Building the Bridge Initiative: UA Partnership Survey

The Building the Bridge initiative, through the Center for Youth Development and Intervention (CYDI) at The University of Alabama, is an initiative to promote the use of evidence-based practices and treatments, as well as identify and address barriers to access for children and families in order to strengthen the youth mental healthcare infrastructure in Central Alabama. We are interested in building specific strategic partnerships with individuals and organizations who work with or provide services to children and adolescents in the local community. The following survey is an assessment of your interest level in serving as a Building the Bridge partner and your needs from us.

Please complete the following survey, so we can assess your interest level in serving as a Building the Bridge partner and the needs you have that we might be able to address.

Your Name:

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Title:

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Organization:

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Your Email:

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Name:

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Phone Number:

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Email:

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What is the primary age range served by your organization?

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What are the primary services that you provide for children and adolescents? Please list.

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Would you like to be a partner of the Center for Youth Development and Intervention related to the Building the Bridge initiative?

This does not commit you to anything at this time; rather, it means that you would like to receive information from the CYDI about future workshops, events, resources, and research, and that you are interested in partnering with us on potential future work related to Building the Bridge (e.g., participating in research, partnering to host specific community events, etc.).

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Yes

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Does your organization have any needs for mental health, behavioral, or family resources that we may be able to provide? Check all that apply.

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Trainings/workshops on specific mental health disorders, assessment of problems in youth, or evidence-based treatments for treating specific disorders

Networking with other community resources (i.e., community-based mental health providers, local psychiatrists, specific experts in the mental health field, etc.)

Easily accessible and freely available online resources (i.e., assessment tools or information on evidence-based treatments)

Referral information on mental health services, including assessment/evaluation, treatment/counseling, support groups, etc.

Other

If other, please list your needs:

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Some faculty at The University of Alabama, including the CYDI, conduct research that involves mental health/behavioral interventions and programs. This research benefits from the participation of individuals and agencies in our community. Please let us know if you would be interested in such a partnership and what types of projects you might be interested in. Also, feel free to let us know what you would want out of the partnership (e.g., specific funding, or other benefits).

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Do you have any suggestions for the Building the Bridge initiative?

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If you have suggestions for other individuals or agencies that we should contact or that may be interested in the Building the Bridge initiative, please let us know.

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