Thank you for taking the time to fill out the Montgomery County Community Support Program (CSP) Assessment of Needs Survey 2022/2023. CSP is comprised of people who use mental or behavioral health services, providers, family members, supporters and county staff and their mission is to improve mental and behavioral health services in Montgomery County. By filling out this survey you will enable the CSP, in partnership with the Office of Mental Health, to better voice your thoughts and concerns for future planning. We value everything you have to say and appreciate your input and insight regarding the mental or behavioral health services that are currently being provided to individuals.

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* How would you identify yourself?  (Check all that apply)

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* What is your:

Which of the following supports would you like the County to prioritize for future development? Please check all that apply. All of these supports listed below are important to the county.

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* What is another support that would improve the quality of life for individuals with mental or behavioral health challenges/concerns?

Of all the services listed previously, which are most important to you? All of these services and supports listed are important to the county. From a funding perspective, which are the top services the county should prioritize in its budget?

Instructions for this section
Please complete this section using either: 
Option 1 – Put a check mark in the box next to the services which are most important to you. Skip any which are not important or not applicable to you.  
Option 2 – rank all services from 1 to 17 by putting a number in the box next to the services with 1 being your highest priority and 17 being your lowest priority. For any services which are Not Applicable to you, feel free to mark the N/A box.

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* Option 1 – Check the services which are most important to you.

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* Option 2 – rank all services from 1 to 17 by putting a number in the box next to the services with 1 being your highest priority and 17 being your lowest priority. For any services which are Not Applicable to you, feel free to mark the N/A box.

The final three questions are optional, and ask about services or supports which are not included in the county Mental Health budget. The Montgomery County Community Support Program is interested in hearing your feedback on these areas: Food Insecurity Supports, Affordable Housing, Access to Transportation.
If you have questions, please contact Penny Johnson at pjohnson@hopeworxinc.org
 
For more information about our CSP committee, please visit our website at www.montcopacsp.org.

Thank you for your feedback!

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