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State and Local Mental Health and Aging Coalition Survey Response Analysis Prepared by Kimberly A. Williams Director Geriatric Mental Health Alliance of New York (GMHA-NY) kwilliams@mhaofnyc.org 2-614-71

Purpose of Survey Identify new state and local mental health and aging coalitions Obtain updated information for existing coalitions Identify details about their work: membership, structure, major activities, sources of funding, technical assistance needs, barriers, and interest in participating on the National Coalition

Survey Methods Subject Enrollment: Representatives from state and local mental health and aging coalitions, both active and inactive Survey was disseminated via email to national coalition membership list and to members of the National Association of State Mental Health Program Directors Older Persons Division Data Collection: Participants were asked to complete online survey (survey monkey) Merged GMHA-NY local coalition survey data with National Coalition survey GMHA-NY interns sent some follow-up emails to attempt to generate a higher response rate Data Analysis: Reviewed and analyzed by GMHA-NY staff

22 States Responded to Survey California Connecticut Florida Georgia Hawaii Iowa Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Missouri New Hampshire New York Oklahoma Pennsylvania Rhode Island Tennessee Texas Virginia

Does your state/locality have a mental health and aging coalition? 4 3 3 2 2 1 37 4 2 Yes No Don't Know Answered question: 43 Skipped question: 1

When was the Coalition formed? 11 9 8 7 6 4 3 2 1 Number of Coalitions Formed by Year 11 1 198s 199s 2-2 26-211 Answered question: 31 Skipped question: 13

How is membership determined? 3 2 26 2 1 7 Individual Organization/Group Both Answered question: 38 Skipped question: 6

What is the size of your membership? 14 13 11 9 8 7 6 4 3 2 1 Size of Membership by Number of Organizations 7 13 1 2 or less 26-1-7 76- + N/A or not active 2 8 Answered question: 36 Skipped question: 8

What geographic area does the Coalition serve? 2 22 2 17 1 Entire State Portion of State Answered question: 39 Skipped question:

If your Coalition serves a portion of the state, are their other local Coalitions that serve the rest of the State? 2 2 2 1 Yes No Answered question: 2 Skipped question: 19

Does your Coalition have a leadership structure (e.g. steering committee, executive committee, advisory board)? 3 2 26 2 1 Yes No Answered question: 38 Skipped question: 6

If your Coalition does have a leadership structure, who is represented on the leadership group? 2 18 16 14 8 6 4 2 9 11 3 9 14 7 14 18 State Mental Health Authority (SMHA) State Unit on Aging (SUA) Association for the area agencies on aging Association for the local mental health directors Association for aging service providers Association for mental health providers Consumers and/or consumer organization Mental health advocacy organization Aging advocacy organization Colleges/Universities Other Answered question: 27 Skipped question: 17

Specified other leadership structure Local providers mental health, aging, health, long-term care: Area agency on aging Community mental health center Local hospital Home Health Care adult day care senior centers, DCBS-APS, private counseling agencies, red cross, assisted living and long term care facilities, etc. Alzheimer s Association Local mental health, aging and substance abuse authorities Managed care Family members Older adults Students

What are your major activities? 3 3 2 2 1 33 18 3 2 21 11 23 1 Networking Resource Coordination Systems Planning Education Training Conferences Program Development Advocacy Policy Analysis Other Answered question: 4 Skipped question: 4

What sources of funding are utilized to fund the operation of your Coalition? 16 14 8 6 4 2 7 9 6 6 4 1 Federal Govt State Govt Local Govt Philanthropic Orgs Sponsoring Orgs Membership dues No source of funding Other Answered question: 38 Skipped question: 6

Does your state use Mental Health Block Grant funds to fund all or any part of the activities of your mental health and aging coalition? 3 2 24 2 1 7 Yes No Answered question: 31 Skipped question: 8

In what areas, if any, does your Coalition need technical assistance? 3 2 2 1 17 1 13 1 18 18 26 6 6 Membership recruitment and Leadership development Mission, goals, plan s, and strategies Participation Decision making and conflict Communication Advocacy Policy development and analysis Sustainability Other Answered question: 36 Skipped question: 8

Of the technical assistance needs identified above, including other, what is, or are, the most significant technical assistance needs for your Coalition? 14 8 6 4 2 2 4 1 1 2 3 Membership recruitment and retention Leadership development Mission, goals, pla ns, and strategies Participation Decision making and conflict resolution Communication Advocacy Policy development and analysis Sustainability Answered question: 28 Skipped question/did not answer properly: 17

What impediments does your Coalition face in trying to address the mental health needs of older adults in your state/locality? 3 3 2 2 1 28 1 3 2 16 29 17 29 4 28 19 Not viewed as a significant priority Lack of leadership and planning Lack of financial resources Workforce issues (such as lack of trained staff, workforce Lack of services Poor access to services (not enough services, lack of Lack of quality treatment in both institutions and the Lack of integrated service Limited capacity to serve cultural minorities Lack of family support Stigma, ageism, and/or lack of knowledge about geriatric mental Lack of strong advocacy community related to geriatric Other Answered question: 4 Skipped question: 4

If you answered "Not viewed as a significant priority," please specify 2 2 2 1 By our state By our locality By our service community Answered question: 23 Skipped question: 16

If you answered "Lack of leadership and planning," please specify 16 14 8 6 4 2 14 8 3 State Level Local Level Agency Level Answered question: 16 Skipped question: 23

14 8 6 4 2 Of the impediments identified above, including other, what is, or are, the most significant barriers to the provision of geriatric mental health services in your community? 11 4 2 9 7 1 1 1 Not viewed as a significant priority Lack of leadership and planning Lack of financial resources Workforce issues (such as lack of trained staff, workforce Lack of services Poor access to services (not enough services, lack of Lack of quality treatment in both institutions and the community Lack of integrated service Limited capacity to serve cultural minorities Lack of family support Stigma, ageism, and/or lack of knowledge about geriatric mental health Lack of strong advocacy community related to geriatric issues Answered question: 31 Skipped question: 13

Are you a member of the NCMHA? 16 14 14 11 8 6 4 2 Answered question: 2 Skipped question: 14 Yes No

GMHA-NY National State Based Advocacy Project Developing geriatric mental health advocacy toolkit for mental health and aging coalitions Providing education and technical assistance to mental health and aging coalitions in five states California, Georgia, Indiana, Pennsylvania, and Oklahoma on developing and carrying out an advocacy plan