PERSONAL (MENTAL HEALTH) CRISIS SURVEY
Barnsley Mental Health Forum are repeating the 2006 Survey by the Barnsley Clients Alliance

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* 1. Have you ever been in a situation where you have felt so mentally distressed that you didn't feel you could cope alone?

Yes

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* 2. If so, where did you turn to for help?

Friend

Relative

Helpline (please state in box below)

Samaritans

GP - General Practitioner

A&E - Accident & Emergency

Other (please state in box below)

Other - or helpline (please say)

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* 3. If you used a voluntary organisation (e.g. Age Concern or Mind) or a statutory organisation (e.g. NHS or Social Services) how did you know of them?

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* 4. Did you feel able to get help when you most needed it?

Yes

Please tell us if it was easy to find and access the help you needed?

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* 5. Did you receive any treatment?

Yes

If yes, what treatment did you receive?

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* 6. Did you feel that you got the help that you needed?

Yes

What do you feel helped the most? (please say)

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* 7. Do you use Mental Health services (now)?

Yes

Or have you used Mental Health services in the past - if so please say how long ago

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* 8. If you have experienced a personal crisis situation, do you have a plan of what to do if you find yourself in a similar situation?

Yes

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* 9. If so...........

Is it a written in your Care Plan (if you have one)

Is it part of an Advanced Statement (if you have a written one)

Or do you have a verbal agreement with a friend, relative, carer or your health worker....

Something else (please state)

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* 10. If you feel that you were unable to get help at your time of need, can you please say what you feel would have helped you? (please feel free to tick more than one)

A helpline

Somewhere to go i.e. a crisis house

Some medication

A doctor or nurse to visit you

A social worker

a family member

Some people who have experienced similar

A self-help group

If you were unable to get help at the time, or found it difficult to get help, please explain

PERSONAL (MENTAL HEALTH) CRISIS SURVEYBarnsley Mental Health Forum are repeating the 2006 Survey by the Barnsley Clients Alliance

Question Title

* 1. Have you ever been in a situation where you have felt so mentally distressed that you didn't feel you could cope alone?

Question Title

* 2. If so, where did you turn to for help?

Question Title

* 3. If you used a voluntary organisation (e.g. Age Concern or Mind) or a statutory organisation (e.g. NHS or Social Services) how did you know of them?

Question Title

* 4. Did you feel able to get help when you most needed it?

Question Title

* 5. Did you receive any treatment?

Question Title

* 6. Did you feel that you got the help that you needed?

Question Title

* 7. Do you use Mental Health services (now)?

Question Title

* 8. If you have experienced a personal ﻿crisis situation, do you have a plan of what to do if you find yourself in a similar situation?

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* 9. If so...........

Question Title

* 10. If you feel that you were unable to get help at your time of need, can you please say what you feel would have helped you? (please feel free to tick more than one)

PERSONAL (MENTAL HEALTH) CRISIS SURVEY
Barnsley Mental Health Forum are repeating the 2006 Survey by the Barnsley Clients Alliance

* 8. If you have experienced a personal crisis situation, do you have a plan of what to do if you find yourself in a similar situation?