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Prevention and Early Intervention (PEI)Prevention and Early Intervention (PEI) Survey SummarySurvey Summary

Fresno CountyFresno County MENTAL HEALTH SERVICE ACTMENTAL HEALTH SERVICE ACT

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Mental Health Services Act (MHSA) Mental Health Services Act (MHSA) Prevention and Early Intervention (PEI) Prevention and Early Intervention (PEI)

Planning Survey SummaryPlanning Survey Summary

Fresno County MHSA requested the assistance of the community in the PEI Planning Process. The collected survey responses will help determine the programs recommended for funding.

As of December 18, 2008, this summary reflects 837 surveyed throughout Fresno County.

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A.A. PEI ProgramsPEI Programs1) Three highest priority community mental health needs1) Three highest priority community mental health needs

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PEI ProgramsPEI Programs1) Three highest priority community mental health needs - Other1) Three highest priority community mental health needs - Other

Children not yet in school with behavioral issues that are not eligible to Children not yet in school with behavioral issues that are not eligible to receive services elsewhere.receive services elsewhere.DepressionDepressionAccess to youth inpatient hospital in FresnoAccess to youth inpatient hospital in FresnoYouth Mental Health FacilityYouth Mental Health FacilityPregnant and Parenting Women with Young ChildrenPregnant and Parenting Women with Young ChildrenSexual abuse in Foster homes &/or agenciesSexual abuse in Foster homes &/or agenciesTransitional services for kids leaving JJSTransitional services for kids leaving JJSSubstance AbuseSubstance AbuseACCESS TO PSYCHIATRISTSACCESS TO PSYCHIATRISTSAppropriate Infant and preschool mental health servicesAppropriate Infant and preschool mental health servicessubstance abusesubstance abuseHome/school intervention (preschool through 1st)Home/school intervention (preschool through 1st)infant-preschooler mental healthinfant-preschooler mental healthParenting supportParenting supportRural access to servicesRural access to servicesRural access to servicesRural access to servicesDepression School SupportDepression School SupportDepressionDepressionIns./Services not availableIns./Services not availablemental illness/substance abusemental illness/substance abusemental illness/substance abusemental illness/substance abusemedication disbursement/Psycistrisetmedication disbursement/PsycistrisetChallenge in getting connected to services(and payment for those over Challenge in getting connected to services(and payment for those over age 21)age 21)Babies dad sentenced to 1 county year.Babies dad sentenced to 1 county year.DisabilityDisabilityelder abuseelder abusePost traumatic stress disorderPost traumatic stress disorderBetter pay for teachersBetter pay for teachersHearing voicesHearing voiceschildren abusechildren abuseAll of the aboveAll of the aboveNot awareNot awareA AA ANANAReunification assistanceReunification assistanceLost family membersLost family membersAll of the aboveAll of the above

substance use issues in Families w/ childrensubstance use issues in Families w/ childrenprovision of mental health services before things are crisis level.provision of mental health services before things are crisis level.drug addictiondrug addictionearly identification and intervention with childre and youthearly identification and intervention with childre and youthAvailability/access to quality mental health servicesAvailability/access to quality mental health servicesaccess for all mental health needsaccess for all mental health needsdrugs and gangsdrugs and gangslack of psychiatrists to treat DBH consumers in a timely waylack of psychiatrists to treat DBH consumers in a timely wayMental health and substance abuseMental health and substance abuseSexual abuse causes lifetime mental health problemsSexual abuse causes lifetime mental health problemsAvailablity of mental health servicesAvailablity of mental health servicesServices for children 0-5 yearsServices for children 0-5 yearsIndividuals at high risk for psychosisIndividuals at high risk for psychosisSubstance Abuse/Mental Health treatment for juvenilesSubstance Abuse/Mental Health treatment for juvenilesAggressive School BehaviorAggressive School Behaviora person qwith co-occuring problemsa person qwith co-occuring problemsa person qwith co-occuring problemsa person qwith co-occuring problemsa person qwith co-occuring problemsa person qwith co-occuring problemsInfant & Toddler Mental Health for children Zero-ThreeInfant & Toddler Mental Health for children Zero-ThreePregnant and post-partum mothers with mental health issuesPregnant and post-partum mothers with mental health issueschildren 0 to 5 and their parentschildren 0 to 5 and their parentsOut Patient Medication Management servicesOut Patient Medication Management servicesOther includes access in rural areasOther includes access in rural areasDeterioration of mental health status due to lack of timely servicesDeterioration of mental health status due to lack of timely servicessubstance abuse / co-occuring disorderssubstance abuse / co-occuring disorders0-3 early intervention, parents and infants early intervention programs0-3 early intervention, parents and infants early intervention programsArray of supported housingArray of supported housingAvailability of Psychiatrist and medicationAvailability of Psychiatrist and medicationearly diagnoses and preventionearly diagnoses and preventionSUBSTANCE ABUSE: ALCOHOL/ILLEGAL & PRESCRIPTION SUBSTANCE ABUSE: ALCOHOL/ILLEGAL & PRESCRIPTION DRUGS; ACQUISITION AND UTILIZATION OF FINANCIAL DRUGS; ACQUISITION AND UTILIZATION OF FINANCIAL RESOURCESRESOURCESco-occuring mentally ill clientsco-occuring mentally ill clientsSenior/CaregiversSenior/CaregiversServices to 0-5 years old.Services to 0-5 years old.alcohol and drug abusealcohol and drug abuseInfants and children prenatally exposed to drugs and living in chaotic Infants and children prenatally exposed to drugs and living in chaotic home situationshome situations

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2)2) Three Best Locations for PEI Programs inThree Best Locations for PEI Programs inFresno CountyFresno County

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2) Three Best Locations for PEI Programs in2) Three Best Locations for PEI Programs inFresno County - OtherFresno County - Other

Outreach to the communityOutreach to the communityJuvenile detention facilitiesJuvenile detention facilitiesmultiple family resource center type multiple family resource center type locations throughout the countylocations throughout the countyRural sitesRural sitesRural areasRural areasadult mental servicesadult mental servicesadult mental servicesadult mental servicesMetroMetroEmergency SheltersEmergency SheltersGroup HomeGroup HomeMissionMissionWestcareWestcarecounslors officecounslors officekings view mental health servicekings view mental health serviceWestcareWestcareAll of the aboveAll of the abovegroup homegroup homeA AA AVAVASheltersSheltersWestCareWestCareAll of the aboveAll of the aboveLibrariesLibrariesplaces like PATHSplaces like PATHSESPESP

county run facilities with acess for allcounty run facilities with acess for allElementary or middle schools (NOT H.S.)Elementary or middle schools (NOT H.S.)SENIOR CENTERSENIOR CENTERFresno County EOC Early Head StartFresno County EOC Early Head StartDepartment of Behavioral HealthDepartment of Behavioral HealthCounty Children's Mental HealthCounty Children's Mental Healthintegrated with traditional servicesintegrated with traditional servicesfresno countyfresno countythe public media-letting people know that there is help avialable out the public media-letting people know that there is help avialable out theretherethe public media-letting people know that there is help avialable out the public media-letting people know that there is help avialable out theretherethe public media-letting people know that there is help avialable out the public media-letting people know that there is help avialable out therethereFresno County Department of Beh. HealthFresno County Department of Beh. HealthMedia - different language channelsMedia - different language channelsAll of the aboveAll of the aboveChildren's hospitalsChildren's hospitalsMediaMediaMediaMediaFamily/Neighborhood Resource CenterFamily/Neighborhood Resource CenterSenior CenterSenior CenterIf mental health needs (prevention & intervention) can be woven If mental health needs (prevention & intervention) can be woven into courses as specializations, then the community at large (students) into courses as specializations, then the community at large (students) will be aware of the different types of services that exist in Fresno will be aware of the different types of services that exist in Fresno County etc.County etc.

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B.B. Priority PopulationsPriority Populations1) Highest need for PEI for mental health 1) Highest need for PEI for mental health

problemsproblems

answered question 817

skipped question 20

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2) Children and Youth in Stressed Families – Three 2) Children and Youth in Stressed Families – Three Most ImportantMost Important

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2) Children and Youth in Stressed Families – 2) Children and Youth in Stressed Families – Three Most Important - OtherThree Most Important - Other

all above franklyall above franklyages 0-5 yearsages 0-5 yearsall of the aboveall of the abovechildren with mental health signs and symptomschildren with mental health signs and symptoms0-3 infants-prevention!!!0-3 infants-prevention!!!parents with developmental delayparents with developmental delaybetween parentsbetween parentsAll of the aboveAll of the abovechildren with absent parentschildren with absent parentsAll of the aboveAll of the aboveV.F.MV.F.M

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Children and Youth at Risk of School Failure – Three Children and Youth at Risk of School Failure – Three Most ImportantMost Important

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Children and Youth at Risk of School Failure – Children and Youth at Risk of School Failure – Three Most Important - OtherThree Most Important - Other

all the aboveall the aboveages 0-5 yearsages 0-5 yearsAre at risk of continued anti-social behaviorAre at risk of continued anti-social behaviorall of the aboveall of the aboveEXPOSED TO AND/OR USING ILLEGAL SUBSTANCES/ALCOHOLEXPOSED TO AND/OR USING ILLEGAL SUBSTANCES/ALCOHOLSocial skills are broken!Social skills are broken!Substance abusersSubstance abusersdon't have any parentsdon't have any parentsin need of more helpin need of more helpThere are more than 3There are more than 3All of the aboveAll of the aboveAll of the aboveAll of the abovehave a problem fitting in with peershave a problem fitting in with peers

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Children and Youth at Risk of Juvenile Justice Children and Youth at Risk of Juvenile Justice Involvement – Three Most ImportantInvolvement – Three Most Important

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Children and Youth at Risk of Juvenile Justice Children and Youth at Risk of Juvenile Justice Involvement – Three Most Important - OtherInvolvement – Three Most Important - Other

willing to work in treatmentwilling to work in treatmentvictims of abuse or neglectvictims of abuse or neglectall the aboveare dyslexicall the aboveare dyslexicages 0-5 yearsages 0-5 yearslow academicslow academicsall of the aboveall of the abovevictims of divorce/broken homesvictims of divorce/broken homesall of the aboveall of the aboveparents need to knowparents need to knowtrouble with academicstrouble with academicsare easily influencedare easily influencedwho are taken away to a group homewho are taken away to a group homeget taken from home and they just let them run.get taken from home and they just let them run.All of the aboveAll of the aboveCPSCPSAll of the aboveAll of the abovecome from different backgroundcome from different background

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Trauma Exposed Individuals – Three Most ImportantTrauma Exposed Individuals – Three Most Important

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AllAllages 0-5 yearsages 0-5 yearsexperience childhood adversity of any kindexperience childhood adversity of any kindDisplay signs/symptoms of PTS or PTSDDisplay signs/symptoms of PTS or PTSDwho also have oppositional/conduct problem behaviorswho also have oppositional/conduct problem behaviorsall of the aboveall of the aboveAre unable to obtain treatment else where ( due to lack of resources in Are unable to obtain treatment else where ( due to lack of resources in the community)the community)people living on the streets with no knowledge of mental illnesspeople living on the streets with no knowledge of mental illnessSoutheast Asians who experienced war traumaSoutheast Asians who experienced war traumain poverty, zero food, shelter!in poverty, zero food, shelter!Combination of having parents who abuse drugs & experience Combination of having parents who abuse drugs & experience isolation or different forms of abuse; Domestic, sexual etc.isolation or different forms of abuse; Domestic, sexual etc.Don't have girlfried/boyfriendDon't have girlfried/boyfriendchildren who can't be with their mom and dadchildren who can't be with their mom and dadAll who have had children take from CPSAll who have had children take from CPSAll of the aboveAll of the above

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Individuals Experiencing Onset of Serious Mental Health Individuals Experiencing Onset of Serious Mental Health Illness – Three Most ImportantIllness – Three Most Important

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Individuals Experiencing Onset of Serious Mental Health Individuals Experiencing Onset of Serious Mental Health Illness – Three Most Important - OtherIllness – Three Most Important - Other

school failure due to mental illness/lack of school failure due to mental illness/lack of servicesservicesare unable to access mental health servicesare unable to access mental health servicesinvolved in the criminal justice systeminvolved in the criminal justice systemabuse drug/alcoholsupervisor/management that abuse drug/alcoholsupervisor/management that are hard to work withare hard to work witholder adults with dementiaolder adults with dementiaHigh risk children who are resistant to treatment High risk children who are resistant to treatment and refuse to take their meds.have special and refuse to take their meds.have special needsneedsages 0-5 yearsages 0-5 yearsaggressive school behavioraggressive school behaviorchildren and youth with undiagnosed but children and youth with undiagnosed but behavior indicates mental health/behavioral behavior indicates mental health/behavioral issues existissues existall of the aboveall of the abovepregnant women with mental illness are at risk pregnant women with mental illness are at risk of not bonding with their newborn infants and of not bonding with their newborn infants and child abuse or neglectchild abuse or neglectpeople on the streets who do not realize they people on the streets who do not realize they have mental illnesshave mental illnesshave not yet been diganosed and behaviors are have not yet been diganosed and behaviors are effecting other studentseffecting other studentsMay be violentare experiencing school May be violentare experiencing school difficulties due to emotional/behavioral problemsdifficulties due to emotional/behavioral problemsCHILDREN/YOUTH/ADULTS WHO ABUSECHILDREN/YOUTH/ADULTS WHO ABUSE

DRUGS/ALCOHOL TO SELF MEDICATEDRUGS/ALCOHOL TO SELF MEDICATEAre not accessing needed Mental Health Are not accessing needed Mental Health Services.do not have access to servicesServices.do not have access to serviceshave no support systemhave no support systemIn extreme poverty and lack of servicesIn extreme poverty and lack of servicesHave been exposed to chronic stress and are Have been exposed to chronic stress and are experiencing subsequent damage to their experiencing subsequent damage to their social/emotional and global developmentsocial/emotional and global developmenthave not been identifiedhave not been identifiedare pregnant or are parentsWho have parents are pregnant or are parentsWho have parents who deny mental health treatment or do follow who deny mental health treatment or do follow through with mental health treatment.are through with mental health treatment.are parenting young childrenparenting young childrenare also dual diagnosisare also dual diagnosishave had their children taken awayhave had their children taken awayAre children who's parents who abuse/abuse Are children who's parents who abuse/abuse drugs.drugs.All of the aboveAll of the abovedrugsdrugs

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Underserved Cultural Populations – Three Most ImportantUnderserved Cultural Populations – Three Most Important

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Underserved Cultural Populations – Three Most Underserved Cultural Populations – Three Most Important - OtherImportant - Other

HmongUnderserved can be any of the aboveUkrainian and others that are from Eastern Europeno suresurvivors of or witnessed abuse, violence, traumaThose who have money but don"tare parents with special needs,Any and all groupsRefugee, VeteranHomelesspersons with a cohabiting disabilityDeaf & Hearing ImpairedHave private insurance with limited mental health coverage both in number of visits and conditions covered.all of the abovedevelopmentally disabled w/ mental health dxUnable to receive treatment from a primary physician.age 0-3any culture homeless and joblessTHOSE W/O FINANCIAL MEANS TO ACCESS ADEQUATE SERVICES; THOSE WITH CULTURAL OR FUNDAMENTAL RELIGIOUS BELIEFS WHICH PREVENT OR INHIBIT THEIR ABILITY TO UNDERSTAND & ADDRESS THEIR MH ISSUES; THOSE WITH FAMILY MEMBERS WHO LACK EDUCATION & ARE BIASED TOWARD MH ISSUES & THEREFORE ARE UNWILLING OR UNABLE TO PROVIDE AN ADEQUATE SUPPORT SYSTEM

MixtecoAll of the AboveIsolateddevelopmentally delayedWorking poor - have ins but it does not cover or has limited coverage for conditionPregnant and Post PartumMental Health doesn't discriminate, it attacks allResources aren't made commonly known to be available to immigrants w/out being deported.Infants, toddlers, preschool age childrendevelopmentally disabled.ItaliansTAY Homeless YouthVetsCriminalswhite peopleall - i thinkmixed nationalitiesunemployedCaucasiunAll of the aboveAre not aware/able to access supportThis is a question I can't answer due to lack of understandinganyone without knowledge of mental illnessI think it is wrong to askIndian Hindus PunjabisThis is racist question

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High Risk Adults and Seniors – Three Most ImportantHigh Risk Adults and Seniors – Three Most Important

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High Risk Adults and Seniors – Three Most High Risk Adults and Seniors – Three Most Important - OthersImportant - Others

are in families experiencing multiple problemsare in families experiencing multiple problemspersons who have no family and no friendspersons who have no family and no friendshave special needshave special needshave children 0-5 years oldhave children 0-5 years olddo not have education regarding mental health issuesdo not have education regarding mental health issuesall of the aboveall of the abovehomeless peoplehomeless peoplewho are parents of young childrenwho are parents of young childrenwith inadequate social supportwith inadequate social supportDual Dx - Addiction (prescribed/illegal & mental health)Dual Dx - Addiction (prescribed/illegal & mental health)are gang and drug involvedare gang and drug involvedAre parenting young childrenAre parenting young childrenNothing StatedNothing StatedTo wide of a group, so I picked 6To wide of a group, so I picked 6Can't driveCan't driveAll of the aboveAll of the above

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Individuals at Risk of Suicide – Three Most ImportantIndividuals at Risk of Suicide – Three Most Important

answered question 791

skipped question 46

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Individuals at Risk of Suicide – Three Most Individuals at Risk of Suicide – Three Most Important - OtherImportant - Other

feel hopelessfeel hopelessVETERANS RETURNING FROM IRAQ/AFGHANISTANVETERANS RETURNING FROM IRAQ/AFGHANISTANwork related problemswork related problemssurvivors of/witnessed sexual abuse, violence, traumasurvivors of/witnessed sexual abuse, violence, traumachildren living with other family members due to parental neglect or incarcerationchildren living with other family members due to parental neglect or incarcerationwho are frustrated with trying to get services and not been able to get help or into our systemwho are frustrated with trying to get services and not been able to get help or into our systemall of the aboveall of the abovedepression with traumatic life eventdepression with traumatic life eventsuffering in their illness, say mania of bipolar or feeling in depression like it will never end, don't see any suffering in their illness, say mania of bipolar or feeling in depression like it will never end, don't see any hope at the end of the tunnel that would be number 2 reason, and number 3 reason which I don't see on hope at the end of the tunnel that would be number 2 reason, and number 3 reason which I don't see on your list, just tired of living, I am going to take the easy way out, good by. Does real suicide need a your list, just tired of living, I am going to take the easy way out, good by. Does real suicide need a reason? I have lost 22 people I have known to it, no it does not. No rhyme, no reason. Just such great reason? I have lost 22 people I have known to it, no it does not. No rhyme, no reason. Just such great losses.losses.using alcohol & drugs to feel "normal" because they didnt know they had a SMIusing alcohol & drugs to feel "normal" because they didnt know they had a SMIVETERANS RETURNING FROM IRAQ/AFGHANISTANVETERANS RETURNING FROM IRAQ/AFGHANISTANthose how have lost all hopethose how have lost all hopeFeel lost, zero support systemFeel lost, zero support systemTeens with a bad self image or bad hm life ex; DV, abuseTeens with a bad self image or bad hm life ex; DV, abuseHave been expolsed to trauma and have not recieved appropriate early interventionHave been expolsed to trauma and have not recieved appropriate early interventionlost a boyfriend/girlfriendlost a boyfriend/girlfriendare in foster careExperiencing grief because of any lossare in foster careExperiencing grief because of any lossMore do applyMore do applyAll of the above (suicide is suicide!)All of the above (suicide is suicide!)mental illness; duel disordersmental illness; duel disorders

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*Optional**Optional*1. What is your age?1. What is your age?

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2. What is your gender?2. What is your gender?

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3. What is your ethnicity?3. What is your ethnicity?

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3. What is your ethnicity? - Other3. What is your ethnicity? - Other

UkrainianUkrainianMixedMixedWhite and HispanicWhite and HispanicMexicanMexicanHumanHumanCape VerdeanCape VerdeanAmerica Black WomanAmerica Black Womanwhite and hispanicwhite and hispanicEast IndianEast IndianMultiethnicMultiethnicWhite and Hispanic and born in HIWhite and Hispanic and born in HINone StatedNone Statedindian/spainardIrish/Hispanicindian/spainardIrish/HispanicMixedMulti- CultruralMixedMulti- Cultrural

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4. Which Community Stakeholder role(s) best describe you?4. Which Community Stakeholder role(s) best describe you?

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4. Which Community Stakeholder role(s) best 4. Which Community Stakeholder role(s) best describe you? - Otherdescribe you? - Other

friend of consumerTaxpayerI fill many of the above as well as many moreParentRNCommunity Based OrganizationIndividual citizenMediaelected officialAdvocatePhilanthropyNon-profitSenior OrganizationAttorneyConcerned CitizenJuvenile Dependency attorneyStudentGraduate StudentSchool Board MemberMember of the communityin and out of jail/prisonregular personCommunity Based Organization Provider

have mental health illnessesTeenagerYouthgroup homea paroleI am a single parent recovering from drugs.resident – westcareWestcareWorker in society to build a new tomorrowRecovery from drug/alcohol. Experience bad lifestyle addiction.Man trying to become a good member of societyParoleeconcerned parentstudent of criminologyaddicted personmother of son who receives serviceshealer /faith organiazationa mom

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5. Have you or a family member ever received mental 5. Have you or a family member ever received mental health services?health services?