Wyoming Department of Health Mental Health and Substance Abuse Services Division
Substance Abuse Client Survey Report 2010 December 2009
Produced by: Marla M. Smith, M.A. Wyoming Department of Health Mental Health and Substance Abuse Services Division
[email protected] Peggy Nikkel UPLIFT
[email protected] Nancy M. Callahan, Ph.D. I.D.E.A. Consulting
[email protected]
Table of Contents I.
Executive Summary ....................................................................................................... 1
II.
Methodology ................................................................................................................... 2
III.
Statewide Substance Abuse Client Survey Results ..................................................... 4
IV.
Summary and Conclusions............................................................................................12
V.
Appendix A: Client Survey Results by CMHC/SAC ..................................................13
VI.
Appendix B: Sample Client Survey Instrument .........................................................21
Executive Summary The Wyoming Mental Health and Substance Abuse Services Division (the Division) strives to provide a broad array of mental health and substance abuse services to meet the needs of the citizens of Wyoming. These services are designed as a continuum of care to address each client’s unique needs. In order to provide continuous quality improvement, the Division utilizes client satisfaction surveys to ensure access, quality of care, and client outcomes. Analyzing client feedback promotes access to services and the development of quality services. This information helps managers, staff, and clients understand the service delivery system and demonstrate that clients are achieving positive outcomes. Clients from across the state provided input in the summer and fall of 2009 on their perception of access to services, quality of services, treatment planning, cultural sensitivity of staff, and overall satisfaction with services received. They also provided information on outcomes achieved as a result of the services that they received. This report provides information collected from youth and adults receiving substance abuse services. Overall, clients are satisfied with the substance abuse services they received from the Community Mental Health Centers/Substance Abuse Centers (CMHC/SACs) throughout Wyoming. The centers collected surveys from 881 substance abuse clients. Clients reported good access to services, positive responses to quality and appropriateness of services, and high ratings for social connectedness.
WY 2010 Substance Abuse Client Survey Report
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Methodology The Wyoming Mental Health and Substance Abuse Services Division (the Division) is transforming the service delivery system to better meet the needs of the citizens of Wyoming. As the service delivery system expands and transforms, the Division is utilizing client satisfaction surveys to obtain information on the client’s perception of services. This information provides feedback to stakeholders to help ensure access, quality of care, and clientlevel outcomes. The Division strives to assist clients and family members to be the ultimate decision makers regarding the services that they receive. Each year, mental health and substance abuse clients are asked to provide feedback on services received from Community Mental Health Centers (CMHCs) and Substance Abuse Centers (SACs). To gather this information regarding client satisfaction, the Division developed a survey process in collaboration with two contracted agencies. The Division contracted with UPLIFT (a family-based organization) for survey administration and data entry, and with IDEA Consulting for survey analysis and reporting. Survey instruments were developed through an extensive review process to ensure that quality indicators of specific relevance to Wyoming’s public mental health and substance abuse systems were measured, and to ensure data comparability with national quality benchmarks. Wyoming, as well as other states receiving federal block grant funding through SAMHSA, adapted the most recent versions of the federal Mental Health Statistics Improvement Program (MHSIP) surveys as the foundation for the Wyoming substance abuse services surveys. The substance abuse survey was administered to youth and adults enrolled in substance abuse services. A sample survey instrument is provided in Appendix B. Survey questions cover several different domains, which are described in further detail below. Survey respondents answered several demographic questions before being asked to agree or disagree with statements about the services that they received (e.g., “services were available at times that were good for me”) and personal outcomes (e.g., “as a direct result of the services I received in the past 6 months, I do better in social situations”). Statements were rated on a fivepoint Likert-type scale: Strongly Agree, Agree, Neutral, Disagree, and Strongly Disagree. Respondents could also choose “N/A” for those survey statements that did not apply to them. There are twenty-one CMHCs/SACs in Wyoming, and all of them participate in the annual client survey process. In some CHMCs/SACs, surveys were administered by peer advocates and volunteers who received training on survey administration. In other CMHCs/SACs, clinical or clerical staff administered the surveys. Survey administrators asked clients to complete the survey when they arrived at the center to receive services during a specific block of time between July and September, 2009. The target population for survey participants included all clients receiving services at the CMHC/SAC, regardless of funding source. Completed surveys were sent to UPLIFT, who provided data entry services. The data was then submitted to IDEA Consulting for analysis and report preparation.
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Substance Abuse Domains The client survey obtains client feedback on a broad range of areas which have been categorized into several different domains. These domains are outlined below. Access. Questions regarding access to services provide information on the timeliness of services, convenience of service location, and waiting time to get an initial appointment. Quality and Appropriateness of Services. Clients provide feedback on the quality of services and if the services met their needs. Treatment Planning. Information on the level of involvement with treatment planning provides feedback on the client and family member’s participation in helping plan service goals and making decisions regarding treatment. Cultural Sensitivity. Respondents provide feedback on the respect and sensitivity of staff regarding the client’s culture. Outcomes. Clients provide information on whether the treatment they receive is helping them get along better with others, live in a safe and stable environment, obtain education or employment, and improve their health. Substance Use. Respondents rate statements regarding alcohol and/or drug use. Social Connectedness. These statements provide information regarding the availability of a social support system and network of family and friends who are supportive of the client’s recovery. Satisfaction. Questions in this domain provide a general overview of the client’s satisfaction with services received. The following report summarizes data on the youth and adult client’s perception of services across these different domains. The results from the substance abuse surveys (across all ages) are presented here. This data is shown by fiscal year. For example, FY 2010 reflects information collected between July 1, 2009 and June 30, 2010. Please note that the number of respondents for each question may vary slightly. This is due to the fact that some clients did not respond to all survey questions.
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Statewide Substance Abuse Client Survey Results The following pages show the results of the surveys completed by clients of all ages who receive substance abuse services. As shown in Figure 1 below, substance abuse clients completed 881 surveys throughout the state of Wyoming. Every Substance Abuse Center (SAC) had clients complete surveys. Figure 1 also shows the number and percent of substance abuse participants by agency. Curran-Seeley had the most survey respondents, with 99 surveys completed (11% of the survey population). In contrast, Cloud Peak had nine survey respondents (1% of the survey population). In all of the graphs in this report that present results by agency, the agencies are arranged by the size of the county population, from smallest to largest population. Hot Springs has the smallest county population and Peak has the largest county population. Figure 1 Number and Percent of Substance Abuse Participants by Agency FY 2010 N=881 Hot Springs (n=11)
1%
Cloud Peak (n=9)
1%
Big Horn (n=22)
2%
Volunteers of America (n=48)
5%
Solutions For Life (n=17)
2%
Carbon (n=39)
4%
Curran-Seeley (n=99)
11%
Cornerstone (n=40)
5%
High Country (n=26)
3%
Cedar Mountain (n=22)
2%
Pathfinder (n=98)
11%
Campbell (n=43)
5%
Fremont (n=84)
10%
Fremont Alcohol Crisis Center (n=25)
3%
Southwest (n=90)
10%
Northern (n=40)
5%
Central (n=97)
11%
Peak (n=71)
8%
Statewide (n=881) 0%
WY 2010 Substance Abuse Client Survey Report
5%
10%
15%
20%
Page 4
Figure 2 shows the number of substance abuse clients who responded to the survey from each CMHC/SAC for the last three fiscal years. As shown, participation at most centers was lowest in FY 2008, and highest in FY 2009 (e.g., Volunteers of America, Solutions for Life, Carbon, Curran-Seeley, Cedar Mountain, Fremont, Southwest, Northern, and Peak). The total number of surveys completed was highest in FY 2009 with 1,006 surveys; this number dropped to 881 in FY 2010. Figure 2 Number of Substance Abuse Participants by Agency FY 2008, FY 2009, and FY 2010 FY 2008
Hot Springs
1
Cloud Peak
24 22
Total Number of Surveys FY 2008: 931 FY 2009: 1,006 FY 2010: 881
22 22 67
Volunteers of America
74
48 38
Solutions For Life
46
17 34
Carbon
49
39
74
Curran-Seeley
99
Cornerstone
Cedar Moutain
25 26 22 22
40
33
Pathfinder
91
Campbell
112 98
54
29
43 86 84
Fremont Fremont Alcohol Crisis Center
40
25
96
48 98
Southwest
90 56
Northern Central
84
71
97
60
Peak
88
71
20
40
WY 2010 Substance Abuse Client Survey Report
60
116
68
40
0
105
44
30 17
High Country
FY 2010
11 9 8
Big Horn
FY 2009
5
80
100
120
140
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Figure 3 shows the number and percent of substance abuse participants by age. Of the 858 respondents who provided their age, most were adults between the ages of 25-34 (272 participants; 32%), ages 18-24 (200 participants; 23%), and ages 35-44 (151 participants; 18%). Youth ages 0-17 made up seven percent, with 60 respondents. Finally, there were 5 participants who were older adults ages 65+. Figure 3 Number and Percent of Substance Abuse Participants by Age FY 2010 N=858 Ages 65+ Ages 55-64 5 Ages 0-17 0% Ages 45-54 40 60 130 5% 7% 15%
Ages 35-44 151 18%
Ages 18-24 200 23%
Ages 25-34 272 32%
Figure 4 shows the number and percent of substance abuse participants by gender. Males made up the majority of respondents with 579 participants (66%). The remaining 34%, or 299 respondents, were female. Figure 4 Number and Percent of Substance Abuse Participants by Gender FY 2010 N=878
Female 299 34%
WY 2010 Substance Abuse Client Survey Report
Male 579 66%
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Figure 5 shows the number and percent of substance abuse participants by race/ethnicity. As shown, the majority of participants were Caucasian/White, with 702 participants (80% of the population). Latinos made up 10% of respondents with 91 participants; similarly, Native Americans made up 7% of respondents, with 57 individuals. African Americans made up 1% of the population with 12 participants and Others made up 1% of the population (9 respondents). The smallest group were Asians, with five respondents (1%). Figure 5 Number and Percent of Substance Abuse Participants by Race/Ethnicity FY 2010 N=876 Latino 91 10% Caucasian/ White 702 80%
Other 9 1%
WY 2010 Substance Abuse Client Survey Report
African American 12 1%
Native American 57 Asian 7% 5 1%
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Figure 6 shows the survey results of substance abuse participants by domains. The highest rated domain was Social Connectedness, with 87% of substance abuse participants agreeing with the statements in this category. The lowest rated domains were Treatment Planning (67% agreement) and Outcomes (72% agreement). Figure 6 Substance Abuse Participant Survey Results by Domains FY 2010 Agree
Neutral
Disagree
78%
Access (n=843)
16% 6% 84%
Quality and Appropriateness (n=835)
12% 4% 67%
Treatment Planning (n=828)
22% 11% 83%
Cultural Sensitivity (n=804)
13% 3% 72%
Outcomes (n=759)
22% 6% 75%
Substance Use (n=839)
14% 11% 87%
Social Connectedness (n=837)
10% 2% 80%
Satisfaction (n=846)
14% 6%
0%
20%
WY 2010 Substance Abuse Client Survey Report
40%
60%
80%
100%
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Figure 7 shows the survey results of substance abuse participants by domains across Fiscal Years 2008, 2009, and 2010. The graph shows the percent of clients who agreed with the statements in each domain. As shown, the results were relatively stable across the three fiscal years, although they were highest in FY 2008. Figure 7 Substance Abuse Participant Survey Results by Domains Percentage of Clients who Agree or Strongly Agree with Survey Statements FY 2008, FY 2009, and FY 2010 FY2008 Percent
FY2009 Percent
FY2010 Percent
86%
Access
78% 78% 88% 83% 84%
Quality and Appropriateness
86%
Treatment Planning
66% 67% 89%
Cultural Sensitivity
82% 83% 85%
Outcomes
72% 72% 77% 72% 75%
Substance Use
92% 88% 87%
Social Connectedness
83% 78% 80%
Satisfaction 0%
20%
WY 2010 Substance Abuse Client Survey Report
40%
60%
80%
100%
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Figure 8 (on pages 11 and 12) illustrates the number of substance abuse participants and the percentage who responded that they “agree” or “strongly agree” with each survey statement. Ninety-one percent (91%) of substance abuse clients agreed with the statement “Staff here believe I can grow, change, and recover”. In contrast, only 57% of substance abuse clients agreed with the statement “I, not staff, decided my treatment goals”. Figure 8 Number of Substance Abuse Clients and Percent Who Agree with Each Survey Statement By Domains FY 2010 Question
Access Services were available at times that were good for me. Staff were willing to see me as often as I felt necessary. Quality and Appropriateness of Services Staff encourage me to use self-help programs. Staff here believe I can grow, change, and recover. I was given information about different services that were available to me. I was given enough information to effectively handle my problems. Treatment Planning I, not staff, decided my treatment goals. I believe staff see me as a partner in my treatment. Cultural Sensitivity Staff respected my religious/spiritual beliefs. Staff were sensitive to my cultural/ethnic background. Staff treat me with respect. Outcomes My symptoms are not bothering me as much. I am better able to handle things when they go wrong. I am better able to do things that I want to do. I am not likely to use alcohol and/or other drugs. I do better in school and/or work. I spend more time with people who do not use alcohol and/or drugs. I get along better with my boss. I get along better with my teachers. My housing situation has improved.
# of Respondents
% of Respondents who “Agree”
851 834
72% 85%
828 844 822 846
85% 91% 77% 85%
818 837
57% 78%
797 760 853
82% 81% 87%
827 838 834 838 782 823 670 484 729
75% 79% 77% 75% 74% 78% 60% 59% 61%
Continued on page 12.
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Figure 8 (continued) Number of Substance Abuse Clients and Percent Who Agree with Each Survey Statement By Domains FY 2010 Question
Substance Use Using alcohol and/or drugs is a problem for me. I need to work on my problems with alcohol and/or drugs. It is important for me to never use alcohol and/or drugs. Social Connectedness I have someone who will listen to me when I need to talk. I have someone I can do things with (without using alcohol and/or drugs). I have friends who are clean and sober. I know people I can call when I need help right away. I have people in my life who are a positive influence. People count on me to help them when they have a problem. I have people who are close to me who motivate and encourage my recovery. I have interactions with family members or friends who are supportive of my recovery. Satisfaction I like the services that I receive here.
WY 2010 Substance Abuse Client Survey Report
# of Respondents
% of Respondents who “Agree”
832 842 841
70% 75% 82%
840 833 838 838 839 834 835
86% 86% 86% 89% 89% 81% 89%
833
88%
846
80%
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Summary and Conclusions Overall, clients are satisfied with the substance abuse services received from the CMHC/SACs throughout Wyoming. The centers collected surveys for 881 clients across all age groups. Clients reported positive feedback about staff, with high agreement on statements such as “Staff here believe I can grow, change, and recover” (91%), “Staff treat me with respect” (87%), and “Staff respected my religious/spiritual beliefs” (82%). Clients also reported positive responses to quality and appropriateness of services and social connectedness statements. Several client outcomes were also measured using this survey. Results showed that the statement “I am better able to handle things when they go wrong” received the highest rating, with 79% agreement. “I spend more time with people who do not use alcohol and/or drugs” also received a high rating, at 78%. In contrast, the statement “I get along better with my teachers” only received 59% agreement. Appendix A shows the results of these surveys for each CMHC/SAC, by domain. Across all CMHC/SACs, there was a low rate of agreement with the statements in the treatment planning domain. CMHC/SACs and stakeholders can utilize these results to help improve services.
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Appendix A: Survey Results by CMHC/SAC Substance Abuse Client Survey Results by Domain Domain: Access Population: Substance Abuse Clients
Figure 9 Substance Abuse Client Survey Responses: Access Percentage of Clients who Agree or Strongly Agree with Survey Statements By CMHC/SAC and Statewide FY 2010 Hot Springs (n=11)
68%
Cloud Peak (n=9)
83%
Big Horn (n=22)
86%
Volunteers of America (n=48)
88%
Solutions For Life (n=17)
88%
Carbon (n=39)
67%
Curran Seeley (n=99)
75%
Cornerstone (n=40)
61%
High Country (n=26)
69%
Cedar Mountain (n=22)
81%
Pathfinder (n=98)
79%
Campbell (n=43)
80%
Fremont (n=84)
76%
Fremont Alcohol Crisis Center (n=25)
76%
Southwest (n=90)
82%
Northern (n=40)
82%
Central (n=97)
80%
Peak (n=71)
80%
Statewide (n=881)
78% 0%
20%
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40%
60%
80%
100%
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Domain: Treatment Planning Population: Substance Abuse Clients
Figure 10 Substance Abuse Client Survey Responses: Treatment Planning Percentage of Clients who Agree or Strongly Agree with Survey Statements By CMHC/SAC and Statewide FY 2010 Hot Springs (n=11)
68%
Cloud Peak (n=9)
72%
Big Horn (n=22)
83%
Volunteers of America (n=48)
71%
Solutions For Life (n=17)
75%
Carbon (n=39)
53%
Curran Seeley (n=99)
63%
Cornerstone (n=40)
41%
High Country (n=26)
79%
Cedar Mountain (n=22)
61%
Pathfinder (n=98)
69%
Campbell (n=43)
69%
Fremont (n=84)
63%
Fremont Alcohol Crisis Center (n=25)
72%
Southwest (n=90)
72%
Northern (n=40)
81%
Central (n=97)
70%
Peak (n=71)
66%
Statewide (n=881)
67% 0%
20%
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40%
60%
80%
100%
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Domain: Outcomes Population: Substance Abuse Clients
Figure 11 Substance Abuse Client Survey Responses: Outcomes Percentage of Clients who Agree or Strongly Agree with Survey Statements By CMHC/SAC and Statewide FY 2010 Hot Springs (n=11)
60%
Cloud Peak (n=9)
87%
Big Horn (n=22)
87%
Volunteers of America (n=48)
79%
Solutions For Life (n=17)
62%
Carbon (n=39)
64%
Curran Seeley (n=99)
69%
Cornerstone (n=40)
69%
High Country (n=26)
58%
Cedar Mountain (n=22)
82%
Pathfinder (n=98)
76%
Campbell (n=43)
76%
Fremont (n=84)
70%
Fremont Alcohol Crisis Center (n=25)
48%
Southwest (n=90)
80%
Northern (n=40)
64%
Central (n=97)
69%
Peak (n=71)
75%
Statewide (n=881)
72% 0%
20%
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40%
60%
80%
100%
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Domain: Social Connectedness Population: Substance Abuse Clients
Figure 12 Substance Abuse Client Survey Responses: Social Connectedness Percentage of Clients who Agree or Strongly Agree with Survey Statements By CMHC/SAC and Statewide FY 2010 Hot Springs (n=11)
89%
Cloud Peak (n=9)
92%
Big Horn (n=22)
95%
Volunteers of America (n=48)
91%
Solutions For Life (n=17)
81%
Carbon (n=39)
83%
Curran Seeley (n=99)
86%
Cornerstone (n=40)
80%
High Country (n=26)
79%
Cedar Mountain (n=22)
91%
Pathfinder (n=98)
87%
Campbell (n=43)
94%
Fremont (n=84)
87%
Fremont Alcohol Crisis Center (n=25)
69%
Southwest (n=90)
96%
Northern (n=40)
81%
Central (n=97)
85%
Peak (n=71)
89%
Statewide (n=881)
87% 0%
20%
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40%
60%
80%
100%
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Domain: Quality and Appropriateness Population: Substance Abuse Clients
Figure 13 Substance Abuse Client Survey Responses: Quality and Appropriateness Percentage of Clients who Agree or Strongly Agree with Survey Statements By CMHC/SAC and Statewide FY 2010 Hot Springs (n=11)
73%
Cloud Peak (n=9)
86%
Big Horn (n=22)
83%
Volunteers of America (n=48)
95%
Solutions For Life (n=17)
87%
Carbon (n=39)
80%
Curran Seeley (n=99)
87%
Cornerstone (n=40)
69%
High Country (n=26)
77%
Cedar Mountain (n=22)
83%
Pathfinder (n=98)
89%
Campbell (n=43)
88%
Fremont (n=84)
83%
Fremont Alcohol Crisis Center (n=25)
77%
Southwest (n=90)
87%
Northern (n=40)
82%
Central (n=97)
85%
Peak (n=71)
81%
Statewide (n=881)
84% 0%
20%
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40%
60%
80%
100%
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Domain: Satisfaction Population: Substance Abuse Clients
Figure 14 Substance Abuse Client Survey Responses: Satisfaction Percentage of Clients who Agree or Strongly Agree with Survey Statements By CMHC/SAC and Statewide FY 2010 Hot Springs (n=11)
73%
Cloud Peak (n=9)
100%
Big Horn (n=22)
95%
Volunteers of America (n=48)
91%
Solutions For Life (n=17)
81%
Carbon (n=39)
65%
Curran Seeley (n=99)
74%
Cornerstone (n=40)
57%
High Country (n=26)
88%
Cedar Mountain (n=22)
91%
Pathfinder (n=98)
83%
Campbell (n=43)
86%
Fremont (n=84)
70%
Fremont Alcohol Crisis Center (n=25)
86%
Southwest (n=90)
91%
Northern (n=40)
85%
Central (n=97)
78%
Peak (n=71)
80%
Statewide (n=881)
80% 0%
20%
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40%
60%
80%
100%
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Domain: Substance Use Population: Substance Abuse Clients
Figure 15 Substance Abuse Client Survey Responses: Substance Use Percentage of Clients who Agree or Strongly Agree with Survey Statements By CMHC/SAC and Statewide FY 2010 Hot Springs (n=11)
67%
Cloud Peak (n=9)
93%
Big Horn (n=22)
73%
Volunteers of America (n=48)
98%
Solutions For Life (n=17)
75%
Carbon (n=39)
60%
Curran Seeley (n=99)
79%
Cornerstone (n=40)
85%
High Country (n=26)
49%
Cedar Mountain (n=22)
88%
Pathfinder (n=98)
73%
Campbell (n=43)
77%
Fremont (n=84)
73%
Fremont Alcohol Crisis Center (n=25)
80%
Southwest (n=90)
88%
Northern (n=40)
63%
Central (n=97)
66%
Peak (n=71)
72%
Statewide (n=881)
75% 0%
20%
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40%
60%
80%
100%
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Domain: Cultural Sensitivity Population: Substance Abuse Clients
Figure 16 Substance Abuse Client Survey Responses: Cultural Sensitivity Percentage of Clients who Agree or Strongly Agree with Survey Statements By CMHC/SAC and Statewide FY 2010 Hot Springs (n=11)
80%
Cloud Peak (n=9)
96%
Big Horn (n=22)
95%
Volunteers of America (n=48)
96%
Solutions For Life (n=17)
80%
Carbon (n=39)
81%
Curran Seeley (n=99)
81%
Cornerstone (n=40)
69%
High Country (n=26)
74%
Cedar Mountain (n=22)
83%
Pathfinder (n=98)
80%
Campbell (n=43)
86%
Fremont (n=84)
83%
Fremont Alcohol Crisis Center (n=25)
79%
Southwest (n=90)
89%
Northern (n=40)
86%
Central (n=97)
84%
Peak (n=71)
83%
Statewide (n=881)
83% 0%
20%
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40%
60%
80%
100%
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Appendix B: Sample Substance Abuse Client Survey Instrument
In order to provide the best services to you, we would like to know what you think about the services you are receiving. Your answers are confidential and will be used to improve future services. For each survey item below, please check the box that corresponds to your answer. The questions below refer to: _____(name of center)_______ Today’s Date: _______________ 1. Your age: _______ 2. Gender:
Male
Female
3. Are you Hispanic?
Yes
No
4. Which of the following best describes your racial/ethnic background? Check all that apply.
Native American/ Alaskan
Caucasian/ White
African American/ Black Native
Asian/ South/ Pacific Islander
Other ________________________ 5. Did you voluntarily come for services? Check all that apply.
Yes
No, my treatment was court ordered
No, I was pressured by family to come for services
No, I was pressured by friends to come for services
No, I was pressured by my work/school to come for services
Other (please specify) ____________________________ 6. Please indicate which services you are currently receiving.
Mental Health
Substance abuse
Other (please specify)
Both Mental Health & Substance Abuse ____________________ 7. How long have you been receiving services from this center? ____ years _____ months
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8. Have you ever received treatment for this problem or a similar problem anywhere prior to coming here?
No
Yes 8a. If yes, where? Check all that apply.
Outpatient
Peer-support/self-help
Half-way house
Social Detox
Crisis intervention/emergency room
Hospital, residential treatment
Other (specify) ________________________
9. Did someone (counselor, therapist, or doctor) from this agency recommend or prescribe medication that was related to your treatment?
No
Yes 9a. If yes, were you told about the side effects of the medication?
No
Yes
10. Have you been given information about your rights as a client?
No
Yes
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
NA
For each survey item below, please check the box that corresponds to your answer. Please check the NA (Not Applicable) box if the question is about something you have not experienced.
11. Services were available at times that were good for me.
12. Staff were willing to see me as often as I felt necessary.
13. I, not staff, decided my treatment goals.
14. Staff respected my religious/spiritual beliefs.
15. Staff were sensitive to my cultural/ ethnic background.
16. I was given information about different services that were available to me.
17. I was given enough information to effectively handle my problems.
18. Staff here believe that I can grow, change, and recover.
19. I like the services that I receive here.
20. I believe staff see me as a partner in my treatment.
21. Staff treat me with respect.
22. Staff encourage me to use self-help programs.
23. Using alcohol and/or drugs is a problem for me.
24. I need to work on my problems with alcohol and/or drugs.
25. It is important for me to never use alcohol and/or drugs.
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
NA
As a direct result of the services I received from this center:
26. My symptoms are not bothering me as much.
27. I am better able to handle things when they go wrong.
28. I am better able to do things that I want to do.
29. I am not likely to use alcohol and/or other drugs.
30. I do better in school and/or work.
31. I spend more time with people who do not use alcohol and/or drugs.
32. I get along better with my boss.
33. I get along better with my teachers.
34. My housing situation has improved.
Please answer the following questions, based on your relationships with persons other than your provider:
35. I have someone who will listen to me when I need to talk. 36. I have someone I can do things with (without using alcohol and/or
drugs).
37. I have friends who are clean and sober.
38. I know people I can call when I need help right away.
39. I have people in my life who are a positive influence.
40. People count on me to help them when they have a problem. 41. I have people who are close to me who motivate and encourage my recovery. 42. I have had interaction with family members or friends who are supportive of my recovery.
43. What has been the most helpful thing about the services you received over the last 6 months? ___________________________________________________________________________ ___________________________________________________________________________ 44. What will improve services here? ___________________________________________________________________________ ___________________________________________________________________________
Thank You! Please place your completed survey in the provided envelope, seal the envelope, and return it to the designated person. WY 2010 Substance Abuse Client Survey Report
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