This survey is designed to gather ideas for future Innovation projects. Please answer all questions and provide as much detail as possible. Project ideas will also be posted on the Innovation Idea Generation Website for public comment and review.

The idea will be reviewed and posted within 3 business days on the Community Forum page. Any personal information from the idea form will be removed before posting. Please note, automatic notifications will not be sent out, therefore check the status of submissions regularly.

The Community Forum will allow community members to provide input or feedback. In addition, the Innovation team will post questions or comments regarding the idea submitted within 10 business days from the date the idea was posted on the Community Forum.

Project ideas will be available for community feedback for 60 calendar days.
Personal Information (Optional; information will NOT be posted on the Website)

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* 1. Address

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* 2. In case follow-up is needed, is it ok to call?

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* 3. Role in the Behavioral Health System

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* 4. What is the problem that needs to be addressed? Please describe how it is related to mental health.

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* 5. Why is this a concern for Orange County? What can Orange County and other counties learn from this project?

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* 6. What is currently being done to resolve this problem in our county and throughout the United States? If applicable: Is it working; why or why not?

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* 7. What is new or different about this project idea? Please describe how this differs from what is already being done (Question 6). Please list any research that was done on this topic.

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* 8. What is the project idea? Please describe how this project will operate.

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* 9. Additional Information:

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