Healthy Minds, Healthy Lives of Pike County Survey 2014

Healthy Minds, Healthy Lives of Pike County is a collaborative partnership of differing organizations within our community. The mission of the partnership is to increase the importance, knowledge and ability of individuals who have mental health needs to seek help. The hope is that through increasing these initiatives, individuals and families of individuals living with mental health needs will therefore have the ability to lead high quality, meaningful lives.
We ask that you please take the time to answer the following questions. These questions provide participants with an opportunity to be heard and a chance to advise the partnership of your own individual needs. Your opinion matters and may help to serve as a catalyst for change within our community, providing the partnership with the much needed insight and knowledge that are needed to strategically design programs and services catered to residents’ individual needs. Participants will remain anonymous and information will remain strictly confidential. (This survey may also be accessed from our website at www.pikecountyhealth.org)

Question Title

* 1. Have you or a member of your family ever experienced the following symptoms? (check all that apply)

feeling sad or down

tired, low energy

extreme feelings of guilt

sex drive changes

suicidal thinking

inability to cope with daily stress

detachment from reality

excessive fear/worries

sleeping too much

problems falling/staying asleep

alcohol/drug abuse

excessive anger, hostility, violence

confused thinking/reduced ability to concentrate

major changes in eating habits

increased irritability

flashbacks and /or disturbing dreams

extreme mood changes of highs and lows

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* 2. If you answered 'yes' to any of the above, how much did the symptoms affect quality of life and/or ability to function?

No Effect

Some Effect

Moderate Effect

Significant Effect

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* 3. Would you/did you tell anyone, such as a family member, friend, or health care provider, that you have/had any of these symptoms?

Yes

If no, why not

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* 4. Where would you go for help if you or a loved one experienced any of the symptoms listed above?

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* 5. What would keep you from seeking help for any of the symptoms listed above? (check all that apply)

transportation

cost

belief that the symptom (s) will go away on their own

fear that people will judge you

Other (please specify)

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* 6. Mark the services listed below that you know are currently being offered in Pike County (check all that apply)

psychiatry services via telehealth

counseling services

case management

alcohol and drug abuse counseling

support groups (AA, etc)

Other (please specify)

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* 7. Are you currently receiving any mental health services (ie; counseling, medication, case management)?

Yes

I don’t know

I’d rather not answer