Sisseton Wahpeton Oyate Substance Abuse Treatment Programs Community Survey

Community Survey Questions

Demographic Information (optional)

Question Title

* 1. What is your age?

25-34

35-44

45-54

55-64

65-74

75+

Question Title

* 2. What is your gender?

Female

Male

Two Spirit

Prefer Not To Answer

Question Title

* 3. I live:

On reservation

Off reservation

Question Title

* 4. I am:

An Enrolled Tribal member

Family member of an enrolled Tribal Member

Other interested member of the community

Question Title

* 5. I, or a family member, have used the services of:

Dakotah Pride

Mayuteca

Neither

Both

Question Title

* 6. Do you support building a new substance use disorder treatment program
facility?

Yes

Not Sure

Question Title

* 7. Do you think Dakotah Pride needs more than 12 inpatient beds to meet the
needs of the community?

Yes

Not Sure

Question Title

* 8. Do you think that the Dakotah Pride inpatient program should remain a 30-day
“closed cycle” program or should it have a flexible length of stay based on
treatment/recovery plan of care and admit people on an “open” ongoing basis?

Remain 30-days

Flexible length of stay

Not sure

Question Title

* 9. Do you think that between Dakotah Pride and Mayuteca, there are sufficient
outpatient treatment services to meet the needs of the community?

Yes

Not sure

Question Title

* 10. Have you, or anyone you know, ever been placed on a waiting list at either
Dakotah Pride or Mayuteca?

Yes

Not Applicable

Question Title

* 11. If you answered yes to "Question 10" , what was the final outcome?

I was eventually admitted

I accessed treatment someplace else

I did not access treatment

Not applicable

Question Title

* 12. What reasons may community members have to access treatment outside of
Dakotah Pride or Mayuteca? Please describe.

Question Title

* 13. Do you think if there was a new alcohol/ substance use disorder treatment facility,
community members would be more likely to participate in services?

Yes

Not sure

Question Title

* 14. Which of the following do you think would be beneficial to offer at a new
alcohol/substance use disorder treatment facility? (check all that apply)

Physical Activity Center

Equine (horse) Therapy

Acupuncture

Sweat lodge

Dakotah culture and language learning

Cooking classes

Computer classes

Child care services

Play therapy for children of treatment participants

Tele-behavioral health

Health Clinic

Telehealth hub

Food sovereignty (garden and food preservation)

Medication for Addiction Treatment

Family Therapy

Recovery Support Housing

Recovery support services, such as development of job skills

Transportation assistance

Case management

Occupational and recreational therapy

Spiritual Counseling

Extended stay or placement for pregnant women

Vocational rehabilitation services

Parenting classes

Needle exchange program

Other (please specify)

Sisseton Wahpeton Oyate Substance Abuse Treatment Programs Community SurveyCommunity Survey Questions

Demographic Information (optional)

Question Title

* 1. What is your age?

Question Title

* 2. What is your gender?

Question Title

* 3. I live:

Question Title

* 4. I am:

Question Title

* 5. I, or a family member, have used the services of:

Question Title

* 6. Do you support building a new substance use disorder treatment programfacility?

Question Title

* 7. Do you think Dakotah Pride needs more than 12 inpatient beds to meet theneeds of the community?

Question Title

* 8. Do you think that the Dakotah Pride inpatient program should remain a 30-day“closed cycle” program or should it have a flexible length of stay based ontreatment/recovery plan of care and admit people on an “open” ongoing basis?

Question Title

* 9. Do you think that between Dakotah Pride and Mayuteca, there are sufficientoutpatient treatment services to meet the needs of the community?

Question Title

* 10. Have you, or anyone you know, ever been placed on a waiting list at eitherDakotah Pride or Mayuteca?

Question Title

* 11. If you answered yes to "Question 10" , what was the final outcome?

Question Title

* 12. What reasons may community members have to access treatment outside ofDakotah Pride or Mayuteca? Please describe.

Question Title

* 13. Do you think if there was a new alcohol/ substance use disorder treatment facility,community members would be more likely to participate in services?

Question Title

* 14. Which of the following do you think would be beneficial to offer at a newalcohol/substance use disorder treatment facility? (check all that apply)

Sisseton Wahpeton Oyate Substance Abuse Treatment Programs Community Survey

Community Survey Questions

* 6. Do you support building a new substance use disorder treatment program
facility?

* 7. Do you think Dakotah Pride needs more than 12 inpatient beds to meet the
needs of the community?

* 8. Do you think that the Dakotah Pride inpatient program should remain a 30-day
“closed cycle” program or should it have a flexible length of stay based on
treatment/recovery plan of care and admit people on an “open” ongoing basis?

* 9. Do you think that between Dakotah Pride and Mayuteca, there are sufficient
outpatient treatment services to meet the needs of the community?

* 10. Have you, or anyone you know, ever been placed on a waiting list at either
Dakotah Pride or Mayuteca?

* 12. What reasons may community members have to access treatment outside of
Dakotah Pride or Mayuteca? Please describe.

* 13. Do you think if there was a new alcohol/ substance use disorder treatment facility,
community members would be more likely to participate in services?

* 14. Which of the following do you think would be beneficial to offer at a new
alcohol/substance use disorder treatment facility? (check all that apply)