Question Title

* 1. What is the name of the mental health service you wish to provide feedback about?

Question Title

* 2. Todays date:

Date

Question Title

* 3. Do you identify as Aboriginal or Torres Strait Islander (TSI)?

Question Title

* 4. What is your gender?

Question Title

* 5. Do you usually speak English at home?

Question Title

* 6. If no, what language do you speak?

Question Title

* 7. What age group do you belong to?

Question Title

* 8. What is your relationship to the person you care for? You are the:

Question Title

* 9. How old is the person you care for?

Question Title

* 10. How long has the person you care for had contact with public mental health services?

Recognition and Inclusion of You as a Family Member/Carer/Friend by the Mental Health Service

Please answer the following questions by placing an X in the appropriate box. Please only select ONE answer for each question

Question Title

* 11. Were you informed of your rights and responsibilities as a Family Member/Carer/Friend?

Question Title

* 12. Were you nominated as the Primary Carer by the person you care for?

Question Title

* 13. If not, do you think you should have been?

Question Title

* 14. If yes, please provide more details:

Please answer the following questions by placing an X in the appropriate box. Please only select ONE answer for each question

Question Title

* 15. If you are; Aboriginal, Islander, hearing impaired, CALD -culturally and linguistically diverse; you were provided with the opportunity to have a cultural liaison person or interpreter present:

Question Title

* 16. You were treated with respect by Mental Health staff:

Question Title

* 17. You were asked for information regarding the mental health of the person you care for:
when the person was being assessed?

Question Title

* 18. You were asked for information regarding the mental health of the person you care for:
whilst the person was being treated?

Question Title

* 19. You were provided with information regarding the specific mental illness that affects the person you care for:

Question Title

* 20. You found this information useful:

Question Title

* 21. You were consulted and included in planning and decisions regarding the treatment and ongoing are of the person you care for:

Question Title

* 22. You were informed about discharge prior to the person you care for being discharged:

For those whose person they care for has had contact with mental health services for longer than
13 weeks:

Question Title

* 23. You were provided with feedback regarding the review of the care plan for the person you care for:

Question Title

* 24. You were updated with information regarding the mental illness of the person you care for:

Question Title

* 25. Overall, how much do you think mental health services need to improve (if at all) in recognising your role as a family member/carer/friend and including you in the assessment and treatment of the person you care for?

Question Title

* 26. Please provide any comments on how mental health services could improve how they recognised your caring role and included you in the assessment and treatment of the person you care for:

Informing and Resourcing You as a Family/Carer/Friend

For the following questions, please think about how often you experienced this in your contact with the mental health service. Please only select ONE answer for each question.

Question Title

* 27. You were provided with information regarding mental health services:

Question Title

* 28. You found this information useful:

Question Title

* 29. Staff discussed with you how you could best support the person you care for

Question Title

* 30. You were provided with information regarding medication and other therapies:

Question Title

* 31. You were provided with information regarding follow-up appointments, and contact names and phone numbers:

Question Title

* 32. You were provided with information about what to do and who to contact should the person you care for become unwell again:

Question Title

* 33. Overall, how much do you think mental health services need to improve (if at all) in their efforts to inform you and help you to learn how best to support the person you care for?

Question Title

* 34. Please provide any comments on how mental health services could improve how they informed and helped you to support the person you care for:

Supporting You as a Family/Carer/Friend


Please answer the following questions by placing an X in the appropriate box. Please only select ONE answer for each question.

Question Title

* 35. Were you asked about the impact of caring on your health and well being?

Question Title

* 36. Were you provided with information on respite care services?

Question Title

* 37. Were you offered information and referral regarding support services for carers?

Question Title

* 38. Were you provided with information regarding local mental health carer support groups?

Question Title

* 39. Were you provided with information about how to make a complaint or make a compliment about the mental health service?

Question Title

* 40. Were you provided with information about how to make a complaint or make a compliment about the mental health service?

Question Title

* 41. Overall, how much do you think mental health services need to improve (if at all) regarding how we consider your support needs as a Family/Carer/Friend?

Question Title

* 42. Did anything happen that left you feeling uncomfortable or concerned about your contact with the mental health service?

Question Title

* 43. General Questions

What do you think mental health services most need to improve?

Question Title

* 44. What were the best things about your contact with NSW mental health services?

Question Title

* 45. Thank you for completing this survey.

Are you interested in being involved in reviewing and improving this survey? If so, please email: admin@arafmi.org; call (02)9332 0777 or provide your name and contact details:

Question Title

* 46. If you are interested in receiving information from ARAFMI including the results of surveys and other reports on mental health carer issues, please indicate below.

T