Behavioral Health Services Survey for Family Members/Friends
Disability Rights New Mexico (DRNM) is interested in hearing about your family member's or close friend's experiences as they 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!
Are you the family member or close friend of a person who has used or tried to access behavioral/mental health services in New Mexico since January 1, 2015?
(If you answered "No," there is no need to proceed further. Thanks!).
Clear selection
What kinds of services did your family member/friend try to access?
Please check all that apply:
Has your family member or friend received services from any of the following agencies?
Please check all that apply.
Since January 1, 2015, how many times has your family member/friend gone to the Emergency Room to get behavioral/mental health services?
Since January 1, 2015, how many times has your family member/friend been hospitalized for a behavioral/mental health issue?
(This may include substance use).
Since January 1, 2015, has your family member/friend's need for emergency treatment for behavioral/mental health issues: decreased, stayed the same, or increased?
Please check one.
Clear selection
Since January 1, 2015, was your family member or friend able to make appointments for behavioral/mental health services?
(In other words, was a clinician available for appointments within 2 weeks of your family member/friend needing it?).
Clear selection
What is your family member/friend's age range?
Clear selection
What is your family member/friend's highest level of education?
Clear selection
What is your family member/friend's race?
Is there anything else that you would like to share about your family member/friend's experience with the behavioral health system in New Mexico?
Thank you for your participation in this survey. If you are interested in a longer interview with Disability Rights New Mexico staff, please let us know by providing your name and phone number or email address. Your help is greatly appreciated!
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