Online San Benito County Behavioral Health MHSA CPPP Survey 2024

San Benito County Behavioral Health is asking for feedback on our Mental Health Services Act (MHSA) funded services. We are asking the San Benito community to identify issues for children and youth; parents and families; and adults needing mental health services as well as to provide us feedback on our existing MHSA services. This information will help us to improve our program of mental health services in our community.

Your answers are anonymous and will not impact any services you may receive from us.

Thank you for your help!

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* 1. Child, Youth and Family Issues: Please rate each issue by choosing a priority

	High Priority	Low Priority	Not a priority at this time
Social Isolation	Social Isolation High Priority	Social Isolation Low Priority	Social Isolation Not a priority at this time
Anxiety	Anxiety High Priority	Anxiety Low Priority	Anxiety Not a priority at this time
Depression	Depression High Priority	Depression Low Priority	Depression Not a priority at this time
Suicide	Suicide High Priority	Suicide Low Priority	Suicide Not a priority at this time
School Attendance	School Attendance High Priority	School Attendance Low Priority	School Attendance Not a priority at this time
Being Bullied In Person /Cyber Bullying	Being Bullied In Person /Cyber Bullying High Priority	Being Bullied In Person /Cyber Bullying Low Priority	Being Bullied In Person /Cyber Bullying Not a priority at this time
Social Media Overuse	Social Media Overuse High Priority	Social Media Overuse Low Priority	Social Media Overuse Not a priority at this time
Using Alcohol	Using Alcohol High Priority	Using Alcohol Low Priority	Using Alcohol Not a priority at this time
Using Tobacco / Vaping	Using Tobacco / Vaping High Priority	Using Tobacco / Vaping Low Priority	Using Tobacco / Vaping Not a priority at this time
Substance Use / Prescription Drug Use	Substance Use / Prescription Drug Use High Priority	Substance Use / Prescription Drug Use Low Priority	Substance Use / Prescription Drug Use Not a priority at this time
Fighting / Anger Management	Fighting / Anger Management High Priority	Fighting / Anger Management Low Priority	Fighting / Anger Management Not a priority at this time
Trauma	Trauma High Priority	Trauma Low Priority	Trauma Not a priority at this time
Physical Health Problems	Physical Health Problems High Priority	Physical Health Problems Low Priority	Physical Health Problems Not a priority at this time
Education / Training / Employment	Education / Training / Employment High Priority	Education / Training / Employment Low Priority	Education / Training / Employment Not a priority at this time
Independent Living Skills / Self Care	Independent Living Skills / Self Care High Priority	Independent Living Skills / Self Care Low Priority	Independent Living Skills / Self Care Not a priority at this time
Housing and Homelessness	Housing and Homelessness High Priority	Housing and Homelessness Low Priority	Housing and Homelessness Not a priority at this time
Out-of-home Placement	Out-of-home Placement High Priority	Out-of-home Placement Low Priority	Out-of-home Placement Not a priority at this time
Family Conflict / Stress	Family Conflict / Stress High Priority	Family Conflict / Stress Low Priority	Family Conflict / Stress Not a priority at this time
Parenting Skills	Parenting Skills High Priority	Parenting Skills Low Priority	Parenting Skills Not a priority at this time
Criminal Justice System Involvement	Criminal Justice System Involvement High Priority	Criminal Justice System Involvement Low Priority	Criminal Justice System Involvement Not a priority at this time
Intimate Partner Violence	Intimate Partner Violence High Priority	Intimate Partner Violence Low Priority	Intimate Partner Violence Not a priority at this time
Community Violence	Community Violence High Priority	Community Violence Low Priority	Community Violence Not a priority at this time
Gang Involvement	Gang Involvement High Priority	Gang Involvement Low Priority	Gang Involvement Not a priority at this time
Other	Other High Priority	Other Low Priority	Other Not a priority at this time

Other (please specify)

Question Title

* 2. Adult and Older Adult Issues: Please rate each issue by choosing a priority

	High Priority	Low Priority	Not a priority at this time
Social Isolation / Feeling Alone	Social Isolation / Feeling Alone High Priority	Social Isolation / Feeling Alone Low Priority	Social Isolation / Feeling Alone Not a priority at this time
Anxiety	Anxiety High Priority	Anxiety Low Priority	Anxiety Not a priority at this time
Depression	Depression High Priority	Depression Low Priority	Depression Not a priority at this time
Suicide	Suicide High Priority	Suicide Low Priority	Suicide Not a priority at this time
Trauma	Trauma High Priority	Trauma Low Priority	Trauma Not a priority at this time
Physical Health Problems	Physical Health Problems High Priority	Physical Health Problems Low Priority	Physical Health Problems Not a priority at this time
Chronic Pain	Chronic Pain High Priority	Chronic Pain Low Priority	Chronic Pain Not a priority at this time
Self-care (Personal care)	Self-care (Personal care) High Priority	Self-care (Personal care) Low Priority	Self-care (Personal care) Not a priority at this time
Anger Management	Anger Management High Priority	Anger Management Low Priority	Anger Management Not a priority at this time
Using Alcohol	Using Alcohol High Priority	Using Alcohol Low Priority	Using Alcohol Not a priority at this time
Using Tobacco / Vaping	Using Tobacco / Vaping High Priority	Using Tobacco / Vaping Low Priority	Using Tobacco / Vaping Not a priority at this time
Substance Use / Prescription Drug Use	Substance Use / Prescription Drug Use High Priority	Substance Use / Prescription Drug Use Low Priority	Substance Use / Prescription Drug Use Not a priority at this time
Housing and Homelessness	Housing and Homelessness High Priority	Housing and Homelessness Low Priority	Housing and Homelessness Not a priority at this time
Education / Training / Employment	Education / Training / Employment High Priority	Education / Training / Employment Low Priority	Education / Training / Employment Not a priority at this time
Financial Insecurity	Financial Insecurity High Priority	Financial Insecurity Low Priority	Financial Insecurity Not a priority at this time
Family Conflict / Stress	Family Conflict / Stress High Priority	Family Conflict / Stress Low Priority	Family Conflict / Stress Not a priority at this time
Intimate Partner Violence	Intimate Partner Violence High Priority	Intimate Partner Violence Low Priority	Intimate Partner Violence Not a priority at this time
Criminal Justice System Involvement	Criminal Justice System Involvement High Priority	Criminal Justice System Involvement Low Priority	Criminal Justice System Involvement Not a priority at this time
Community Violence	Community Violence High Priority	Community Violence Low Priority	Community Violence Not a priority at this time
Gang Involvement	Gang Involvement High Priority	Gang Involvement Low Priority	Gang Involvement Not a priority at this time
Other	Other High Priority	Other Low Priority	Other Not a priority at this time

Other (please specify)

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* 3. Additional comments or concerns?

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* 4. Please provide your email if you are interested in joining the Stakeholder Advisory Group:

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* 5. What is your role in the community? (Please select all that apply.)

Youth consumer

Adult consumer

Family member

Community member

Tribal Services

School Personnel

Social Services

Health Care Provider

San Benito County Behavioral Health Staff

Probation

Law Enforcement

Other (please specify)

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* 6. Are there any populations or groups of people whom you believe are not being adequately served by the behavioral health program of San Benito County? (Please select all that apply.)

Children/Youth (0-15)

Transition Age Youth (16-25)

Adult (26-59)

Older Adult (60+)

Native/Tribal Communities

Monolingual Spanish Speakers

Immigrants/Refugees

Veterans

LGBTQ+ Individuals

Persons experiencing homelessness

Persons experiencing domestic violence

Persons with disabilities

Criminal Justice Involved Individuals

Child Welfare Families

Parents/Families

Single Parents

Other (please specify)

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* 7. How did you hear about this meeting?

Email invitation

Word of mouth

Social Media

SBCBH Website

BenitoLink Events

Flyer

Flyer posted on noticeboard

Other

Specify location of Flyer or Other source

Please Complete the Following Demographic Information:

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* 8. What is your age group?

12-15

16-25

26-39

40-59

60+

Decline to Answer

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* 9. Ethnicity: Are you Hispanic/Latino?

Yes

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* 10. What is your race? (Check all that apply)

American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander

Black or African American

Asian

White/Caucasian

Decline to Answer

Other (please specify)

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* 11. What is your primary language spoken at home?

English

Spanish

Decline to Answer

Other (please specify)

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* 12. What is your sexual orientation?

Heterosexual/ Straight

Gay

Lesbian

Bisexual

Queer

Questioning

Decline to Answer

Other (please specify):

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* 13. What is your current gender identity?

Female

Male

Genderqueer

Transgender Female/MTF

Transgender Male/FTM

Questioning

Non-Binary

Decline to Answer

Other (please specify)

Thank you for your participation!