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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 children (0-18) were served under mental health programs licensed and/or funded by NYS between April 1, 2022 - July 1, 2022?

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* 4. How many children (0-18) were served under substance use disorder programs licensed and/or funded by NYS between April 1, 2022 - July 1, 2022?

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* 5. How many adults were served under mental health programs licensed and/or funded by NYS between April 1, 2022 - July 1, 2022?

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* 6. How many adults were served under substance use disorder programs licensed and/or funded by NYS between April 1, 2022 - July 1, 2022?

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* 7. When fully staffed, how many positions (individuals, not FTEs) does your agency employ that work directly with consumers of care? (Please include all direct-care, clinical supervisory positions as well as per diem staff).

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* 8. When fully staffed, how many positions (individuals, not FTEs) does your agency employ that provide supports to those who work directly with consumers of care (i.e., administration, fiscal, custodial, etc.)?

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* 9. How many positions identified in question 7 were unfilled/vacant September 5th- September 11th?

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* 10. How many positions identified in question 8 were unfilled/vacant September 5th- September 11th?

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* 11. For the period January 1, 2022- June 30, 2022, how many employees has your organization hired?

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* 12. For the period January 1, 2022- June 30, 2022, how many employees have left your organization?

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* 13. What factors make it difficult for you to recruit staff to fill vacant positions? (check all that apply)

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* 14. What factors make it difficult for you to retain staff?

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* 15. In your own words, how do staff vacancies impact other staff and consumers of services? This question is optional.

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