2023 NMRE Mental Illness and Intellectual/Developmental Disabilities Mental Health Services Survey

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* 1. Where do you receive services?

AuSable Valley CMH

Centra Wellness Network

North Country CMH

Northern Lakes CMH

Northeast Michigan CMH

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* 2. What services do you receive?

ACT (Assertive Community Treatment)

Adult Case Management (Mental Illness or Intellectual/Developmental Disabilities)

Clubhouse

Crisis Services

Jail Diversion Services

Outpatient Therapy

Peer Support Services

Psychiatric Services

Youth Services (case management, therapy, wrap around services, home based services, etc.,)

Comments:

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* 3. Please check any of the following Long Term Supports and Services you have received.

Community Livings Supports (provided through CMH)

MI Choice Waiver Services (in home help services, private duty nursing, respite services, community living supports, transportation services, transition services, etc.)

Case Management Services

Self-Direction (Also referred to as Self Determination)

Family Training Therapies (art, music, etc.)

Supported Employment

None of the above

Comments:

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* 4. I am able to go out into my community when I want to.

Always

Most of the time

Some of the time

Rarely

Never

Comments:

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* 5. At home, I have the ability to (check all that apply):

eat when I want to.

lock my bedroom door if I want to.

lock the bathroom door if I want to.

spend my money the way I want.

have friends over when I want.

make phone calls when I want.

have access to all the rooms in my home.

If you are unable to participate in any of the activities mentioned above, please tell us in which facility you live.

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* 6. Somebody talked to me about sharing my health information with other people involved in my care.

Yes

Comments:

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* 7. Staff explain information about my services to me in a way that I can understand.

Always

Most of the time

Some of the time

Rarely

Never

Comments:

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* 8. I am involved in my health care decisions and the development of my treatment plan.

Always

Most of the time

Some of the time

Rarely

Never

Comments:

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* 9. I feel comfortable asking questions about my services or asking for other services I want.

Always

Most of the time

Some of the time

Rarely

Never

Comments:

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* 10. Someone has talked with me about the side effects of any medication prescribed to me through CMH and explained the results of any lab tests ordered by CMH.

Yes

Not Applicable

Comments:

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* 11. Appointment times are convenient for me.

Yes

Comments:

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* 12. I feel staff is sensitive to my cultural/ethnic background or gender identity.

Always

Most of the time

Some of the time

Rarely

Never

Comments:

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* 13. Staff treat me with dignity and respect.

Always

Most of the time

Some of the time

Rarely

Never

Comments:

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* 14. I know who to call when I need help, or I am in crisis.

Yes

Comments:

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* 15. I know how to file a complaint or grievance, if I want to.

Yes

Comments:

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* 16. I know how to file an appeal if I don't agree with a denial of a service I requested or I don't agree with a change to my services.

Yes

Comments:

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* 17. I have been given information about mediation services and I know how to request mediation if I want to.

Yes

Comments:

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* 18. Access to services via telephone or video (telemedicine/telehealth) has improved my care.

Yes

Not Applicable

Comments:

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* 19. What is your age

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 20. What is your gender?

Male

Female

Other

Prefer not to answer

2023 NMRE Mental Illness and Intellectual/Developmental Disabilities Mental Health Services Survey

Question Title

* 1. Where do you receive services?

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* 2. What services do you receive?

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* 3. Please check any of the following Long Term Supports and Services you have received.

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* 4. I am able to go out into my community when I want to.

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* 5. At home, I have the ability to (check all that apply):

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* 6. Somebody talked to me about sharing my health information with other people involved in my care.

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* 7. Staff explain information about my services to me in a way that I can understand.

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* 8. I am involved in my health care decisions and the development of my treatment plan.

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* 9. I feel comfortable asking questions about my services or asking for other services I want.

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* 10. Someone has talked with me about the side effects of any medication prescribed to me through CMH and explained the results of any lab tests ordered by CMH.

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* 11. Appointment times are convenient for me.

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* 12. I feel staff is sensitive to my cultural/ethnic background or gender identity.

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* 13. Staff treat me with dignity and respect.

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* 14. I know who to call when I need help, or I am in crisis.

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* 15. I know how to file a complaint or grievance, if I want to.

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* 16. I know how to file an appeal if I don't agree with a denial of a service I requested or I don't agree with a change to my services.

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* 17. I have been given information about mediation services and I know how to request mediation if I want to.

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* 18. Access to services via telephone or video (telemedicine/telehealth) has improved my care.

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* 19. What is your age

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* 20. What is your gender?

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* 21. If you have any comments or suggestions, please share them below.