Armenian Mental Health Initiative (AMHI) Therapist/ Provider Information
Survey (1) of Armenian Mental Health Providers based in the U.S./Canada
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Full Name (First and Last)
What is your email address?
What is your phone number?
What country are you based in?
Are you a licensed mental healthcare provider?
If yes, what is your license in?
What is your profession?
Psychiatrist - MD or DO
Psychologist - Clinical or Counseling PhD or PsyD
LMFT or LMHC
Post-internship doctoral candidate
Pre-internship doctoral candidate
Student working towards MD, PhD, PsyD, MFT, or SW degree
Primary Care Physician
Please indicate your specialties or areas where you have extensive training (at least two years). Please check all that apply:
Psychological First Aid
Trauma - Military
Trauma - Adults
Trauma - Children
Neuropsychology / Neurology
School Psychology - Assessment
School Psychology - Counseling
Motivational Interviewing / Engagement Strategies
Substance Abuse / Addiction
Please indicate specific evidence-based treatment modalities you have expertise in (at least 5-10 years):
Psychological First Aid
Prolonged Exposure Therapy for teens/adults
Cognitive Behavior Therapy
Trauma-Focused CBT for children
Dialectical Behavior Therapy
Acceptance and Commitment Therapy
What is the preferred population with which you would like to work?
Families of Military
Pregnant or Newly Post-Partum Women
Do you speak Armenian?
Yes - Eastern Armenian
Yes - Western Armenian
Both - Eastern and Western dialect
Yes, but conversational only
Do you speak Russian?
How comfortable are you in delivering clinical care or lectures in Armenian?
Comfortable in Armenian and clinical/medical language
Comfortable in Armenian but need to brush up on clinical/medical language
Not comfortable in delivering care exclusively in Armenian but comfortable if able to mix in English
Not comfortable in delivering care that requires knowledge of Armenian
Do you have expertise (5-10 years or more) in any of the following areas? Please check all that apply:
Training / Lecturing / Teaching
Research Grants - writing, designing
Research Grants - supporting
Counseling - Group
Counseling - Families
Counseling - Individual
Do you have prior experience conducting therapy, supervision or training in Armenia?
To what extent do you feel culturally competent to deliver culturally-sensitive care in Armenia?
I feel culturally competent
I feel culturally-informed
I would welcome getting training on cultural sensitivity
In which topics do you have expertise to give a training/lecture to healthcare providers in Armenia?
Evidence-based Grief and Loss
Evidence-based therapy techniques for TBI
Acute Stress Reaction
Parenting tips during stress
Reducing healthcare provider burnout secondary to trauma exposure
For which topics do you have slides prepared (or can put them together quickly), and are ready and able to give a virtual lecture (via zoom) in the next 1-2 weeks?
Do you feel comfortable with your fluency in Armenian to be able to give a professional lecture in Armenian (with maybe some handy help from google translate?)
If you are not ready to give a training, we still very much need your help! Please indicate which of these areas you would be willing to help out with:
Telesupport Line - Support Team (sign up by the hour and provider one-on-one support via video- or audio-chat)
Telesupport Line - Administrative Team (support, organizing master calendar, assigning shifts, tracking)
Support - group consultation teams (run with a co-facilitator) to providers in Armenia (fluency required)
Research Design/Grant-writing/Needs Assessment
Developing/Organizing a Resource Library in all subjects needed. Some content will be provided, some content will need to be found.
Translation team - people interested in offering free expert translation services for content from English to Eastern Armenian (with Eastern Armenian spelling)
If asked to participate in efforts led by AMHI, please indicate where you would best be able to dedicate your time/energy (please check all that apply);
Travel to Armenia to deliver counseling
Travel to Armenia to deliver training
Deliver counseling via telehealth
Deliver training via telehealth
If you are able to travel to Armenia, how soon -- realistically -- would you be able to depart?
within one week
in the next 2-3 weeks
one month or more
If there is something you would like for us to know about you, feel free to include your notes in this section!
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This form was created inside of Anita Avedian LMFT.