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EMS Response to Behavioral Emergencies
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1.
What state do you reside in?
(Required.)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia (DC)
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other (please specify)
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2.
Certification Level
(Required.)
EMT
A-EMT - Intermediate
Paramedic
Pre-Hospital Nurse / Doctor
Other (please specify)
3.
What is your current role within your service
Field Staff
Front Line Supervisor
Administration
Other (please specify)
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4.
Age Bracket
(Required.)
Under 18
18-24
25-34
35-44
45-54
55-64
65+
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5.
Service Type
(Required.)
For Profit
Non-Profit
Fire Based
Third Service
Other (please specify)
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6.
Could EMS clinicians in your system be trained to medically clear appropriate psychiatric patients for direct transport to Emergency Behavioral treatment centers?
(Required.)
Yes / Already doing this
No
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7.
Does your EMS system allow for transport to alternate destinations from a 911 scene of non-violent Behavioral Health patients?
(Required.)
Yes
No
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8.
How many Emergency Behavioral Health facilities are in your jurisdiction? could be within the same travel distance as a ER
(Required.)
9.
As an EMS provider do you feel you have adequate training to medically clear Behavioral Health patients?
Yes
No
10.
Should EMS agencies have a larger, more primary role in the de-escalation of high-stress Behavioral Health emergencies with proper training?
Yes
No
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11.
What do you feel is the correct team to respond to Behavioral Health emergencies?
(Required.)
EMS only
Police only
Social Worker only
EMS and Police only
EMS and a Social Worker only
Police and a Social worker only
EMS, Police and a Social worker
Other (please specify)
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12.
Is your jurisdiction currently reevaluating its response to Behavioral Health emergencies?
(Required.)
Yes
No
I do not know
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13.
Does your service have transportation assets other than an ambulance for behavioral emergencies?
(Required.)
We do not have any alternate vehicle options
Care car
Former Police Vehicle
Van
Other (please specify)
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14.
What is the average number of 911 Behavioral Health emergencies your service responds to in a 24 hour period?
(Required.)
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15.
Have you or your partner ever been injured by a patient during a Behavioral Health emergency call?
(Required.)
Yes
No
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