Behavioral Health Webpage and Training Survey

Thank you for your interest in participating in this survey.

The Administration for Children and Families (ACF) is a federal agency that focuses on children and families' economic and social well-being. ACF funds social services programs including Temporary Assistance for Needy Families (TANF) and Head Start. This survey will ask questions about you and your family’s experiences with behavioral health (see definition below) to help ACF improve future trainings, information, and resources to support the needs of youth, parents, and caregivers. The survey is intended for parents, other caregivers, and youth/adolescents between the ages of 13 and 24.

Please share your honest opinions. You are not required to take this survey, and your responses will not be traced back to you as an individual or have any impact on the benefits you receive. You may skip questions you feel uncomfortable answering. However, please know that your responses are meaningful and valuable to us. We encourage you to participate, even if you choose to answer some questions but not others.

The survey will take 7-10 minutes to complete. If you have any difficulties completing the survey, please get in touch with Ajilé Owens at ajile@fdg-llc.com for help. If you have questions about the information in the survey or behavioral health at ACF, please get in touch with Lauren Behsudi at lauren.behsudi@acf.hhs.gov.

Definitions:

Thank you for your time and participation! Your opinions are valuable and appreciated.

Question Block: Translation Segmentation

  1. Would you like to take the survey in:



Question Block: Segmentation



  1. Do you identify as: [Required]



Question Block: Behavioral Health Webpage

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The Administration for Children and Families plans to create a webpage with resources about behavioral health for youth, parents, and caregivers. Behavioral health refers to mental health and substance use conditions. We want to hear about your interests and what information would be helpful in order to inform the training, information, and resources that will be shared on this webpage. For the questions below, we ask that you read the full list of options and choose all that apply.



  1. Which topics would you like to learn more about to support your health and/or your family’s health? [Select all that apply]


  1. Which forms of information and resources would be most helpful for you and/or your family? [Select all that apply]



  1. In what situations have you wanted, or do you think in the future you might want, more mental health information? [Select all that apply]


  1. In what situations have you wanted, or do you think in the future you might want, more information about substance use/substance use disorder(s)? [Select all that apply]


  1. The webpage may include information and resources on behavioral health for specific age groups. Which of the following age groups is of interest to you? [Select all that apply]



Question Block: Training(s) for Parents and Caregivers on the Mental Health of Children

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Branching logic from Question 1 for those who identified as:


ACF plans to host training(s) for parents and caregivers on the mental health of children in 2023. The training(s) will provide parents and caregivers with information, resources, and training to help children and families. We want to hear about your interest in the training(s) to inform the content. For the questions below, we ask that you read the full list of options and choose all that apply.



  1. Which topics would you like to learn more about to support children and families? [Select all that apply]


  1. ACF is considering several trainings for parents and caregivers on the mental health of children. Which of the following trainings would you be interested in attending? [Select all that apply]



  1. How can mental health information be presented in a way that is most valuable to you? [Select all that apply]



  1. Which of the following age groups would you like to be the focus of the training(s) for parents and caregivers on the mental health of children? [Select all that apply]



Question Block: Demographics

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We want to make sure we hear from a diverse group of voices to best inform ACF’s work. The following questions will ask about your sex, age, race, ethnicity, and home state/territory. No personal information will be traced back to you, and each question includes a “prefer not to say” option if you are uncomfortable answering.


  1. Do you identify as:


  1. Are you a:

  

  1. Which of the following best describes you? [Select all that apply]


  1. Are you of Hispanic, Latino, or Spanish origin?

 

  1. Which state or territory do you currently live in?



  1. Which of the following areas do you live in? [Select all that apply]



PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: [Through this information collection, ACF is gathering information to inform behavioral health webpage, resources, and training. Public reporting burden for this collection of information is estimated to average 7-10 minutes per participant, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0531 and the expiration date is 09/30/2025. If you have any comments on this collection of information, please contact Victoria Berk Kabak (victoria.kabak@acf.hhs.gov).





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