Fresno County Mental Health Services Act

Success Stories

Dear Consumer and Family Member,

The Fresno County Mental Health Services Act (MHSA) is currently requesting consumers and family members to share their story and experiences with MHSA funded programs and services.

By providing us your story and responding to the questions below, you will serve as a collective ‘voice’ for individuals, families and programs who wish to continue providing quality and comprehensive services in our communities. Also, you will be helping us in gathering support to advocate at the State and local level, bringing about positive and long-term change for mental health care in Fresno County.

Question Title

* Please tell us the name of the program where you receive services/treatment.

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* Briefly describe the situation that brought you to this program which services are funded through MHSA.

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* Describe your experience with the program and their services.

Question Title

* What helped you with your wellness and recovery? Please select from AT LEAST ONE of the areas below: (Check all that apply)

Advocacy and Outreach

Education to Consumers and Families

Peer Support

Co-occurring treatment, addressing mental health and substance abuse needs

Treatment and services in your language and including your values and beliefs (culturally competent)

Outpatient Treatment

Case Management

Housing

Other (please describe)

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* What progress or accomplishments have you made as a result of the services being provided to you?

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* What else would you like to tell us?

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* OPTIONAL

Please provide your contact information.

Name:

Address:

Address 2:

City/Town:

ZIP/Postal Code:

Email Address:

Phone Number:

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* Please provide us:

Race/Ethnicity

Age

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* Gender

Male

Female

Other

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* Consent:

I give Fresno County MHSA permission to include my story in its Stories Collection.

I give Fresno County MHSA permission to include my story in its Stories Collection but I wish to remain anonymous.

Thank you for your continued support!

If you have questions or concerns about this survey, please contact us at (559)452-3460 or email us at mhsa@co.fresno.ca.us

Our address is 5108 E. Clinton Way, Suite #108 Fresno CA 93727

Fresno County MHSA Administration

Question Title

* Please tell us the name of the program where you receive services/treatment.

Question Title

* Briefly describe the situation that brought you to this program which services are funded through MHSA.

Question Title

* Describe your experience with the program and their services.

Question Title

* What helped you with your wellness and recovery? Please select from AT LEAST ONE of the areas below: (Check all that apply)

Question Title

* What progress or accomplishments have you made as a result of the services being provided to you?

Question Title

* What else would you like to tell us?

Question Title

* **OPTIONAL**Please provide your contact information.

Question Title

* Please provide us:

Question Title

* Gender

Question Title

* Consent:

* OPTIONAL

Please provide your contact information.