The Ohio Department of Mental Health and Addiction Services is asking for your help in improving the behavioral health system in Ohio. By taking 10 minutes to share your thoughts and ideas about addressing the needs of Ohioans with mental health and/or substance abuse challenges, you will be contributing to our understanding of community needs across Ohio. Information on gaps in services gathered through this survey may be used to inform funding decisions in FY 15, as well as the FY 16-17 biennium.

Thank you,


Tracy Plouck, Director
Ohio Department of Mental Health and Addiction Services

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* 1. Briefly describe the top 5 issues (in rank order) that, if addressed, would have a significant impact on the lives of persons with substance abuse challenges in your community?

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* 2. Briefly describe the top 5 issues (in rank order) that, if addressed, would have a significant impact on the lives of persons with mental health challenges in your community?

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* 3. Do you have specific ideas about how to address the issues you mentioned in questions 1 & 2? Please explain:

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* 4. Who would you need to partner with in your community in order to effectively address the issues you mentioned in questions 1 & 2?

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* 5. Briefly describe what the impact would be to your community if these issues were addressed?

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* 6. In which county do you reside?

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* 7. I am a (select the response that best fits you):

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* 8. May we contact you if we have questions or would like to speak with you further about your ideas to address the issues that you identified above?

Thank You for Your Participation. We Truly Value Your Responses.

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