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Project EVERS

Parents: Please respond to the following questions to help us determine your experience with High Plains Mental Health Center (if applicable) and the support received from your child's school. Thank you!

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* 1. Grade level(s) of your child(ren):

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* 2. What is your district?

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* 3. What is your child's school?

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* 4. Has your child(ren) received services from High Plains Mental Health Center?

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* 5. If no, skip to Question 6
If yes, please respond to the items in this question

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To what extent did High Plains work with you to make and evaluate health care decisions about your child?
To what extent did High Plains encourage you to provide input about your child's care?
To what extent did High Plains honor your family's beliefs and practices when developing diagnostic and treatment plan?
To what extent did High Plains inform you about any diagnosis in an understandable way?

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* 6. Has your child received mental or behavioral health services from another provider (e.g., local counseling services, county health department, NKESC)?

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* 7. If no, skip to Question 9
If yes, please respond to the items in this question

  Not at all Somewhat A Lot Not Applicable
To what extent did the provider work with you to make and evaluate health care decisions about your child?
To what extent did the provider encourage you to provide input about your child's care?
To what extent did the provider honor your family's beliefs and practices when developing diagnostic and treatment plan?
To what extent did the provider inform you about any diagnosis in an understandable way?

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* 8. What is the mental/behavioral health provider/group that provided services to your child?

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* 9. If your child received counseling/behavioral health services at his/her school...

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...to what extent were these services helpful?
...to what extent were you informed about your child's counseling/behavioral health needs?

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* 10. If your child has received mental health services from High Plains, how did these services help your child?

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* 11. If your child has received services from another mental or behavioral health provider, how did these services help your child?

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* 12. If your child has received counseling/behavioral health services at the school, how did these services help your child?

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* 13. What recommendations do you have to improve mental health services at High Plains, other mental/behavioral health providers, or services provided at your child's school?

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