As you may know, CBHC’s use of Telehealth has expanded significantly over the past year in response to the covid pandemic. We recognize many benefits of telehealth for our patients and staff, while understanding that it is not the best mode of service delivery for everyone. Your input and feedback about our continued use of telehealth is valuable. Please answer the following questions to the best of your ability.

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* 1. Please identify which of the following items you see as the benefits of telehealth for behavioral health services. Please check all that apply and document any additional that are not listed below.

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* 2. Please identify what you see as the top 3 most impactful benefits of telehealth for our community:

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* 3. Please identify which of the following may be downsides or challenges to using telehealth for behavioral health services:

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* 4. Please identify what you see as the top 3 challenges to providing telehealth in our community:

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* 5. Please identify which of the following populations could benefit most from telehealth by scoring 1- 10 (10 is significant benefit and 1 is no benefit)

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* 6. Please identify which service delivery options would be optimal for the following programs: 

CAT (Community Action Team for children)

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* 7. Mental Health Therapy

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* 8. Substance Use Therapy

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* 9. Medication Services

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* 10. Medication Assisted Treatment

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* 11. Case Management

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* 12. Healthy Start

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* 13. Share Spot Drop In Center

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* 14. FACT (Florida Assertive Community Treatment for Adults)

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* 15. Wrap-Around Services for Parents involved with DCF (FITT, FIC, BHC)

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* 16. Therapeutic Family Care

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* 17. Do you know anyone who has participated in therapy or medication services via telehealth services at CBHC?

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* 18. If you answered yes to question 17, what would you say their satisfaction was with teleservices they received? Please score 1- 10 (10 is very satisfied and 1 is very unsatisfied)

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* 19. Do you know anyone who has participated in office based therapy or medication services at CBHC?

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* 20. If you answered yes to question 19, what would you say their satisfaction was with the office based therapy or medication services they received? Please score 1- 10 (10 is very satisfied and 1 is very unsatisfied)

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* 21. Please indicate your organizational affiliation:

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* 22. Any Additional Comments:

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