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Community Needs Assessment - Survey for Community Members and Leadership
1.
What is your age group?
18-24
25-44
45-64
65+
2.
Which community are you most connected to?
Leavenworth
Atchison
Jefferson County/Oskaloosa
Other (please specify)
3.
Have you or a family member served in the military?
Yes
No
4.
Based upon what you see or hear in the community, which types of services do you believe are most needed? (select up to three)
Therapy / Counseling (talking with a provider to help with mental health or substance use concerns)
Psychiatric Evaluation (an initial mental health assessment by a medical provider)
Medication Management (prescribing and monitoring medications for mental health conditions)
Substance Use Treatment (counseling and recovery support for alcohol use)
Medication Assisted Treatment (MAT) (Medications that support recovery from opioid or alcohol use)
Crisis Services (immediate help during a mental health, suicide, or substance use crisis)
School-Based Services (mental health support provided through schools)
Family & Early Childhood Services (support for families and young children)
Community Support Services (CSS) (help connecting to housing, benefits, healthcare, or other supports)
Care Coordination (help managing care across providers and services)
Peer Support (support from someone with lived experience)
Psychiatric Rehabilitation (skill-building to support recovery and daily functioning)
Employment / Supported Employment (help finding and keeping a job)
Youth Services (coping skill building, support for daily living activities, psychosocial skills)
Other (please specify)
5.
From your perspective, where do people in the community most often receive mental health or substance use services?
Another community mental health provider
Primary care doctor
Hospital or emergency department
Private therapist or psychiatrist
School-based provider
Faith-based or community organization
Many people are not currently receiving services
Not sure
6.
Before today, were you aware that The Guidance Center offers mental health and substance use services in this community?
Yes
No
Not sure
7.
Based on what you see or hear in the community, what makes it difficult for people to get mental health or substance use services? (select up to three)
Not knowing where to go
Long wait times
Cost or insurance concerns
Transportation challenges
Services not available when needed
Concerns about negative views or bias
Services not available for certain age groups or needs
Difficulty navigating the system
Language or cultural barriers
Other (please specify)
8.
What appointment times do you believe would be most helpful for people in the community?
Monday-Friday 7:00 AM – 12:00 PM (Morning)
Monday-Friday 12:00 PM – 4:00 PM (Afternoon)
Monday-Friday 4:00 PM – 8:00 PM (Evening)
Saturday 8:00 AM – 12:00 PM (Morning)
Saturday 12:00 PM – 4:00 PM (Afternoon)
Saturday 4:00 PM – 7:00 PM (Evening)
9.
How do you think people in the community would prefer to access services?
Online/telehealth options
In-person services
A mix of both
Additional comments
