Community Engagement Series 1 – Pre-event survey Current Status Not Enrolled (999 places remaining) Enroll in this group to get access Price Free Get Started Log In to Enroll FINAL: IT1 - Implementation Support - Targeted & Intensive - Pre-event Community Engagement Across the Project Lifespan: Deepening Partnerships to Strengthen Impact - Series 1 CMHIS Evaluation Survey: Implementation Support - Targeted & Intensive TA Pre-event survey Please complete the questions below. Your input is very valuable in helping us to tailor our services. How confident are you in your ability to: Not confident Fairly confident Confident Very confident Not confident Fairly confident Confident Very confident Not confident Fairly confident Confident Very confident Not confident Fairly confident Confident Very confident Not confident Fairly confident Confident Very confident Not confident Fairly confident Confident Very confident Not confident Fairly confident Confident Very confident What is the primary setting for the work of your organization? Training and/or technical assistance center State or Territory behavioral health or other department/agency County or local government/department Tribal government/department Community mental health center, mental health treatment center, or program Hospital or other healthcare facility (e.g., nursing facility) School - K-12 education College or university Social service agency Criminal justice agency Non-profit organization Other, please specify:Other, please specify: Indicate the primary location of your organization. Select one. AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyoming What area of geography does your organization serve? Local - organization serves a local area within a state or Territory (e.g., one or more city or county) State, Territory, or Tribal - organization serves one state, Territory, or Tribal area Regional - organization serves more than one state or Territory National - organization serves all US states and Territories What is the approximate size of your organization? 1-20 employees 21-60 employees 61-100 employees >100 employees Does your organization receive funding from SAMHSA? Yes No Unsure Which best describes your role in implementing effective mental health interventions in your organization? If you can, please try to pick a role aside from "other." Policymaker or funder (state mental health, including behavioral health, health, or education departments; Tribal government; county government; city government) System leader or healthcare administrator (behavioral health organization director/CEO, healthcare organization, school district, county/city services) Implementer (manager, clinical or program director, quality control officer, public health/state official working with clinics and systems) Organization providing training and technical assistance (public organization or center, including those funded by SAMHSA, that provide training and technical assistance on mental health prevention, treatment, and recovery supports) Individual clinician or staff (mental health provider, certified peer specialist, healthcare provider, school staff) Other, please specifyOther, please specify What are your goals for participating in this implementation support? Please list 2 goals. 1 2 Submit If you are human, leave this field blank. Δ
