Community Sector Training Assessment Survey

Community Sector Training Assessment Survey

This survey is part of the CHNA 9 - North Central Mass Community Health Improvement Plan (CHIP).  The CHNA 9 area includes the following 27 cities and towns in the North Central Region (Ashburnham, Ashby, Ayer, Barre, Berlin, Bolton, Clinton, Fitchburg, Gardner, Groton, Hardwick, Harvard, Hubbardston, Lancaster, Leominster, Lunenburg, New Braintree, Oakham, Pepperell, Princeton, Rutland, Shirley, Sterling, Templeton, Townsend, Westminster and Winchendon) as well as 9 towns in North Quabbin Area within Heywood Healthcare Service area (Athol, Orange, Erving, New Salem, Petersham, Phillipston, Royalston, Warwick, and Wendell).

One of the goals for the CHIP is to improve the overall behavioral health, mental health, and wellbeing of the region, including preventing substance abuse, in a culturally diverse, responsive, and holistic manner. One strategy is to educate the community on signs, symptoms, and resources available for the prevention and treatment for mental health and substance use issues.  The survey will provide a baseline for the current understanding of these issues and identify training needs and interests. Information from this survey can then be used to bring available trainings to community partners that match the needs and interests identified from the survey.

You are receiving this survey because you are an important member of our CHNA 9 community. All responses to the survey are anonymous. However please reach out to Chelsey Patriss, CHNA 9 Coordinator chna9northcentral@gmail.com, to learn more about CHNA 9 and the CHIP process.  If you would like to become involved with the CHIP Mental and Behavioral Health and Substance Abuse Working group, or to discuss a specific training need, contact  the working group leadership team, Mary Giannetti, mary.giannetti@heywood.org, Kelli Rooney, krooney@healthalliance.com,  Michelle Dunn, mdunn@gaamha.org , Veronika Patty, vpatty@luk.org, or Paul Richard, prichard@shineinitiative.org.

It is anticipated it will take 5-10 minutes to complete the survey.
We thank you in advance for your participation.

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* 1. Zip code you work in (If not applicable please enter N/A)

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* 2. Zip code you live in

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* 3. What best describes your primary work setting?

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* 4. As part of this role do you work primarily with

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* 5. Do you work with any special subgroup of your community?

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* 6. Do you believe substance use disorder and addiction are a big concern in your community?

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* 7. Do you believe mental illness is a big concern in your community?

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* 8. Do you believe suicide is a big concern in your community?

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* 9. Do you believe substance use and addictions are a

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* 10. Do you believe mental illness is a

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* 11. Who do you believe Narcan (overdose reversal drug) should be available to:

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* 12. Do you know the signs of mental illness?

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* 13. Do you know about suicide warning signs?

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* 14. Do you know the signs of substance abuse?

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* 15. Do you know the signs of an overdose?

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* 16. Would you know where to go in your community for the following services?

  Yes No
Peer Support
Treatment Services
Recovery Center
Mental Health Treatment Facility
Prevention Information

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* 17. If you believed you or someone you know might have a mental illness or substance use disorder and needed treatment, who would you most likely ask for help?

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* 18. Are treatment and recovery facilities important to the overall health of your community?

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* 19. If you believed you or someone you know might have a mental illness or substance use disorder and needed treatment, who would you be least likely to ask for help?

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* 20. Are prevention programs and early intervention education important to the overall health of your community?

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* 21. How would you identify and access available resources and services?

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* 22. Are people able to readily access mental health, behavioral health services when needed?

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* 23. Please list any specific trainings you would be interested in receiving

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* 24. Are people able to readily access substance use disorder services when needed?

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* 25. Have you received any training in:

  Substance Abuse (e.g. Narcan training, overdose signs) Mental Health (e.g. Know the signs and symptoms) Suicide Screening (e.g. SBIRT, QPR, ASSIST)
Yes
No
Would you be interested in further trainings? Please select which sector.

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* 26. Please add anything else you would like to share regarding training needs around Mental Health and Substance Use Disorders and/or the available resources to prevent and treat.

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* 27. Have you been personally affected by mental health issues?

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* 28. Have you been personally affected by substance use disorder or addiction?

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