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* 1. Organization Information

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* 2. Please check all of the counties your organization serves.

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* 3. How many individuals were served under mental health programs licensed and/or funded by NYS between January 1, 2023 - June 30, 2023?

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* 4. How many individuals were served under substance use disorder programs licensed and/or funded by NYS between January 1, 2023 - June 30, 2023?

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* 5. What is the total number of full and part-time employees who work directly with individuals receiving care and services employed by your agency as of June 30, 2023? (Include contracted and per diem staff.)

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* 6. To fill all funded but vacant positions, how many employees who work directly with individuals receiving care and services would your agency have to hire today? (Combine both full- and part­ time positions and include contracted and per diem staff.)

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* 7. What is the total number of full and part-time employees who provide supports to those who work directly with individuals receiving care and services employed by your agency as of June 30, 2023? (Include administration, fiscal, custodial)

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* 8. To fill all funded but vacant positions, how many employees who provide supports to those who work directly with individuals receiving care and services would your agency have to hire today? (Combine both full- and part­ time positions and include  administration, fiscal and custodial)

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* 9. For the period January 1, 2023 - June 30, 2023, how many employees who work directly with individuals receiving care and services has your organization hired?

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* 10. For the period January 1, 2023 - June 30, 2023, how many employees who work directly with individuals receiving care and services have left your organization?

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* 11. As a percentage, what is your agency's fringe rate?

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* 12. In dollars, what is the approximate cost for your agency of onboarding each new professional who works directly with individuals receiving care and services? (Include costs associated with orientation time, training, background checks, interviews, and recruiting.)

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* 13. What factors make it difficult for you to recruit staff to fill vacant positions? (check all that apply)

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* 14. What factors make it difficult for you to retain staff?

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* 15. In your own words, how do staff vacancies impact other staff and individuals receiving services? This question is optional.

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