JDAI/OCA Youth Survey

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* 2. Which system(s) were you involved in (i.e. Department of Children and Families (DCF), Department of Youth Services (DYS), Department of Mental Health (DMH) etc.)?

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* 3. At what age was your first interaction with a system? (numerical)

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* 4. How old are you now? (numerical)

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* 5. Are you currently system(s) involved? (Y/N)

Yes

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* 6. What system or systems are you currently involved in? (i.e. Department of Children and Families (DCF), Department of Youth Services (DYS), Department of Mental Health (DMH) etc.)

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* 7. Do you identify with any of the below categories?

LGBTQI-GNC

Homeless

Immigrant/Refugee

Experienced family violence

DCF has been involved in my life

Have a Disability/Mental Illness

I do not know

None

Other (please specify)

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* 8. How would you describe your community?

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* 9. Did you have access to basics needs growing up? (i.e. food, housing, shelter, clothing, etc.)

Yes

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* 10. Do you currently have access to basic needs? (i.e. food, housing, shelter, clothing, etc.)

Yes

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* 11. Are you aware of organizations that provide any of the following services to youth in your community?

Mental health support

Substance use support

Family crisis support

Extra help with school

Job and professional development training

Volunteer opportunities

Recreational/Sports opportunities

Leadership development

None

Other (please specify)

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* 12. Have you been referred for any of the following services in your community? Please select all that apply:

Behavioral or mental health treatment

Substance Use Disorder treatment/programming

Crisis response/crisis intervention

Educational support/tutoring

Special education services

Leadership development

Vocational training or other employment support

Community service/volunteerism

Mentoring

Recreational (e.g. arts, athletics)

Parent/family support (e.g. mediation, short-term respite)

Restorative Justice

Day program

I have never been referred to a community organization

Other (please specify)

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* 13. If you selected a service in question 12, what was the name of the agency/organization?

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* 14. If you selected a service in question 12, what was your experience like? (Scale 1: terrible experience – 5: great experience)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 15. Are there any types of services for youth that you think are under-represented or under-resourced in your community? (i.e. These services are needed but don’t exist in your community or there isn’t enough capacity to meet the need). Please select all that apply:

Mental health support

Substance use support

Family crisis support

Extra help with school

Job and professional development training

Volunteer opportunities

Recreational/Sports opportunities

Leadership development

None

Other (please specify)

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* 16. What do you perceive to be significant barriers to youth accessing community-based services in your community? Please select all that apply:

Transportation

Program fees

Youth willingness to participate

Family engagement

Capacity/waitlists

Program eligibility criteria

Lack of programming that match youth-specific needs

Lack of high-quality programming/services

None

Other (please specify)

JDAI/OCA Youth Survey

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* 1. What city are you from?

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* 2. Which system(s) were you involved in (i.e. Department of Children and Families (DCF), Department of Youth Services (DYS), Department of Mental Health (DMH) etc.)?

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* 3. At what age was your first interaction with a system? (numerical)

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* 4. How old are you now? (numerical)

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* 5. Are you currently system(s) involved? (Y/N)

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* 6. What system or systems are you currently involved in? (i.e. Department of Children and Families (DCF), Department of Youth Services (DYS), Department of Mental Health (DMH) etc.)

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* 7. Do you identify with any of the below categories?

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* 8. How would you describe your community?

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* 9. Did you have access to basics needs growing up? (i.e. food, housing, shelter, clothing, etc.)

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* 10. Do you currently have access to basic needs? (i.e. food, housing, shelter, clothing, etc.)

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* 11. Are you aware of organizations that provide any of the following services to youth in your community?

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* 12. Have you been referred for any of the following services in your community? Please select all that apply:

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* 13. If you selected a service in question 12, what was the name of the agency/organization?

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* 14. If you selected a service in question 12, what was your experience like? (Scale 1: terrible experience – 5: great experience)

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* 15. Are there any types of services for youth that you think are under-represented or under-resourced in your community? (i.e. These services are needed but don’t exist in your community or there isn’t enough capacity to meet the need). Please select all that apply:

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* 16. What do you perceive to be significant barriers to youth accessing community-based services in your community? Please select all that apply:

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* 17. When you think of your experience with systems like DCF or DYS, or the courts, do you feel as though those system(s) treated you fairly?

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* 18. Why do you perceive the system to be fair or not fair?

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* 19. What suggestions do you have to make these systems/processes more fair?