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Community Needs Assessment - Survey for Community Stakeholders
1.
Which type of organization do you represent? (select all that apply)
Federally Qualified Health Center (FQHC)/Rural Health Clinic (RHC)
Hospital / Emergency Department
Crisis service provider (988, mobile crisis, CSU)
School or school district (e.g., USD 409, 430, 377, 339, etc.)
Substance use treatment provider
Residential or recovery housing
Peer-run organization
Veteran or military family–serving organization
Law enforcement, court, jail, or other justice partner
Child welfare or family services
Housing or homelessness services
Aging or disability services
Faith-based organization
Health departments
City or County Public Official
Other (please specify)
2.
Which counties or communities does your organization primarily serve? (select all that apply)
Leavenworth County
Atchison County
Jefferson County
Other (please specify)
3.
What mental health and/or substance use treatment needs have increased among the people you serve? (Select all that apply.)
Depression
Anxiety
Trauma and stress-related needs
Alcohol or substance use
Youth behavioral health needs
Mental health needs related to aging
Mental health crisis
Complex medical + mental health needs
Mental health or substance-use disorder related-justice involvement
Military service-related needs (e.g. PTSD, stress, anxiety, depression, suicidality)
Other (please specify)
4.
Which groups in our community face the greatest challenges accessing mental health and/or substance use disorder treatment services? (select all that apply)
Rural residents
Veterans and military families
Hispanic and Latino families (including Spanish-speaking households)
Black/African American residents
Children and youth
Older adults
Families with limited income
People experiencing homelessness
People with intellectual and developmental disabilities
People with justice involvement
Other (please specify)
5.
Are mental health services and substance use treatment services available at times that meet the needs of individuals served by your organization?
Yes
No
Unsure
Other (please specify)
6.
Which barriers most affect access to mental health or substance use treatment services locally? (select all that apply)
Long wait times
Evening/weekend hours not available
Transportation difficulties (especially in rural areas)
Limited telehealth access (internet or device challenges)
Cost or insurance challenges
Not enough providers
Limited youth services
Limited services for older adults
Few Spanish-speaking providers
Stigma or fear of seeking help
Referrals or handoffs are inconsistent
Other (please specify)
7.
How well does your organization currently coordinate care with The Guidance Center (TGC)?
Poor
Fair
Good
Excellent
N/A
Other (please specify)
8.
Which types of coordination would strengthen support for the people you serve? (select all that apply)
Faster or warmer handoffs
More communication between agencies
Clearer referral pathways
Shared planning or staffing for high-need individuals
Embedded or co-located staff
Data or information sharing
Comments
9.
Do gaps in the local service network affect your organization’s ability to meet client needs?
Yes
No
Other (please specify)
10.
How well is the current crisis response system meeting local needs?
Not at all
Not well
Somewhat well
Very Well
Other (please specify)
