PRTF

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* 1. If you are a parent of a child living with a mental illness, what age is he/she?

3-5

6-10

11-14

15-21

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* 2. If you are a teenager living with a mental illness, what is your age?

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* 3. What county do you live in?

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* 4. Have you (if you are a teenager) or your child (if you are a parent) been in residential treatment?

Yes

No

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* 5. Have you (if you are a teenager) or your child (if you are a parent) ever been treated in a hospital psychiatric unit?

Yes

No

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* 6. What ideas do you have to improve the experience at a residential treatment center or hospital?

Physical surroundings

Activities provided

Staffing/training

Ability to connect to family and friends in the community

Food/how meals are served

Treatment methods

Other

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* 7. How important are the following features to you as a teenager or the parent of a child?

	Not important	Important	Very important	No opinion
Access to physical excercise	Access to physical excercise Not important	Access to physical excercise Important	Access to physical excercise Very important	Access to physical excercise No opinion	Access to physical excercise
Having my own room	Having my own room Not important	Having my own room Important	Having my own room Very important	Having my own room No opinion	Having my own room
Having a roommate	Having a roommate Not important	Having a roommate Important	Having a roommate Very important	Having a roommate No opinion	Having a roommate
Having single sex units	Having single sex units Not important	Having single sex units Important	Having single sex units Very important	Having single sex units No opinion	Having single sex units
Having an opportunity to go into the community	Having an opportunity to go into the community Not important	Having an opportunity to go into the community Important	Having an opportunity to go into the community Very important	Having an opportunity to go into the community No opinion	Having an opportunity to go into the community
Having time outdoors	Having time outdoors Not important	Having time outdoors Important	Having time outdoors Very important	Having time outdoors No opinion	Having time outdoors
Having a place (other than the room) to visit with family and friends	Having a place (other than the room) to visit with family and friends Not important	Having a place (other than the room) to visit with family and friends Important	Having a place (other than the room) to visit with family and friends Very important	Having a place (other than the room) to visit with family and friends No opinion	Having a place (other than the room) to visit with family and friends
Having access to good education/teaching	Having access to good education/teaching Not important	Having access to good education/teaching Important	Having access to good education/teaching Very important	Having access to good education/teaching No opinion	Having access to good education/teaching
Calming room (aroma therapy, etc.)	Calming room (aroma therapy, etc.) Not important	Calming room (aroma therapy, etc.) Important	Calming room (aroma therapy, etc.) Very important	Calming room (aroma therapy, etc.) No opinion	Calming room (aroma therapy, etc.)
Pet therapy	Pet therapy Not important	Pet therapy Important	Pet therapy Very important	Pet therapy No opinion	Pet therapy
Art therapy	Art therapy Not important	Art therapy Important	Art therapy Very important	Art therapy No opinion	Art therapy
Music therapy	Music therapy Not important	Music therapy Important	Music therapy Very important	Music therapy No opinion	Music therapy
Yoga or mindfulness training	Yoga or mindfulness training Not important	Yoga or mindfulness training Important	Yoga or mindfulness training Very important	Yoga or mindfulness training No opinion	Yoga or mindfulness training
Having access to recreation - games, WII, etc.	Having access to recreation - games, WII, etc. Not important	Having access to recreation - games, WII, etc. Important	Having access to recreation - games, WII, etc. Very important	Having access to recreation - games, WII, etc. No opinion	Having access to recreation - games, WII, etc.

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* 8. As a parent, what would have helped improve the discharge planning?

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* 9. As a parent, what barriers did you face staying connected with your child?

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* 10. Are there any other treatment methods or therapies you would like to see in a residential or inpatient unit?

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* 11. Is there anything else you would like to add?