MSM Meth Blueprint Survey

Thank you for volunteering to take this brief survey! We're working in collaboration with BEAM (Black Emotional and Mental Health Collective) and Counter Narrative Project to produce a toolkit to support providers and participants in understanding risks associated with crystal methamphetamine use and tips for safer use among Black and Latinx men who have sex with men (MSM). We appreciate your feedback so we can develop the most useful tools for your team and community you work with.

Some key terms we want to share with you and ask you keep in mind as you complete this survey are: Men that have Sex with Men (MSM), Crystal Methamphetamine (Crystal Meth) and Harm Reduction Programs (places where people receive services to manage their drug use or to make it safer by accessing new sterile supplies such as syringes, smoking and snorting kits, tourniquets, sterile water, among others).

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* 1. Organization

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* 2. City

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* 3. State

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* 4. First & Last Name

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* 5. Your Title

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* 6. Using the following categories to define your role at your organization (check all that apply)

Clinician (MD, NP, PA, DO, RN, PsyD)

Care Coordination Team (Health Educator, Medical Assistant, Counselor, Social Worker, Case Manager)

Administration (Program Director, Executive Director, Program Manager)

Non-Care Coordination Services (Outreach, Syringe Access Team, Trainer, Peer Educator)

Other (please specify)

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* 7. Your E-mail

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* 8. Please describe services offered at your organization (check all that apply)

HIV testing & counseling

HIV treatment

Hepatitis C testing & counseling

Hepatitis C treatment

Healthcare services (primary care, general checkups, physical exams)

Mental health services (individual services)

Mental health services (group services)

Drug treatment services (methadone or suboxone)

Housing placement services

Syringe access & harm reduction supplies

Job & skills development (GED classes, training, professional development)

Legal support services

Immigration support services

Other (please specify)

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* 9. How did you learn about this survey?

Harm Reduction Coalition media (e-mail, facebook, twitter, or other)

BEAM (e-mail, facebook, twitter, or other)

Counter Narrative Project (e-mail, facebook, twitter, or other)

Other (please specify)

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* 10. In your own words, describe the focus of your organization's services and who you aim to serve? Check all that apply

Black MSM

Black communities in general

Persons Living with HIV

Persons who use drugs

Latino MSM

Latino Communities in general

Other (please specify)