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Community Partner Behavioral Health Survey
Comprehensive Life Resources is seeking feedback about community behavioral health services. Your responses will assist us in developing and improving programming to address unmet needs. We appreciate you taking the time to complete the survey.
1.
What is your zip code?
2.
What is your organization's primary function?
Emergency/crisis response
Behavioral health support
Health care
Managed care organization
Homeless services
Education
Child welfare
Other (please specify)
*
3.
From this list, what do you identify as the biggest needs in our area in terms of mental health and substance use disorder services and treatment? Select three.
(Required.)
More providers needed
Help with homelessness/supported living options
Transportation
Residential SUD/sober housing
Psychiatric access
Case management
Different service hours
Inpatient mental health services
More outreach services
School-based services
Support for veterans
Services for LGBTQ+
Peer support
Opioid services
SUD services for teens
Parenting support
Youth residential
Other (please specify)
4.
What barriers exist to accessing mental health or substance use services? Select all that apply.
Lack of evening or weekend hours
Lack of childcare
Lack of reliable transportation
Not able to pay for services
Not enough understanding about how services are funded and eligibility
Not sure how to start services
Frequency of appointments doesn’t match the level of need for services
Can’t get an appointment within a reasonable timeframe to start services
Lack of telehealth capabilities
Cultural barriers
Language barriers
Other (please specify)
5.
How available and accessible are the following services to people in our area?
Always available
Mostly available
Mostly not available
Never available
N/A
Counseling - Adults
Always available
Mostly available
Mostly not available
Never available
N/A
Counseling - Children
Always available
Mostly available
Mostly not available
Never available
N/A
SUD - Adults
Always available
Mostly available
Mostly not available
Never available
N/A
SUD - Children
Always available
Mostly available
Mostly not available
Never available
N/A
Crisis services
Always available
Mostly available
Mostly not available
Never available
N/A
Crisis stabilization
Always available
Mostly available
Mostly not available
Never available
N/A
Peer support
Always available
Mostly available
Mostly not available
Never available
N/A
Psychiatry
Always available
Mostly available
Mostly not available
Never available
N/A
Veterans' care
Always available
Mostly available
Mostly not available
Never available
N/A
Psychological testing
Always available
Mostly available
Mostly not available
Never available
N/A
Developmental disabilities with MH needs
Always available
Mostly available
Mostly not available
Never available
N/A
Unhoused people with behavioral health needs
Always available
Mostly available
Mostly not available
Never available
N/A
6.
We are looking for people who have lived experience with mental health to serve on an advisory committee. The group would meet no more than 4 times per year for approximately an hour. Would you be interested in learning more?
Yes
No
7.
Thank you! Please provide your contact information and we will be in touch with more information about the advisory committee.
Name:
Email address:
Phone number
