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Help Us Build the Mental Health System

Our mental health system isn't broken. Reviewing the history, we know that discriminatory policies and lack of funding resulted in it never being built. While progress has been made, there is more to do. We want to hear from you as to what is working, what are the barriers and what suggestions you have to continue building our system. Thank you! 

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* 1. Please tell us a little about yourself (Check all that apply). Are you a

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* 2. What is your age?

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* 3. What is your Zip Code

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* 4. Do you identify as:

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* 5. What mental health services have you or the person living with a mental illness used (or tried to use) for treatment and support within the last five years and how easy or difficult was it to access this service? (check all that apply)

  Very Easy to Access Easy to Access Neutral  Difficult to Access Could Not Access N/A
Assertive Community Treatment (ACT) Team (teen and adult)
Adult Rehabilitative Mental Health Services (ARMHS)
Case Management (adult or child)
Children’s Residential Mental Health Treatment
Children’s Therapeutic Supports and Services (CTSS)
Crisis Home for adults
Cognitive Behavioral Therapy (CBT)
Day Treatment/Partial Hospitalization (child or adult)
Dialectical Behavioral Therapy (DBT)
Inpatient Hospitalization (children or adult)
Intensive Residential Treatment Services (IRTS)(adult)
Mobile Crisis Services (child or adult)
Outpatient Mental Health Treatment - therapy and groups (child and adult)
Outpatient Substance Use Disorder Treatment (child and adult)
Psychiatric Residential Treatment Facility (PRTF)(children)
Psychiatry, medication prescriber/manager
Residential Substance Use Disorder Treatment (child or adult)
Respite Care for children
School-Linked Mental Health (children)
Supportive Housing (adult)
CADI Waiver (child and adult)
Intensive Treatment in Foster Care (child)
Personal Care Attendant (child or adult)
Other

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* 6. If you had difficulty accessing one of the services, please briefly describe the barriers. 

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* 7. On a scale of 1 to 10,  1 being not at all and 10 being very, do you feel like the mental health treatment you access is culturally appropriate, respectful of your culture and identity, or culturally informed?

0 10
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i We adjusted the number you entered based on the slider’s scale.

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* 8. Why did you give that rating?

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* 9. Have you or the person living with a mental illness faced any of these barriers in accessing mental health treatment or supports? (check all that apply)

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* 10. Please describe any other barriers or tell us more about the barriers you checked in question 9.

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* 11. Do you or the person with a mental illness have a co-occurring substance use disorder?

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* 12. If you answered yes, were you or the person with the mental illness able to find a provider that would treat both conditions at the same time?

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* 13. Please check if you or the person living with a mental illness has had an encounter with the criminal justice system in the past two years.

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* 14. If there was an encounter with the criminal justice system, what could have prevented this? What changes would you like to see so it doesn't happen in the future or to others?

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* 15. If you or the person with a mental illness was in prison or jail, please rate the mental health care that was received. Check all that apply.

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* 16. Tell us more about the mental health care you or the person with a mental illness received in the criminal justice system.

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* 17. Mental health and substance use disorder parity laws are not being enforced. Please check the issues you have faced in accessing care. 

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* 18. Are you involved in your Local Advisory Council (LAC) or Children's Collaborative? If not, why not? If yes, do you feel heard?

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* 19. What changes in the mental health system would you like to see in the future?

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* 20. What has worked for you or for the person with a mental illness in our mental health system? Share a positive story. 

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* 21. If you are interested in sharing your story to legislators please provide your contact information. Thanks!

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* 22. Is there anything else you would like to tell us?

Thank you so much for your time! 
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