Allegany and Cattaraugus Counties - Substance Use Disorder Needs

Leadership throughout the two county region needs your help. Opioids, heroin, alcohol and other drugs have been crippling our community for years. Help us address this issue by completing the following survey.

A coalition of local substance use disorder, behavioral health, and public health agencies are conducting a study on substance use disorder needs and gaps in services. This study is very important and will help us document high priority needs and seek over $1M in funding for new or expanded programs in our community.

Please complete the following survey. It has several sections and is designed to help us understand the views of the community in general as well as people directly effected by substance use disorders, meaning concerned friends and family and individuals recovering from substance abuse. Some questions describe specific types of substance use disorder services with which you may not be familiar. If you do not feel comfortable or knowledgeable, please check the no opinion/unsure box for the particular question rather than skip the question entirely.

Please Note: Because of the intentionally broad distribution of this survey, you may receive more than one request to complete it. We apologize for this inconvenience and ask that you disregard any additional requests to complete the survey.

Your responses are kept confidential and will not be used for any other purpose. If you would like to participate in a drawing for one of five $100 Gift Cards, are over the age of 18 and a resident of Allegany or Cattaraugus counties, please add your email address on the last page of the survey after you complete the entire survey. Completed surveys are due by November 1, 2019.

Questions? Contact Mike Prutsman at the Council on Addiction Recovery Services, Inc. (716) 373-4303 ext. 513, or William Penman at the Allegany Council on Alcohol and Substance Abuse, Inc. at (585) 593-6738.

Thanks so much!

Tell us about yourself

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* 1. What is your age?

Under 18

18 to 44

45 to 54

55 to 64

65 to 74

75+

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* 2. Sex at birth?

Male

Female

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* 3. What is your sexual orientation?

Choose not to answer

Straight or heterosexual

Lesbian/Gay

Bisexual

Something Else

Don't know

None of the above, please specify

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* 4. Are you currently employed or retired? If so, please check the one that applies best:

Behavioral health service provider

Health care service provider

Human services service provider

Substance use disorder service provider

Farming or dairy industry

Construction, building trades, mining, timber or quarry

Education

Retail, transportation, banking or tourism

Law or law enforcement

Other (please specify)

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* 5. What is your main insurance?

None/uninsured

Medicaid

CHIP Medicaid

Medicare

Other public insurance (CHIP)

Other public insurance (not CHIP)

Private insurance

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* 6. During the past year, what was the total combined income for you and the family members you live with?

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* 7. In the past year, have you or any family members you live with been unable to get any of the following when it was really needed? Check all that apply.

No - we have been able to get things when really needed

Food

Clothing

Utilities

Child care

Medicine or any health care (Medical, Dental, Mental Health, Vision)

Phone

Other (please specify)

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* 8. Has lack of transportation kept you or anyone you know from behavioral health related appointments, meetings, work, or from getting things needed for daily living? Check all that apply.

Yes, it has kept me or someone I know from behavioral health appointments or from getting medications

Yes, it has kept me or someone I know from non-behavioral health meetings, appointments, work, or from getting things I or they need

I choose not to answer this question

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Communities of Allegany and Cattaraugus County and Zip Codes

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* 9. In what area of the region do you reside?
Please refer to the map above.

Not a resident of these areas

Birdsall Area / Allegany County

Canadea Area / Allegany County

Cuba Area / Allegany County

Wellsville Area / Allegany County

Gowanda Area / Cattaraugus County

Machias Area / Cattaraugus County

Olean Area / Cattaraugus County

Salamanca Area / Cattaraugus County

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* 10. How did you learn about this survey?

Health or behavioral care provider

Community or civic organization

School

Friend or associate

Library

Media

Local government

Other (please specify)

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* 11. Do you have a family doctor/primary care practitioner?

Yes

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* 12. If yes, when was your last medical appointment?

Within the last year

Between one and two years ago

Between two and three years ago

More than three years ago

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* 13. If relevant, did your primary care provider discuss the potential for problems you might experience with any pain or stress related medications?

Yes, I thought I was well informed

Yes, but I would have preferred more information

No, I was not prescribed pain or stress medication

No opinion/Unsure

Tell us about your view of the substance abuse problem in the area

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* 14. Please indicate the severity of Allegany and Cattaraugus Counties' problem with the following substances:

	I don't believe it is a problem at all	I believe it is an isolated and rare problem impacting a few	I believe it is a moderate problem	I believe it is a major problem impacting many	I am not sure how severe the problem is
Opioids	Opioids I don't believe it is a problem at all	Opioids I believe it is an isolated and rare problem impacting a few	Opioids I believe it is a moderate problem	Opioids I believe it is a major problem impacting many	Opioids I am not sure how severe the problem is
Heroin	Heroin I don't believe it is a problem at all	Heroin I believe it is an isolated and rare problem impacting a few	Heroin I believe it is a moderate problem	Heroin I believe it is a major problem impacting many	Heroin I am not sure how severe the problem is
Marijuana	Marijuana I don't believe it is a problem at all	Marijuana I believe it is an isolated and rare problem impacting a few	Marijuana I believe it is a moderate problem	Marijuana I believe it is a major problem impacting many	Marijuana I am not sure how severe the problem is
Amphetamines	Amphetamines I don't believe it is a problem at all	Amphetamines I believe it is an isolated and rare problem impacting a few	Amphetamines I believe it is a moderate problem	Amphetamines I believe it is a major problem impacting many	Amphetamines I am not sure how severe the problem is
Cocaine	Cocaine I don't believe it is a problem at all	Cocaine I believe it is an isolated and rare problem impacting a few	Cocaine I believe it is a moderate problem	Cocaine I believe it is a major problem impacting many	Cocaine I am not sure how severe the problem is
Alcohol	Alcohol I don't believe it is a problem at all	Alcohol I believe it is an isolated and rare problem impacting a few	Alcohol I believe it is a moderate problem	Alcohol I believe it is a major problem impacting many	Alcohol I am not sure how severe the problem is
Vaping	Vaping I don't believe it is a problem at all	Vaping I believe it is an isolated and rare problem impacting a few	Vaping I believe it is a moderate problem	Vaping I believe it is a major problem impacting many	Vaping I am not sure how severe the problem is

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* 15. Please indicate if anyone you know has been impacted by substance abuse in the following way:

Currently addicted to heroin or opioids

Currently in recovery from addiction to heroin or opioids

Currently addicted to other drugs, excluding alcohol

Currently in recovery from other drug addiction, excluding alcohol

Currently addicted to alcohol

Currently in recovery for alcohol abuse

Community member

No Impact

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* 16. Has anyone you know recently gone to a hospital ER for care because of a substance use disorder?

Yes

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* 17. Thinking about substance abuse, please indicate who you feel is influential in helping individuals seek treatment.

	Extremely Influential	Somewhat Influential	Not Influential at All	No opinion/Unsure
Parents	Parents Extremely Influential	Parents Somewhat Influential	Parents Not Influential at All	Parents No opinion/Unsure
Spouse or Significant Other	Spouse or Significant Other Extremely Influential	Spouse or Significant Other Somewhat Influential	Spouse or Significant Other Not Influential at All	Spouse or Significant Other No opinion/Unsure
Children	Children Extremely Influential	Children Somewhat Influential	Children Not Influential at All	Children No opinion/Unsure
Faith Leader	Faith Leader Extremely Influential	Faith Leader Somewhat Influential	Faith Leader Not Influential at All	Faith Leader No opinion/Unsure
Employer	Employer Extremely Influential	Employer Somewhat Influential	Employer Not Influential at All	Employer No opinion/Unsure
Friends	Friends Extremely Influential	Friends Somewhat Influential	Friends Not Influential at All	Friends No opinion/Unsure
Doctor or Other Healthcare Professionals	Doctor or Other Healthcare Professionals Extremely Influential	Doctor or Other Healthcare Professionals Somewhat Influential	Doctor or Other Healthcare Professionals Not Influential at All	Doctor or Other Healthcare Professionals No opinion/Unsure
Counselor or Therapist	Counselor or Therapist Extremely Influential	Counselor or Therapist Somewhat Influential	Counselor or Therapist Not Influential at All	Counselor or Therapist No opinion/Unsure
School Personnel	School Personnel Extremely Influential	School Personnel Somewhat Influential	School Personnel Not Influential at All	School Personnel No opinion/Unsure
Law Enforcement Personnel	Law Enforcement Personnel Extremely Influential	Law Enforcement Personnel Somewhat Influential	Law Enforcement Personnel Not Influential at All	Law Enforcement Personnel No opinion/Unsure
Judge or Other Court Personnel	Judge or Other Court Personnel Extremely Influential	Judge or Other Court Personnel Somewhat Influential	Judge or Other Court Personnel Not Influential at All	Judge or Other Court Personnel No opinion/Unsure
Social Worker	Social Worker Extremely Influential	Social Worker Somewhat Influential	Social Worker Not Influential at All	Social Worker No opinion/Unsure

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* 18. What are the causes of substance abuse in the two county area?

	Extremely Influential	Somewhat Influential	Not Influential at All	No opinion/Unsure
Addiction began with the use of a prescription pain medication	Addiction began with the use of a prescription pain medication Extremely Influential	Addiction began with the use of a prescription pain medication Somewhat Influential	Addiction began with the use of a prescription pain medication Not Influential at All	Addiction began with the use of a prescription pain medication No opinion/Unsure
Experimentation with other illicit or legalized drugs or gateway drugs were a contributing factor	Experimentation with other illicit or legalized drugs or gateway drugs were a contributing factor Extremely Influential	Experimentation with other illicit or legalized drugs or gateway drugs were a contributing factor Somewhat Influential	Experimentation with other illicit or legalized drugs or gateway drugs were a contributing factor Not Influential at All	Experimentation with other illicit or legalized drugs or gateway drugs were a contributing factor No opinion/Unsure
Opiates are “a less costly alternative to other drugs"	Opiates are “a less costly alternative to other drugs" Extremely Influential	Opiates are “a less costly alternative to other drugs" Somewhat Influential	Opiates are “a less costly alternative to other drugs" Not Influential at All	Opiates are “a less costly alternative to other drugs" No opinion/Unsure
Peer influence or peer pressure	Peer influence or peer pressure Extremely Influential	Peer influence or peer pressure Somewhat Influential	Peer influence or peer pressure Not Influential at All	Peer influence or peer pressure No opinion/Unsure
Lack of education about the impact and potential consequences of heroin and opioid use	Lack of education about the impact and potential consequences of heroin and opioid use Extremely Influential	Lack of education about the impact and potential consequences of heroin and opioid use Somewhat Influential	Lack of education about the impact and potential consequences of heroin and opioid use Not Influential at All	Lack of education about the impact and potential consequences of heroin and opioid use No opinion/Unsure
Lack of school prevention education	Lack of school prevention education Extremely Influential	Lack of school prevention education Somewhat Influential	Lack of school prevention education Not Influential at All	Lack of school prevention education No opinion/Unsure
Untreated mental illness	Untreated mental illness Extremely Influential	Untreated mental illness Somewhat Influential	Untreated mental illness Not Influential at All	Untreated mental illness No opinion/Unsure
Lack of constructive and healthy alternatives (to deal with the hardships of life)	Lack of constructive and healthy alternatives (to deal with the hardships of life) Extremely Influential	Lack of constructive and healthy alternatives (to deal with the hardships of life) Somewhat Influential	Lack of constructive and healthy alternatives (to deal with the hardships of life) Not Influential at All	Lack of constructive and healthy alternatives (to deal with the hardships of life) No opinion/Unsure
Unemployment	Unemployment Extremely Influential	Unemployment Somewhat Influential	Unemployment Not Influential at All	Unemployment No opinion/Unsure

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* 19. Please rate the importance of the following organizations or groups in promoting healthy lifestyles and discouraging substance abuse:

	Highly Important	Important	Not Important	No opinion/Unsure
Schools	Schools Highly Important	Schools Important	Schools Not Important	Schools No opinion/Unsure
Families	Families Highly Important	Families Important	Families Not Important	Families No opinion/Unsure
Faith based organizations	Faith based organizations Highly Important	Faith based organizations Important	Faith based organizations Not Important	Faith based organizations No opinion/Unsure
Civic groups or clubs	Civic groups or clubs Highly Important	Civic groups or clubs Important	Civic groups or clubs Not Important	Civic groups or clubs No opinion/Unsure
County government	County government Highly Important	County government Important	County government Not Important	County government No opinion/Unsure
Primary care providers	Primary care providers Highly Important	Primary care providers Important	Primary care providers Not Important	Primary care providers No opinion/Unsure
Local media	Local media Highly Important	Local media Important	Local media Not Important	Local media No opinion/Unsure
Local businesses	Local businesses Highly Important	Local businesses Important	Local businesses Not Important	Local businesses No opinion/Unsure
Social media	Social media Highly Important	Social media Important	Social media Not Important	Social media No opinion/Unsure
Local government (town councils, etc.)	Local government (town councils, etc.) Highly Important	Local government (town councils, etc.) Important	Local government (town councils, etc.) Not Important	Local government (town councils, etc.) No opinion/Unsure

(please specify)

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* 20. Looking back on your knowledge of people who abuse substances, please indicate what you feel providers and the community could have done to prevent the problem (please check all that apply):

	Highly Important	Important	Not Important	No Opinion/Unsure
More community-based prevention messaging; i.e. billboards, radio ads, print ads	More community-based prevention messaging; i.e. billboards, radio ads, print ads Highly Important	More community-based prevention messaging; i.e. billboards, radio ads, print ads Important	More community-based prevention messaging; i.e. billboards, radio ads, print ads Not Important	More community-based prevention messaging; i.e. billboards, radio ads, print ads No Opinion/Unsure
Less access to prescription pain medications	Less access to prescription pain medications Highly Important	Less access to prescription pain medications Important	Less access to prescription pain medications Not Important	Less access to prescription pain medications No Opinion/Unsure
Greater law enforcement consequences	Greater law enforcement consequences Highly Important	Greater law enforcement consequences Important	Greater law enforcement consequences Not Important	Greater law enforcement consequences No Opinion/Unsure
Increased drug testing; i.e. workplace, court mandates, etc.	Increased drug testing; i.e. workplace, court mandates, etc. Highly Important	Increased drug testing; i.e. workplace, court mandates, etc. Important	Increased drug testing; i.e. workplace, court mandates, etc. Not Important	Increased drug testing; i.e. workplace, court mandates, etc. No Opinion/Unsure
Greater access to drug education in schools	Greater access to drug education in schools Highly Important	Greater access to drug education in schools Important	Greater access to drug education in schools Not Important	Greater access to drug education in schools No Opinion/Unsure
More discussion with healthcare providers at time of prescribing prescription pain medications	More discussion with healthcare providers at time of prescribing prescription pain medications Highly Important	More discussion with healthcare providers at time of prescribing prescription pain medications Important	More discussion with healthcare providers at time of prescribing prescription pain medications Not Important	More discussion with healthcare providers at time of prescribing prescription pain medications No Opinion/Unsure
More discussion with pharmacists at time of dispensing prescription pain medications	More discussion with pharmacists at time of dispensing prescription pain medications Highly Important	More discussion with pharmacists at time of dispensing prescription pain medications Important	More discussion with pharmacists at time of dispensing prescription pain medications Not Important	More discussion with pharmacists at time of dispensing prescription pain medications No Opinion/Unsure
Emphasize that the acceptance of alcohol, binge drinking and recreational drug use are major pathways to substance abuse of many types (heroin, opiates, speed, tranquilizers, alcohol)	Emphasize that the acceptance of alcohol, binge drinking and recreational drug use are major pathways to substance abuse of many types (heroin, opiates, speed, tranquilizers, alcohol) Highly Important	Emphasize that the acceptance of alcohol, binge drinking and recreational drug use are major pathways to substance abuse of many types (heroin, opiates, speed, tranquilizers, alcohol) Important	Emphasize that the acceptance of alcohol, binge drinking and recreational drug use are major pathways to substance abuse of many types (heroin, opiates, speed, tranquilizers, alcohol) Not Important	Emphasize that the acceptance of alcohol, binge drinking and recreational drug use are major pathways to substance abuse of many types (heroin, opiates, speed, tranquilizers, alcohol) No Opinion/Unsure

Other (please specify)

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* 21. What communication strategies do you feel would most help individuals at-risk or impacted by substance abuse (check all that apply):

Radio

Newspapers

Billboards

Websites

Pamphlets or brochures at doctors' offices

Pamphlets or brochures at work sites

Pamphlets or brochures at schools

Fact sheets at pharmacies

Pharmacy consultations

Social Media

Physician consultation

Community educational programs

Town hall meetings

Tell us about your view of substance abuse services in the area

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* 22. Please rate the importance of the following aspects of substance use disorder services:

	Highly Important	Important	Not Important	No opinion/Unsure
Urgent Care – walk-ins, especially weekends or evenings	Urgent Care – walk-ins, especially weekends or evenings Highly Important	Urgent Care – walk-ins, especially weekends or evenings Important	Urgent Care – walk-ins, especially weekends or evenings Not Important	Urgent Care – walk-ins, especially weekends or evenings No opinion/Unsure
Credentials of staff	Credentials of staff Highly Important	Credentials of staff Important	Credentials of staff Not Important	Credentials of staff No opinion/Unsure
Scheduled appointments on weekends or evenings	Scheduled appointments on weekends or evenings Highly Important	Scheduled appointments on weekends or evenings Important	Scheduled appointments on weekends or evenings Not Important	Scheduled appointments on weekends or evenings No opinion/Unsure
Proximity to home	Proximity to home Highly Important	Proximity to home Important	Proximity to home Not Important	Proximity to home No opinion/Unsure
Proximity to employer	Proximity to employer Highly Important	Proximity to employer Important	Proximity to employer Not Important	Proximity to employer No opinion/Unsure
Home visits	Home visits Highly Important	Home visits Important	Home visits Not Important	Home visits No opinion/Unsure
Ability to access substance use disorder counselors or recovery staff on the phone or online/telehealth	Ability to access substance use disorder counselors or recovery staff on the phone or online/telehealth Highly Important	Ability to access substance use disorder counselors or recovery staff on the phone or online/telehealth Important	Ability to access substance use disorder counselors or recovery staff on the phone or online/telehealth Not Important	Ability to access substance use disorder counselors or recovery staff on the phone or online/telehealth No opinion/Unsure

(please specify)

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* 23. What forms of treatment are most important to individuals with substance use disorders in Allegany and Cattaraugus Counties?

	Extremely Important	Somewhat Important	Not Important at all	No opinion/Unsure
Medication-assisted treatment (especially for heroin and opiate use)	Medication-assisted treatment (especially for heroin and opiate use) Extremely Important	Medication-assisted treatment (especially for heroin and opiate use) Somewhat Important	Medication-assisted treatment (especially for heroin and opiate use) Not Important at all	Medication-assisted treatment (especially for heroin and opiate use) No opinion/Unsure
Behavioral therapy	Behavioral therapy Extremely Important	Behavioral therapy Somewhat Important	Behavioral therapy Not Important at all	Behavioral therapy No opinion/Unsure
Detoxification services	Detoxification services Extremely Important	Detoxification services Somewhat Important	Detoxification services Not Important at all	Detoxification services No opinion/Unsure
Peer support groups	Peer support groups Extremely Important	Peer support groups Somewhat Important	Peer support groups Not Important at all	Peer support groups No opinion/Unsure
Faith-based support groups	Faith-based support groups Extremely Important	Faith-based support groups Somewhat Important	Faith-based support groups Not Important at all	Faith-based support groups No opinion/Unsure
Online support groups and resources	Online support groups and resources Extremely Important	Online support groups and resources Somewhat Important	Online support groups and resources Not Important at all	Online support groups and resources No opinion/Unsure
Inpatient drug treatment facilities	Inpatient drug treatment facilities Extremely Important	Inpatient drug treatment facilities Somewhat Important	Inpatient drug treatment facilities Not Important at all	Inpatient drug treatment facilities No opinion/Unsure
Long-term residential treatment services	Long-term residential treatment services Extremely Important	Long-term residential treatment services Somewhat Important	Long-term residential treatment services Not Important at all	Long-term residential treatment services No opinion/Unsure
Outpatient addiction counseling	Outpatient addiction counseling Extremely Important	Outpatient addiction counseling Somewhat Important	Outpatient addiction counseling Not Important at all	Outpatient addiction counseling No opinion/Unsure
Services for pregnant women	Services for pregnant women Extremely Important	Services for pregnant women Somewhat Important	Services for pregnant women Not Important at all	Services for pregnant women No opinion/Unsure
Jail based services	Jail based services Extremely Important	Jail based services Somewhat Important	Jail based services Not Important at all	Jail based services No opinion/Unsure

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* 24. Please indicate whether the following services are available or not for Allegany and Cattaraugus County residents with substance use disorders.

	Available Locally	Not Available Locally	Local Availability Unknown
Medication-assisted treatment (especially for heroin and opiate abuse)	Medication-assisted treatment (especially for heroin and opiate abuse) Available Locally	Medication-assisted treatment (especially for heroin and opiate abuse) Not Available Locally	Medication-assisted treatment (especially for heroin and opiate abuse) Local Availability Unknown
Behavioral therapy	Behavioral therapy Available Locally	Behavioral therapy Not Available Locally	Behavioral therapy Local Availability Unknown
Detoxification services	Detoxification services Available Locally	Detoxification services Not Available Locally	Detoxification services Local Availability Unknown
Peer support groups	Peer support groups Available Locally	Peer support groups Not Available Locally	Peer support groups Local Availability Unknown
Faith-based support groups	Faith-based support groups Available Locally	Faith-based support groups Not Available Locally	Faith-based support groups Local Availability Unknown
Online support groups and resources	Online support groups and resources Available Locally	Online support groups and resources Not Available Locally	Online support groups and resources Local Availability Unknown
Inpatient drug treatment facilities	Inpatient drug treatment facilities Available Locally	Inpatient drug treatment facilities Not Available Locally	Inpatient drug treatment facilities Local Availability Unknown
Long-term residential treatment services	Long-term residential treatment services Available Locally	Long-term residential treatment services Not Available Locally	Long-term residential treatment services Local Availability Unknown
Outpatient addiction counseling	Outpatient addiction counseling Available Locally	Outpatient addiction counseling Not Available Locally	Outpatient addiction counseling Local Availability Unknown
Services for pregnant women	Services for pregnant women Available Locally	Services for pregnant women Not Available Locally	Services for pregnant women Local Availability Unknown
Jail based services	Jail based services Available Locally	Jail based services Not Available Locally	Jail based services Local Availability Unknown

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* 25. What additional resources in Allegany and Cattaraugus Counties do you feel are most important in assisting individuals in recovery from substance abuse avoid relapse? Please check all that apply:

	Extremely Important	Somewhat Important	Not Important at all	No opinion/Unsure
Housing assistance programs	Housing assistance programs Extremely Important	Housing assistance programs Somewhat Important	Housing assistance programs Not Important at all	Housing assistance programs No opinion/Unsure
Job readiness services	Job readiness services Extremely Important	Job readiness services Somewhat Important	Job readiness services Not Important at all	Job readiness services No opinion/Unsure
Food and nutrition assistance programs	Food and nutrition assistance programs Extremely Important	Food and nutrition assistance programs Somewhat Important	Food and nutrition assistance programs Not Important at all	Food and nutrition assistance programs No opinion/Unsure
Temporary cash assistance program	Temporary cash assistance program Extremely Important	Temporary cash assistance program Somewhat Important	Temporary cash assistance program Not Important at all	Temporary cash assistance program No opinion/Unsure
Pain self-management workshops	Pain self-management workshops Extremely Important	Pain self-management workshops Somewhat Important	Pain self-management workshops Not Important at all	Pain self-management workshops No opinion/Unsure
Food pantries	Food pantries Extremely Important	Food pantries Somewhat Important	Food pantries Not Important at all	Food pantries No opinion/Unsure
Public transportation services	Public transportation services Extremely Important	Public transportation services Somewhat Important	Public transportation services Not Important at all	Public transportation services No opinion/Unsure
Peer advocacy programs	Peer advocacy programs Extremely Important	Peer advocacy programs Somewhat Important	Peer advocacy programs Not Important at all	Peer advocacy programs No opinion/Unsure
Crisis intervention services	Crisis intervention services Extremely Important	Crisis intervention services Somewhat Important	Crisis intervention services Not Important at all	Crisis intervention services No opinion/Unsure
Service coordination/case management services	Service coordination/case management services Extremely Important	Service coordination/case management services Somewhat Important	Service coordination/case management services Not Important at all	Service coordination/case management services No opinion/Unsure
Employment services	Employment services Extremely Important	Employment services Somewhat Important	Employment services Not Important at all	Employment services No opinion/Unsure
Financial literacy programs	Financial literacy programs Extremely Important	Financial literacy programs Somewhat Important	Financial literacy programs Not Important at all	Financial literacy programs No opinion/Unsure
Childcare	Childcare Extremely Important	Childcare Somewhat Important	Childcare Not Important at all	Childcare No opinion/Unsure
Daycare services	Daycare services Extremely Important	Daycare services Somewhat Important	Daycare services Not Important at all	Daycare services No opinion/Unsure
Pain clinic	Pain clinic Extremely Important	Pain clinic Somewhat Important	Pain clinic Not Important at all	Pain clinic No opinion/Unsure
Health Insurance	Health Insurance Extremely Important	Health Insurance Somewhat Important	Health Insurance Not Important at all	Health Insurance No opinion/Unsure

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* 26. Please indicate whether these additional resources are available locally for people with substance use disorders:

	Available Locally	Not Available Locally	Local Availability Unknown
Housing assistance programs	Housing assistance programs Available Locally	Housing assistance programs Not Available Locally	Housing assistance programs Local Availability Unknown
Job readiness services	Job readiness services Available Locally	Job readiness services Not Available Locally	Job readiness services Local Availability Unknown
Food and nutrition assistance programs	Food and nutrition assistance programs Available Locally	Food and nutrition assistance programs Not Available Locally	Food and nutrition assistance programs Local Availability Unknown
Temporary cash assistance program	Temporary cash assistance program Available Locally	Temporary cash assistance program Not Available Locally	Temporary cash assistance program Local Availability Unknown
Pain self-management workshops	Pain self-management workshops Available Locally	Pain self-management workshops Not Available Locally	Pain self-management workshops Local Availability Unknown
Food pantries	Food pantries Available Locally	Food pantries Not Available Locally	Food pantries Local Availability Unknown
Public transportation services	Public transportation services Available Locally	Public transportation services Not Available Locally	Public transportation services Local Availability Unknown
Peer advocacy programs	Peer advocacy programs Available Locally	Peer advocacy programs Not Available Locally	Peer advocacy programs Local Availability Unknown
Crisis intervention services	Crisis intervention services Available Locally	Crisis intervention services Not Available Locally	Crisis intervention services Local Availability Unknown
Service coordination/case management services	Service coordination/case management services Available Locally	Service coordination/case management services Not Available Locally	Service coordination/case management services Local Availability Unknown
Employment services	Employment services Available Locally	Employment services Not Available Locally	Employment services Local Availability Unknown
Financial literacy programs	Financial literacy programs Available Locally	Financial literacy programs Not Available Locally	Financial literacy programs Local Availability Unknown
Childcare	Childcare Available Locally	Childcare Not Available Locally	Childcare Local Availability Unknown
Daycare services	Daycare services Available Locally	Daycare services Not Available Locally	Daycare services Local Availability Unknown
Pain clinic	Pain clinic Available Locally	Pain clinic Not Available Locally	Pain clinic Local Availability Unknown
Health Insurance	Health Insurance Available Locally	Health Insurance Not Available Locally	Health Insurance Local Availability Unknown

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* 27. If someone you know’s addiction started from prescription pain killers, please indicate why medications were initially prescribed (check all that apply):

Sports injury

Work-related injury

Chronic pain

Fibromyalgia

Arthritis

Diabetic neuropathy

Post surgical pain

Persistent headaches

Dental pain

Automobile accident injury

Other (please specify)

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* 28. Thinking about someone you know's experience with substance abuse, do you feel mandatory drug testing is an effective way to reduce recurrent use?

Yes

No opinion/Unsure

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* 29. Identify barriers in treatment and/or recovery for those living in Allegany and Cattaraugus Counties who have substance use disorders.

Other (please specify)

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* 30. If someone you know is currently in recovery for substance abuse, please indicate what was the defining factor for seeking help (check all that apply)

	Heroin/Opioids	Other Substance Abuse
Work Issues or Loss of Job	Work Issues or Loss of Job Heroin/Opioids	Work Issues or Loss of Job Other Substance Abuse
Court Mandate	Court Mandate Heroin/Opioids	Court Mandate Other Substance Abuse
Legal Ramifications	Legal Ramifications Heroin/Opioids	Legal Ramifications Other Substance Abuse
Decline in Health	Decline in Health Heroin/Opioids	Decline in Health Other Substance Abuse
Loss of Children	Loss of Children Heroin/Opioids	Loss of Children Other Substance Abuse
Loss of Friends	Loss of Friends Heroin/Opioids	Loss of Friends Other Substance Abuse
Separation from Significant Other	Separation from Significant Other Heroin/Opioids	Separation from Significant Other Other Substance Abuse
Overdose	Overdose Heroin/Opioids	Overdose Other Substance Abuse

Other (please specify)

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* 31. Please share your view of gaps in prevention, treatment, and recovery services or new substance use disorder programs.

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* 32. Please take a moment to share any general comments you have about the substance use disorder problem in the area.

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* 33. If you would like to receive a summary of survey results in December 2019, please indicate your basis for interest and provide your email address below.

Basis for Interest:

Business

Civic group or club

Faith based organization

Health care organization

Human service organization

Local government

Mental health or substance abuse organization

Personal health care

School

Email:

The coalition's name is the Appalachia Substance Use Disorder and Mental Health Services Coalition. It was formed approximately one year ago and includes:
• Council on Addiction Recovery Services, Inc. - CAReS, Olean, NY
• Allegany Council on Alcohol and Substance Abuse, Inc. - ACASA, Wellsville, NY
• Southern Tier Health Care System, Inc. - STHCS, Olean, NY
• Allegany County Community Services, Wellsville, NY
• Allegany County Public Health, Wellsville, NY
• Cattaraugus County Community Services, Olean, NY
• Cattaraugus County Public Health, Olean, NY
• Clarity Community Wellness, Wellsville, NY

Many thanks to Ardent Solutions of Wellsville, NY for permission to use material from their 2016 survey on heroin and opioid abuse in Allegany County.

Proprietary Material exclusive of PRAPARE questions 5, 6, 7, and 8. These questions come from the national PRAPARE social determinants of health assessment protocol, developed and owned by the National Association of Community Health Centers (NACHC), in partnership with the Association of Asian Pacific Community Health Organization (AAPCHO), the Oregon Primary Care Association (OPCA), and the Institute for Alternative Futures (IAF). For more information, visit www.nachc.org/prapare.

QUESTIONS? Please contact Gregory Bonk, HMS Associates, Getzville, NY at (716) 868 - 6448 regarding citations or use. October 2019.

	Heroin/Opioids Barrier to Treatment	Heroin/Opioids Barrier to Recovery	Other Substance Abuse Barrier to Treatment	Other Substance Abuse Barrier to Recovery
Services are not available locally	Services are not available locally Heroin/Opioids Barrier to Treatment	Services are not available locally Heroin/Opioids Barrier to Recovery	Services are not available locally Other Substance Abuse Barrier to Treatment	Services are not available locally Other Substance Abuse Barrier to Recovery
Unsure of what services are available	Unsure of what services are available Heroin/Opioids Barrier to Treatment	Unsure of what services are available Heroin/Opioids Barrier to Recovery	Unsure of what services are available Other Substance Abuse Barrier to Treatment	Unsure of what services are available Other Substance Abuse Barrier to Recovery
Transportation	Transportation Heroin/Opioids Barrier to Treatment	Transportation Heroin/Opioids Barrier to Recovery	Transportation Other Substance Abuse Barrier to Treatment	Transportation Other Substance Abuse Barrier to Recovery
Lack of insurance	Lack of insurance Heroin/Opioids Barrier to Treatment	Lack of insurance Heroin/Opioids Barrier to Recovery	Lack of insurance Other Substance Abuse Barrier to Treatment	Lack of insurance Other Substance Abuse Barrier to Recovery
Co-pays too high	Co-pays too high Heroin/Opioids Barrier to Treatment	Co-pays too high Heroin/Opioids Barrier to Recovery	Co-pays too high Other Substance Abuse Barrier to Treatment	Co-pays too high Other Substance Abuse Barrier to Recovery
High insurance deductibles	High insurance deductibles Heroin/Opioids Barrier to Treatment	High insurance deductibles Heroin/Opioids Barrier to Recovery	High insurance deductibles Other Substance Abuse Barrier to Treatment	High insurance deductibles Other Substance Abuse Barrier to Recovery
Insurance limitations to adequate time in treatment	Insurance limitations to adequate time in treatment Heroin/Opioids Barrier to Treatment	Insurance limitations to adequate time in treatment Heroin/Opioids Barrier to Recovery	Insurance limitations to adequate time in treatment Other Substance Abuse Barrier to Treatment	Insurance limitations to adequate time in treatment Other Substance Abuse Barrier to Recovery
Services not available in a timely manner	Services not available in a timely manner Heroin/Opioids Barrier to Treatment	Services not available in a timely manner Heroin/Opioids Barrier to Recovery	Services not available in a timely manner Other Substance Abuse Barrier to Treatment	Services not available in a timely manner Other Substance Abuse Barrier to Recovery
Stigma associated with addiction	Stigma associated with addiction Heroin/Opioids Barrier to Treatment	Stigma associated with addiction Heroin/Opioids Barrier to Recovery	Stigma associated with addiction Other Substance Abuse Barrier to Treatment	Stigma associated with addiction Other Substance Abuse Barrier to Recovery
Lack of beds in treatment facilities	Lack of beds in treatment facilities Heroin/Opioids Barrier to Treatment	Lack of beds in treatment facilities Heroin/Opioids Barrier to Recovery	Lack of beds in treatment facilities Other Substance Abuse Barrier to Treatment	Lack of beds in treatment facilities Other Substance Abuse Barrier to Recovery
Rejection for treatment by insurance carrier	Rejection for treatment by insurance carrier Heroin/Opioids Barrier to Treatment	Rejection for treatment by insurance carrier Heroin/Opioids Barrier to Recovery	Rejection for treatment by insurance carrier Other Substance Abuse Barrier to Treatment	Rejection for treatment by insurance carrier Other Substance Abuse Barrier to Recovery
Not ready to stop using	Not ready to stop using Heroin/Opioids Barrier to Treatment	Not ready to stop using Heroin/Opioids Barrier to Recovery	Not ready to stop using Other Substance Abuse Barrier to Treatment	Not ready to stop using Other Substance Abuse Barrier to Recovery
Does not feel treatment is needed or is unnecessary	Does not feel treatment is needed or is unnecessary Heroin/Opioids Barrier to Treatment	Does not feel treatment is needed or is unnecessary Heroin/Opioids Barrier to Recovery	Does not feel treatment is needed or is unnecessary Other Substance Abuse Barrier to Treatment	Does not feel treatment is needed or is unnecessary Other Substance Abuse Barrier to Recovery
Negative effect on employment	Negative effect on employment Heroin/Opioids Barrier to Treatment	Negative effect on employment Heroin/Opioids Barrier to Recovery	Negative effect on employment Other Substance Abuse Barrier to Treatment	Negative effect on employment Other Substance Abuse Barrier to Recovery

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* 1. What is your age?

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* 2. Sex at birth?

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* 3. What is your sexual orientation?

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* 4. Are you currently employed or retired? If so, please check the one that applies best:

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* 5. What is your main insurance?

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* 6. During the past year, what was the total combined income for you and the family members you live with?

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* 7. In the past year, have you or any family members you live with been unable to get any of the following when it was really needed? Check all that apply.

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* 8. Has lack of transportation kept you or anyone you know from behavioral health related appointments, meetings, work, or from getting things needed for daily living? Check all that apply.

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Communities of Allegany and Cattaraugus County and Zip Codes

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* 9. In what area of the region do you reside?Please refer to the map above.

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* 10. How did you learn about this survey?

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* 11. Do you have a family doctor/primary care practitioner?

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* 12. If yes, when was your last medical appointment?

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* 13. If relevant, did your primary care provider discuss the potential for problems you might experience with any pain or stress related medications?

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* 14. Please indicate the severity of Allegany and Cattaraugus Counties' problem with the following substances:

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* 15. Please indicate if anyone you know has been impacted by substance abuse in the following way:

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* 16. Has anyone you know recently gone to a hospital ER for care because of a substance use disorder?

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* 17. Thinking about substance abuse, please indicate who you feel is influential in helping individuals seek treatment.

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* 18. What are the causes of substance abuse in the two county area?

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* 19. Please rate the importance of the following organizations or groups in promoting healthy lifestyles and discouraging substance abuse:

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* 20. Looking back on your knowledge of people who abuse substances, please indicate what you feel providers and the community could have done to prevent the problem (please check all that apply):

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* 21. What communication strategies do you feel would most help individuals at-risk or impacted by substance abuse (check all that apply):

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* 22. Please rate the importance of the following aspects of substance use disorder services:

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* 23. What forms of treatment are most important to individuals with substance use disorders in Allegany and Cattaraugus Counties?

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* 24. Please indicate whether the following services are available or not for Allegany and Cattaraugus County residents with substance use disorders.

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* 25. What additional resources in Allegany and Cattaraugus Counties do you feel are most important in assisting individuals in recovery from substance abuse avoid relapse? Please check all that apply:

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* 26. Please indicate whether these additional resources are available locally for people with substance use disorders:

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* 27. If someone you know’s addiction started from prescription pain killers, please indicate why medications were initially prescribed (check all that apply):

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* 28. Thinking about someone you know's experience with substance abuse, do you feel mandatory drug testing is an effective way to reduce recurrent use?

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* 29. Identify barriers in treatment and/or recovery for those living in Allegany and Cattaraugus Counties who have substance use disorders.

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* 30. If someone you know is currently in recovery for substance abuse, please indicate what was the defining factor for seeking help (check all that apply)

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* 31. Please share your view of gaps in prevention, treatment, and recovery services or new substance use disorder programs.

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* 32. Please take a moment to share any general comments you have about the substance use disorder problem in the area.

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* 33. If you would like to receive a summary of survey results in December 2019, please indicate your basis for interest and provide your email address below.Basis for Interest:

* 9. In what area of the region do you reside?
Please refer to the map above.

* 33. If you would like to receive a summary of survey results in December 2019, please indicate your basis for interest and provide your email address below.

Basis for Interest: