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* 1. Organization Information

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* 2. Please check all of the counties your organization serves.

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* 3. How many unique individuals were served under mental health programs and/or substance use disorder programs licensed and/or funded by NYS between January 1, 2024 - June 30, 2024?

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* 4. What is the total number of full and part-time employees who work directly with individuals receiving care and services employed by your agency as of June 30, 2024? (Include contracted and per diem staff. This number should reflect actual employees as opposed to FTEs.)

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* 5. Of the number reported in question #4, how many employees are reported on the 100 and 200 lines of the Consolidated Fiscal Report (CFR)?

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* 6. To fill all vacant positions, how many employees who work directly with individuals receiving care and services would your agency have to hire today? (Combine both full and part­-time positions and include contracted and per diem staff. This number should reflect actual employees as opposed to FTEs.)

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* 7. Of the number reported in question #6, how many employees are reported on the 100 and 200 lines of the CFR?

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* 8. What is the total number of full and part-time employees who provide support to those who work directly with individuals receiving care and services employed by your agency as of June 30, 2024? (Include administration, fiscal, custodial, etc.)

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* 9. To fill all vacant positions, how many employees who provide support to those who work directly with individuals receiving care and services would your agency have to hire today? (Combine both full and part-time positions and include administration, fiscal, custodial, etc. This number should reflect actual employees as opposed to FTEs.)

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* 10. For the period January 1, 2024 - June 30, 2024, how many employees who work directly with individuals receiving care and services has your organization hired?

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* 11. Of the number reported in question #10, how many employees are reported on the 100 and 200 lines of the CFR?

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* 12. For the period January 1, 2024 - June 30, 2024, how many employees who work directly with individuals receiving care and services have left your organization?

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* 13. Of the number reported in question #12, how many employees are reported on the 100 and 200 lines of the CFR?

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* 14. As a percentage, what is your agency's fringe rate?

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* 15. In dollars, what is the average cost to onboard a new staff person who works directly with individuals receiving care and services? (Include costs associated with orientation time, training, background checks, interviews, recruiting, etc.)

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* 16. What factors make it difficult for you to recruit staff to fill vacant positions? (please rank the following by dragging the top factor to the top of the list followed by the remaining factors)

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* 17. What factors make it difficult for you to retain staff? (please rank the following by dragging the top factor to the top of the list followed by the remaining factors)

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* 18. In your own words, how do staff vacancies impact other staff and individuals receiving services? This question is optional.

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