Have Your Say Café Registration

Strengthening family, youth, and community voice in children’s behavioral health policy and planning

50% of survey complete.

Family, caregivers, youth, community and system partners — You are invited to join the North Sound Behavioral Health Organization for café style conversations to improve and strengthen community based behavioral health approaches for children, youth, and their families

When the sessions are complete, we will synthesize the responses from each community and for the region as a whole. The results will be shared with attendees and other stakeholders and will guide strategic planning for child and family services offered by the North Sound Behavioral Health Administration.

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* 1. Contact Information

Name *

Agency (if applicable)

County of Residence *

ZIP/Postal Code *

Email Address

Phone Number

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* 2. How would you describe your role at the Cafés? You may choose more than one role.

A family member or full time caregiver for a child/youth with direct experience receiving behavioral health services (or in need of services).

A person age 15-21 with direct experience receiving behavioral health services (or in need of services).

A community member-at-large or advocate interested in the wellbeing of the children/youth/families in my community.

An employee of a Behavioral Health Organization (BHO).

An employee of a Behavioral Health Agency (BHA).

An employee of DSHS.

An employee of County Health, Human, or Community Services.

An employee of County-based Juvenile Rehabilitation.

A professional in the education system.

A professional in the primary care system.

A professional in a Crisis Outreach, Emergency Department, or Inpatient setting.

A legal advocate.

A member of law enforcement.

Other (please specify)

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* 3. Which Café will you attend?

Bellingham (Squalicum Boathouse): June 24th, 10am—noon | 2600 N. Harbor Loop Drive / Bellingham, WA 98226

Everett (Everett Library): June 27th, 1pm—3pm | 2702 Hoyt Avenue / Everett, WA 98201

Darrington (Darrington Public Library): To Be Scheduled

Kendall (East Whatcom Resource Center): July 8th, 10am-noon | 8251 Kendall Rd. / Maple Falls, WA 98266

Orcas Island (Firehouse): July 14th, 1pm—3pm | 45 Lavender Lane / Eastsound, WA 98245

Friday Harbor (Brickworks): July 15th, 11:30am—1:30pm | 150 Nichols St. / Friday Harbor, WA 98250

Burlington (Burlington Public Library): July 18th, 10:00am-noon | 820 E. Washington Ave. / Burlington, WA 98233

Coupeville (Coupeville Recreation Center): August 2nd, 1pm-3pm | 901 NW Alexander St. / Coupeville, WA 98239

I cannot attend in person, please email me the survey. [Survey link will be sent after the community forums have occurred.]

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* 4. Have you heard of Family, Youth, System Partner Roundtables (FYSPRTs)?

Yes

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* 5. Click this link FYSPRTs for more information about FYSPRTs. Would you like to learn more about becoming a member in your community?

Yes