Service Provider
Other (please specify)
2.
Please describe in detail the MENTAL HEALTH SERVICES you feel local residents may NOT be able to access. Please include specific services types, geographic issues, or system barriers that you feel contribute to the access to mental health services.
3.
Please describe in detail the SUBSTANCE USE SERVICES you feel local residents may NOT be able to access. Please include specific services types, geographic issues, or system barriers that you feel contribute to the access of substance abuse services.
4.
Please indicate how much you feel the following services are an access problem for your county.
A lot
Some
A little
Not at all
Tests and diagnosis
A lot
Some
A little
Not at all
Mental Health Medicine
A lot
Some
A little
Not at all
Counseling or therapy
A lot
Some
A little
Not at all
Group therapy
A lot
Some
A little
Not at all
A psychiatrist
A lot
Some
A little
Not at all
Inpatient program (mental health)
A lot
Some
A little
Not at all
Inpatient program (alcohol or drug use)
A lot
Some
A little
Not at all
Other, please explain:
5.
In what county do you provide services (check all that apply).
Huron
Lapeer
Sanilac
Tuscola
Other (please specify)