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BHSA Stakeholder Survey
1.
Plumas County Mental Health is working to implement our Behavioral Health
Services Act (BHSA) three-year plan (previously MHSA). We are asking the
community to provide us information on our existing services and to identify
issues for children/youth and parents/families who need mental health services.
Please indicate below which of the following are problems among Plumas County
Youth
(check all that apply).
Sadness or depression
Suicide
Gets in fights/anger management
Being bullied
Social media problems
Lying
Following directions
Disrespectful/talks back
Poor grades
School attendance
Physical health problems
Stomachaches/headaches
Pregnancy
Involvement with the Court system
Stealing
Using drugs
Using alcohol
School violence
Family relationship
Participating in family activities
Other (please specify)
2.
Please indicate below which of the following are problems among Plumas County
Adults
(Check all that apply).
Sadness or depression
Suicide
Homelessness
Living independently in community
Assistance with daily activities
Assistance managing medications
Employment
Education/training
Physical health problems
Crisis care hospitalizations
Family relationships
Domestic violence
Involvement with the Court system
Drug misuse
Alcohol misuse
Help getting benefits and services
Transportation
Availability of translation services
Other (please specify)
3.
What Mental Health services are you currently aware of being available in
Plumas County? (Please check all that apply.)
Individual Counseling
Group Counseling
Family Counseling
Case Management
Anger Management
Couples Counseling
Alcohol and Other Drug Counseling
Psychiatric Medication Management
I am not aware of any Mental Health services in Plumas County
Other (please specify)
4.
Are there other Mental Health services needed in Plumas County? (Please
check all that apply.)
Individual Counseling
Group Counseling
Family Counseling
Case Management
Services available in another language
Anger Management
Couples Counseling
Alcohol and Other Drug Counseling
Psychiatric Medication Management
Other (please specify)
5.
What area of Plumas County do you live in?
Portola
Quincy
Greenville
Chester
Delleker
East Quincy
Taylorsville
Canyon Dam
Beckwourth
Greenhorn
Crescent Mills
Lake Almanor
Graeagle
Meadow Valley
Hamilton Branch
Clio
Keddie
Lake Almanor West
I am NOT a Plumas County resident
Other (please specify)
6.
Please indicate from the list below any affiliations you identify with (check
all that apply)
Consumer
Family Member of Consumer
Community Member
Student
Parent/Guardian of Consumer
Community Leader
Veteran
Senior Citizen
Other (please specify)
7.
Are you now, or have you ever been homeless or in an abusive relationship? (Check all that apply)
Yes, I am currently homeless
Yes, I have experienced being homeless but currently have housing
No, I am not homeless and never have been
Yes, I am currently in an abusive relationship
Yes, I was in an abusive relationship, but I am safe now
No, I have never been in an abusive relationship
If you answered yes to any of the above, will you please share more details about your answer?
8.
What is your occupation?
Unemployed
Self- Employed
Medical Field
Food Service
Law Enforcement
K-12 Education
Logging
Agriculture
Military
Construction
Government
Business
Student
Retired
Other (please specify)
9.
Do you belong to any of the following groups (select all that apply):
Fire Wise
Greenville Recovery
Feather River College
Elks Lodge
Senior Citizen Groups
Veterans Groups
Rotary Club
Greenville Rancheria
Religious Groups/Church
LGBTQ+
Roundhouse
Agricultural Groups
Tai Chi
Culture/Race Specific Groups
Other: Please tell us about the groups you are involved in that help support Plumas County Communities and/or your mental wellbeing
10.
Gender
Male
Female
Transgender
Non-binary
Prefer Not to Answer
Other
Other Gender or Race
11.
Race/Ethnicity
White/Caucasian
Hispanic
Black/African American
Native American
Asian
Other (please specify)
12.
Age
0-16
17-24
25-59
60+
Other (please specify)