Carver County, Minnesota

Please take a few minutes to fill out this confidential survey.  The Carver County Mental Health Local Advisory Council and the Adult Mental Health Initiative is hoping to gain information about mental health needs of adults in the Carver County area.   This information will be used to provide guidance for future planning of programs and services.  We would like to gather the opinions of adults age 18 and over who are currently accessing mental health services, as well as those who are not.  Your name will not be placed on the survey or associated with your responses.  Your decision whether or not to participate will not affect your current or future relationship with Carver County services. Thank you for your help with this assessment of needs in the Carver County area.

* 1. From what perspective are you taking this survey?

  Yes No
Are you a person living with a mental illness in Carver County?
Are you a family member or support person for someone living with a mental illness in Carver County?
Are you a provider of services for people living in Carver County?

* 2. What is the age of the person experiencing mental illness?

* 3. Which of the following best represents your racial or ethnic heritage?

* 4. Over the past year, have you, or the person you support, been able to access the mental health service you needed at the time you needed it?

* 5. Please rate and describe the barriers that you, or the person living with mental illness, have experienced to accessing mental health services.

  Large Barrier Somewhat a Barrier Not at all a Barrier
Wait time for the service
Accessing assistance with financial eligibility 
Understanding health care eligibility
Completing paperwork
Cost of services
Lack of health insurance
Transportation
Distance from service providers
Language barriers
Cultural acceptance
Deaf/hard hearing
Disability (physical)
Fear of being labeled / stigmatized
Housing
Medical health
I don't know how to access services
Hours of availability of the service

* 6. If you or your family needed help with symptoms of mental illness, would you know where to go for help?

* 7. Have you experienced homelessness in the past year?

* 8. Please rate the following services on how helpful they have been for keeping you safe and stable:

  Not at All Somewhat Extremely Not Applicable
Adult Rehabilitative Mental Health Services (ARMHS)
Assistance to maintain housing
Chemical Dependency treatment
Crisis Response services
Drop-in/ Community Support Program (CSP)
Mental Health Case Manager
Psychiatric Services
Psychotherapy Services
Specialized nursing/home health
Supported Employment
Transportation

* 9. How would you rate the mental health services in Carver County?

* 10. What would you identify as the largest gap in mental health services in the area?

* 11. How do you cope with the gaps?

* 12. What would you like us to know about mental health services and needs in Carver County that we didn’t ask about?

* 13. Comments? (optional)

Thank you for completing our survey.  Your feedback is valuable.  The results of the survey will be communicated at the Carver County Mental Health Local Advisory Council and the Carver County Adult Mental Health Initiative Meetings.

T