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Riverbend Community Needs Assessment:
Community Partner Survey
Section 1: Your Organization
10%
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1.
The state of NH requires input from the following state-defined stakeholder groups. Which of the following stakeholder categories best describe the perspective(s) you bring to this survey?
Select all that apply.
(Required.)
Health centers (including Federally Qualified Health Centers)
Local health departments
Inpatient psychiatric facilities, inpatient acute care hospitals, and hospital outpatient clinics
Department of Veterans Affairs facilities
K-12 school systems
Organizations operated by people with lived experience of mental health and substance use conditions
Residential programs
Juvenile justice agencies and facilities
Criminal justice agencies and facilities
Child welfare agencies/child placing agencies
Crisis response partners
Specialty providers of medications for opioid use disorder (OUD)/alcohol use disorder (AUD)
Peer-run and operated service providers
Homeless shelters
Housing agencies
Employment services systems
Services for older adults
Aging and Disability Resource Centers
Other social and human services
Other community partners
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2.
How does your organization currently interact with Riverbend?
Select all that apply.
(Required.)
Refer individuals to Riverbend
Receive referrals from Riverbend
Coordinate care of mutual clients with Riverbend
Contract with Riverbend to provide services
Contract with Riverbend to receive services
Participate in community initiatives with Riverbend
Limited interaction with Riverbend
No current interaction with Riverbend
*
3.
Which communities in Riverbend’s service area does your organization serve or work in?
Select all that apply.
(Required.)
Greater Concord area (Concord, Bow, Chichester, Pembroke, Hopkinton, Loudon, Boscawen, Dunbarton)
Western area (Webster, Warner, Salisbury, Andover, Danbury, Wilmot, New London, Sutton, Newbury, Bradford, Hillsborough, Windsor, Deering, Henniker, Weare)
Northern/Eastern area (Franklin, Northfield, Canterbury, Pittsfield, Epsom, Allenstown)
Other
