2015 Behavioral Health Services Survey for Consumers
Disability Rights New Mexico (DRNM) is interested in hearing about your experiences as you have accessed behavioral/mental health services in New Mexico. This survey will help us to advocate for better services. Your participation is completely optional and your answers will remain anonymous. If you'd like this survey in an alternate format, please call DRNM at 1-800-432-4682. Thank you!
Have you tried to access mental/behavioral health services in New Mexico since January 1, 2015?
Yes.
No. (If "No," there's no need to proceed. Thank you!).
Clear selection
What kind of services did you use or try to access?
Please check all that apply.
Counseling or therapy
Emergency services, such as being taken to the Emergency Room
Assertive Community Treatment (ACT)
Peer support
Case management
Care coordination from a Managed Care Organization (such as Blue Cross/Blue Shield, Molina, United, or Presbyterian)
Medication management
Pharmacy services
Psychosocial rehabilitation
Substance use treatment
Residential treatment center services
Boarding home care
Transitional living services
Behavioral Health Institute (State hospital in Las Vegas, NM)
Personal Care Services (consumer-directed or consumer-delegated)
Community Benefit (agency-based or self-directed)
Behavior Management Services
Respite services
Homeless services
Representative Payee services
Treatment Guardian services
Guardian services
Other:
Have you received services from any of the following agencies?
Please check all that apply.
Agave Health
La Frontera
Open Skies Healthcare
Turquoise Health and Wellness
Valle Del Sol
None of the above
Other:
Since January 1, 2015, how many times have you gone to the Emergency Room to get mental/behavioral health services?
Your answer
Since January 1, 2015, have many times have you been hospitalized for a mental/behavioral health issue?
(This may include substance use).
Your answer
Since January 1, 2015, has your need for emergency treatment for behavioral/mental health issues:
Please check one.
Decreased (fewer trip to the Emergency Room or hospitalizations).
Stayed the same.
Increased (more trips to the Emergency Room or hospitalizations).
Clear selection
Since January 1, 2015, have you been able to make appointments for mental/behavioral health services?
In other words, was a clinician available for appointments with you within 2 weeks of your needing it?
Never
Sometimes
Usually
Always
Clear selection
In general, how would you rate your physical health?
Excellent
Very good
Good
Poor
Very poor
Clear selection
Please comment on your physical health, if you would like to:
Your answer
In general, how would you rate your mental or emotional health?
Excellent
Very good
Good
Poor
Very poor
Clear selection
Please comment on your mental or emotional health, if you would like to:
Your answer
What is your age range?
Age 17 or under
Age 18 - 24 years
Age 25 or older
I'd prefer not to answer.
Clear selection
What is your highest level of education?
8th grade or less
Some high school, but didn't graduate
High school graduate or GED
Some college or 2-year degree
4-year college graduate
More than 4-year college graduate
I'd prefer not to answer
Clear selection
What is your race?
White, of Hispanic or Latino origin
White, not of Hispanic or Latino origin
African-American
Native American
Asian
I'd prefer not to answer.
Other:
Clear selection
Is there anything else that you would like to share about your experiences as you have attempted to access behavioral/mental health services in New Mexico?
Your answer
Would you be interested in a more in-depth interview with a staff member from Disability Rights New Mexico?
If you would like to be interviewed, please type your name, phone number, and/or email address below. Thank you!
Your answer
Submit
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