Dear Community Partners,

Thank you for your interest in participating in the Mental Health Services Act (MHSA) community program planning (CCP) process to assist us developing our new MHSA Three-Year Plan and to complete the Annual Update for services rendered during FY 2019/20. It is vital that we hear directly from the communities we serve in order to identify programs/strategies that are working or gaps in the system of care, and to address the needs of marginalized and underserved community members.

Please select the meeting/s you would like to attend from the list provided. Please note that a similar format will be used in each meeting including a slide presentation with an overview of MHSA, the County system of care and outcomes for MHSA funded programs. Additionally, breakout sessions will be held to solicit information directly from the community. Pending identified preferences per this registration link, breakout sessions may be available in Spanish and/or Tagalog. During the final meeting the County will share information gathered in the previous meetings, as well as provide stakeholders another opportunity to give feedback. Several meetings will have a cap on number of participants. In the event that you select a meeting that is no longer available you will receive an email from SolanoMHSA. Please note that a Zoom link will be sent to you 1-2 business days prior to the meeting from SolanoMHSA.

In addition to using this survey link to register participants for the CPP meetings, we have included confidential survey questions that will help capture the demographics of our participants which helps us advance health equity, ensuring all community members voices are heard and contribute to our stakeholder CPP process. 

Thank you for your time and attention completing this survey and for your partnership in helping the County improve our system of care.

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* 1. Required - First Name:

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* 2. Required - Last Name:

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* 3. Required - Please enter your email below:

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* 4. Optional - Please enter your phone number below:

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* 5. Required - Please identify which community stakeholder group you represent. (check all that apply)

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* 6. What agency or organization are you representing?

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* 7. Optional - Do you have lived experience? (e.g. received behavioral health services as a consumer experiencing mental illness/substance use disorder, or you are a family member/loved one of someone who is a consumer)

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* 8. If you responded "yes" to #7, which option below best describes your lived experience?

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* 9. Which stakeholder meeting/s would you like to attend? (check all that apply)

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* 10. If available, would you like to be placed in a Spanish-speaking breakout session?

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* 11. If available, would you like to be placed in a Tagalog-speaking breakout session?

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* 12. Is this your first time attending an MHSA CPP stakeholder meeting?

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* 13. How did you learn about the MHSA CPP meetings?

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* 14. Which best describes your age?

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* 15. What best describes your race?

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* 16. If Hispanic/Latino what best describes your ethnicity?

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* 17. If Non-Hispanic/Non-Latino what best describes your ethnicity?

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* 18. What best describes your current gender identity?

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* 19. What best describes your sexual orientation?

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* 20. Veteran Status/Military Services

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* 21. What is your city of residence?

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* 22. If you are not a resident of Solano County but work in Solano County, what city do you primarily work in?

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* 23. What is your primary language; e.g. your first language?

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* 24. What is your preferred language; e.g. the language used daily?

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