DMHA CLC 3.0 Toolkit: Co-Designing with Community

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* 1. Please enter your information

First Name

Last Name

Email Address

Organization

Job Title

County

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* 2. Please choose the group you represent:

Community Mental Health Center

System of Care

Treatment Provider

Recovery Community

Indiana State Agency

Veteran Health Administration or affiliate

Other

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* 3. In the group selected above, I have_____years of experience in my current or multiple roles.

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* 4. What Indiana county(ies) do you represent?

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* 5. Overall this video was a good use of my time.

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* 6. I would recommend this webinar to my colleagues.

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* 7. What additional topics would you like to see covered in upcoming webinars?

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* 8. A stakeholder is an organization that has a mission focused on Community.

True

False

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* 9. A constituent is an individual that has a personal mission focused on Community.

True

False

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* 10. The community is a group of people that have shared common interest.

True

False

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* 11. The intended result of Co-Design is that it will drive continued improvement in equitable access, transformational systems changes, and power sharing.

True

False

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* 12. Co-Design is a relationship where stakeholders, constituents, and community come together to create equitable access, through developing trust, providing support, and delivering services.

True

False

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* 13. Which of the following are principles of Co-Design? Please select all that apply.

Building and Maintaining Relationships

Cultural Inclusiveness

Transparency and Trust

Reciprocity

Sharing of Power

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* 14. What are the Do's and Don'ts of Building and Maintaining Relationships? Please select all that apply.

Do clearly define your mission & services

Do engage outside of meetings

Do develop interpersonal relationships

Don't subscribe to Savior Complex

Don't operate with a deficit/scarcity mindset

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* 15. What does cultural inclusiveness focus on? Please select all that apply.

The benefit of perspectives

The value of skills

Continuous feedback of stakeholders, constituents, and community

Aligning with a strengths-based mindset

DMHA CLC 3.0 Toolkit: Co-Designing with Community

Question Title

* 1. Please enter your information

Question Title

* 2. Please choose the group you represent:

Question Title

* 3. In the group selected above, I have_____years of experience in my current or multiple roles.

Question Title

* 4. What Indiana county(ies) do you represent?

Question Title

* 5. Overall this video was a good use of my time.

Question Title

* 6. I would recommend this webinar to my colleagues.

Question Title

* 7. What additional topics would you like to see covered in upcoming webinars?

Question Title

* 8. A stakeholder is an organization that has a mission focused on Community.

Question Title

* 9. A constituent is an individual that has a personal mission focused on Community.

Question Title

* 10. The community is a group of people that have shared common interest.

Question Title

* 11. The intended result of Co-Design is that it will drive continued improvement in equitable access, transformational systems changes, and power sharing.

Question Title

* 12. Co-Design is a relationship where stakeholders, constituents, and community come together to create equitable access, through developing trust, providing support, and delivering services.

Question Title

* 13. Which of the following are principles of Co-Design? Please select all that apply.

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* 14. What are the Do's and Don'ts of Building and Maintaining Relationships? Please select all that apply.

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* 15. What does cultural inclusiveness focus on? Please select all that apply.

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* 16. Additional Comments/Feedback/Questions: