SURVEY PAGE
MHSIP surveys are available for public use free of charge.
Table of Contents
3. MHSIP URS Surveys with Social Connectedness and Functioning Questions
Non-English Translations of MHSIP Surveys
5. Ontario, Canada - MHSIP 28 item Adult Survey - French
6. Arizona - Surveys in Spanish and English
7. California - Link to California's Translations of the 28 item MHSIP Adult Survey.
Translations Available: Cambodian, Chinese (Traditional), Korean, Spanish,
Taqaloq, Vietnamese
8. Connecticut - 28 Item Adult Survey
10. Rhode Island - Rhode Island Survey - English Survey.pdf, Portugues, Spanish
11. Texas - Unofficial Texas Spanish Translation of the 40 item MHSIP Adult Survey
The MHSIP Consumer
Satisfaction Survey -- 28 item (PDF)
The MHSIP Consumer
Satisfaction Survey -- 28 item (MS Word)
List of the Adult Survey Questions by Domain (PDF)
The Youth Services Survey (YSS) (PDF)
The Youth Services
Survey For Families (YSS-F) (PDF)
The Youth Services
Survey For Families (YSS-F) (MS Word)
Guidelines For The YSS and The YSS-F (PDF)
MHSIP URS Surveys with Social Connectedness and Functioning Questions
The Uniform Reporting System (URS) was developed in response to the need for accountability for the expenditure of community mental health block grant funds received by States from the Federal Government. The intent of the URS tables is to allow both (1) the tracking of individual State performance over time, and (2) the aggregation of State information to develop a national picture of the public mental health systems of the States.
Adult
Survey 2006 URS (PDF)
Adult Survey
2006 URS (MS Word)
Youth Services Survey for Families
(YSS-F) 2006 URS
(PDF)
Youth Services Survey
for Families (YSS-F) 2006 URS
(MS Word)
Adult Survey Spanish 2006 URS
(PDF)
Adult Survey Spanish 2006 URS
(MS Word)
Youth Services
Survey for Families (YSS-F) Spanish 2006 URS
(PDF)
Youth Services Survey for
Families (YSS-F) Spanish 2006 URS
(MS Word)
NRI/MHSIP Approved Inpatient survey for JCAHO
NRI / MHSIP Inpatient Survey -- English
NRI / MHSIP Inpatient
Consumer Survey -- Spanish
NRI / MHSIP Inpatient
Consumer Survey Final Report
Translations of MHSIP Surveys
For use of the translations please
contact the person listed at the bottom of each survey.
NOTE:
English language versions are included so users can see
exactly what was translated.
MHSIP 28 item Adult Survey - French
Barb Blain: bblain@cmha-wecb.on.ca
Unofficial Arizona Adult Survey 2008 - English and Spanish
Unofficial Arizona Youth Services
Survey For Families 2008 - English and Spanish
Unofficial Arizona MHSIP 28 item
Adult Survey - English
Unofficial Arizona MHSIP 28 item Adult Survey - Spanish
Unofficial Arizona MHSIP Old Version of the YSS - English
Unofficial Arizona MHSIP Old Version of the YSS - Spanish
Unofficial Arizona MHSIP Old Version of the YSSF - English
Unofficial Arizona MHSIP Old Version of the YSSF - Spanish
California
Link to California's Translations of the 28 item MHSIP Adult Survey
http://www.dmh.ca.gov/POQI/Consumer_Perception_Surveys.asp
Translations Available: Cambodian, Chinese (Traditional), Korean, Spanish,
Taqaloq, Vietnamese
Connecticut
Unofficial
Connecticut 28 Item Adult Survey - English 2005
Unofficial Connecticut 28 Item Adult Survey for Residential/Inpatient
Detoxification Programs Only - English 2005
Unofficial Connecticut 28 Item Adult Survey - Spanish 2005 2005
Unofficial Connecticut 28 Item Adult Survey for Residential/Inpatient
Detoxification Programs Only - Spanish 2005
New York
Translations are courtesy of the New York City Department of Mental Health,
Mental Retardation and Substance Abuse Services.
Unofficial New York 21 Item
Adult Survey - English
Unofficial New York 21 Item Adult
Survey - Chinese
Unofficial New York 21 Item Adult
Survey - Creole
Unofficial New York 21 Item Adult Survey - Russian
Unofficial New York 21 Item Adult
Survey - Spanish
Rhode Island
Survey/RI MHSIP-English
Survey.pdfUnofficial Rhode Island MHSIP 28 item Adult Survey - English
Unofficial Rhode Island MHSIP 28
item Adult Survey - Portuguese
Translation
Unofficial Rhode Island MHSIP 28 item Adult Survey - Spanish Translation
Texas
Unofficial Texas Spanish
Translation of the 40 item MHSIP Adult Survey
The
Experience of Care and Health Outcomes Survey (ECHOTM)
The Experience of Care and Health Outcomes Survey (ECHOTM)
is designed to collect consumer's ratings of their behavioral health treatment.
It is designed for use by consumers, clinicians, managed behavioral healthcare
organizations (MBHO), health care plans, purchasers, States, and Federal
agencies. MBHO and health plan versions of the ECHOTM
survey are currently available. Both surveys ask exactly the same questions
about treatment and counseling services, however, the plan survey includes a few
more items about administrative services, such as filling out paperwork and
finding information in written materials. The MBHO version consists of 50
questions and the health plan version consists of 63 questions. The ECHOTM
contains items assessing consumer experience with specialty behavioral health
care, including mental health, alcohol and drug, and other substance abuse
services. www.hcp.med.harvard.edu/echo