Brant Mental Health And Addictions Network Survey of Service Providers and Community Organizations

Brant Mental Health And Addictions Network
Survey of Service Providers and Community Organizations

The Brant Mental Health and Addictions Network is conducting an assessment of the needs of seniors (older adults over the age of 60 years) living in Brantford or Brant County affected by mental illness with or without co-occurring dementia or addictions issues. The primary focus of the study is on seniors who live in the community. Study findings will be used to inform system, community and program planning and support other initiatives such as the Aging at Home Strategy and the Brant Master Aging Plan.

Please complete this questionnaire no later than 5:00 p.m. Friday, May 23, 2008. You will have a chance to edit your responses when you click "Submit".

If you don't know the answer to a particular question, simply leave that item blank.

Please provide the following background information:

Name of Agency or Service Provider:

Type of Organization - check all that apply:

Mental health agency Addictions agency Developmental services agency Other health and social services agency Addictions agency	Faith based organization Hospital Retirement Home Long-term care facility
Independent service provider such as a physician, therapist, etc. Please Specify: Other:

Estimated percentage of your services that are targeted to seniors: %

Referral sources for seniors - check all that apply:

Self referred
Family
Health care professional

Hospital
Other agency
Please Specify:

Indicate the age groups that are addressed by your services - check all boxes that apply:

	Children 15 & under	Youth 16 to 18	Adults 19 to 59	Seniors 60+
Addictions services
Mental health services
Other services/supports

3.	Do you provide any services that are intended primarily for seniors?
	Yes No a) If Yes, please specify:

A list of existing services and supports for seniors with mental health and/or addictions issues appears below. Please review the list and indicate the five services that you feel are currently experiencing the greatest system pressure in terms of gaps between demand and supply in Brantford and Brant County. Do this for both mental health and addictions services - so you will be checking five items in each column.

	Mental Health (check five)	Addictions (check five)
Information and Prevention
Health promotion and prevention initiatives
Information and referral
Public education
Diagnosis and Treatment
Assessment
Counselling and psychotherapy (one to one or group)
Family physicians
General psychiatric services
Geriatric psychiatric services
Mental health in-patient care
Residential treatment
Service coordination and monitoring
Withdrawal management
Community Support
Adult day programs
Client advocacy
Court supports
Crisis intervention
Family/caregiver supports
Linking to services and supports
One to one and/or group therapy
Peer support and self-help initiatives
Social and recreational programs

Comments to explain your choices:

5.	Are there any other necessary services or supports for this target group that presently do not exist in the community?
	Yes No a) If Yes, please specify:

Still thinking of the system of services and supports for seniors with mental health or addictions issues, rate its overall effectiveness in accomplishing the following:

	Excellent	Good	Fair	Poor
Responding to the unique needs of seniors
Coordination across programs and practitioners in the heath care sector
Coordination across sectors
Providing flexibility and choice to clients
Ensuring individuals receive the right services
Ensuring individuals receive services in a timely fashion
Identifying and responding to community needs
Having a positive impact on clients

7.	If you gave a rating of "fair" or "poor" to any of the items in Question 6, please explain below:

8.	Do you feel there is any unnecessary duplication of services for seniors with mental health or addictions issues in Brantford or Brant County?
	Yes No a) If Yes, please specify:

Assume that you have $1,000 in new funding to distribute to the various services and supports for seniors with mental health and/or addictions issues in your community. Thinking in terms of your answers to the previous questions, allocate these funds across the services below:

Allocate points any way you want, but the column should add up to $1,000.

	Amount
Information and Prevention:
Health promotion and prevention initiatives
Information and referral
Public education
Diagnosis and Treatment:
Assessment
Counselling and psychotherapy (one to one/group)
Family physicians
General psychiatric services
Geriatric psychiatric services
Mental health in-patient care
Residential treatment
Service coordination and monitoring
Withdrawal management
Community Support:
Adult day programs
Client advocacy
Court supports
Crisis intervention
Family/caregiver supports
Linking to services and supports
One to one and/or group therapy
Peer support and self-help initiatives
Social and recreational programs
Others: Refer to your answer in Q. 5a and list below:
_________________________________________________________________
TOTAL:	$1,000

10.

A number of potential obstacles or barriers to individual seniors with mental health or addictions issues accessing services are listed below. Indicate the extent to which each of these are a problem in your community:

	Not a problem at all	Not too much of a problem	Somewhat of a problem	A large problem
The hours that supports or services are available
The geographic location of where the services are provided
Transportation
Physical mobility
Stigma related to accessing mental health and addictions services
The financial cost or out-of-pocket expenses to individuals
Long wait lists/wait times
Prohibitive admission criteria
Lack of awareness of services
Language or cultural differences

11.	Are there any other obstacles or barriers that interfere with members of this target group receiving the services or supports that they need?

12.

Some of the local agencies that provide specialized mental health and addictions services to seniors are listed below: Rate how well each agency is doing in meeting the needs of seniors with mental health or addictions issues. Use a five-point scale where "5" represents meeting needs very well and "1" represents not meeting needs at all. If you feel you do not have enough information to rate a particular agency, check the "don't know" category.

	Rating 5-high; 1-low	Feedback or suggestions for this agency	Don't Know
Brant Community Healthcare System - Mental Health Services	5 4 3 2 1
Brant Geriatric Mental Health Outreach Program	5 4 3 2 1
Brantford Vocational Training Association	5 4 3 2 1
Canadian Mental Health Association, Brant County Branch	5 4 3 2 1
St. Leonard's Community Services: - Addictions Services	5 4 3 2 1
St. Leonard's Community Services: - Crisis Support	5 4 3 2 1

13.	Feel free to make any additional suggestions for overall service improvement for seniors with mental illness or addictions issues in Brantford and Brant County:

14.

Completed By:

Name:
Title:

If necessary, may the consultant contact you directly for clarification or elaboration?

Yes No

Phone:
Email:

Thank you for your cooperation.