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Falmouth's Human Services Department and Committee are surveying local behavioral health providers and social service workers on the local mental health and substance use related needs of the Community, and the availability of and/or gaps in services. Thank you for your time in completing this survey

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* 1. Do you provide mental health or substance use related services to residents of Falmouth?

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* 2. What is your practice setting? Check all that apply

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* 3. What is the age range of the clients you serve? Check all that apply.

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* 4. Based on your experience over the past year as a local provider of human services, please rank the level of availability for the following mental health and substance use related services in the Falmouth and Upper Cape area:

  No Availability Extremely Limited Availability Limited Availability Adequate Availability Excellent Availability Unsure
Outpatient Mental Health counseling services 
Intensive Outpatient/Partial Hospitalization services
Inpatient Mental Health Services
Psychiatry/medication management services 
Children's Mental Health Services
Adolescent Mental Health services 
Elder mental health services
Family/Couples Counseling services
Veteran's support services
Trauma Informed services
Mental Health Education and Awareness Programming
Prevention and Screening Services
Crisis Intervention Services
In home services
Peer Support groups or services
Group counseling services
Substance Use/Recovery support services
Culturally competent services for LGBTQI clients 
Culturally competent services for racial and ethnic minorities
Linguistically appropriate services
Interpreter services

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* 5. In the past year, what mental health and/or substance use related issues have your clients presented with? Please check all that apply

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* 6. To what extent have the issues and concerns of your clients been exacerbated by the effects of the COVID-19 pandemic?

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* 7. What life stressors have contributed to your clients' needs? Please check all that apply.

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* 8. For providers in an agency setting, how easy or difficult is it to maintain adequate staffing?

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* 9. How long of a wait is it to receive services at your practice setting?

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* 10. Do you accept health insurance for your services?

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* 11. Open Ended Question: In your view, what are the specific areas of unmet mental health and substance use related needs in Falmouth?

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* 12. Open ended Question: What are the primary mental health or substance use related needs facing the following groups: Children, Teenagers, Young Adults, Working Age Adults, Older Adults/Seniors? Please answer for any group you work with.

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