CCTP Needs Assessment Screener

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This value you provided is not a number. Please try again.

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The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

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This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit North American phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

yn9T5CVivKUTZP6rR6CyUxynoCirBSGZLgvPFg5enwDg5odajmPCrbS9mZPYrPA34FIfWxVCHxvTKUHyTQ

Thank you for your interest in participating. Before we begin, we'd like to ask you a few brief questions to make sure that we are hearing directly from people with lived experience-either as individuals who have received coordinated care services for autistic youth with mental health needs, or as professionals who provide these services (e.g., family navigator, care coordinator, case manager, case resource manager, etc.) in the state of Washington.

Please note, you must be at least 18 years old or older to participate. Are you currently 18 years of age or older?

* must provide value

Yes

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Thank you for your interest in this study. At this time, you are not eligible to participate because the study is limited to individuals who are 18 years of age or older, in accordance with Institutional Review Board (IRB) requirements. We appreciate your time and willingness to engage.

Which of the following best describes you?

* must provide value

Coordinated care service professional (e.g., care coordinator, family navigator, case manager)

Caregiver or family member of an autistic individual

Autistic individual

None of the above

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Are you currently employed in Washington State?

* must provide value

Yes

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Does your current role include providing care coordination or delivering services to autistic youth?

* must provide value

Yes

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Have you supported autistic youth who have mental health needs (e.g., anxiety, depression, behavioral health challenges)?

* must provide value

Yes

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Do you live in Washington State?

* must provide value

Yes

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Are you a primary caregiver or family member of an autistic individual?

* must provide value

Yes

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Has the autistic individual ever received care coordination-related services?

* must provide value

Yes

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Did the autistic individual experience any mental health or behavioral health challenges during the time they received care coordination?

* must provide value

Yes

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Were these services provided before you turned 22 years old?

* must provide value

Yes

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Do you currently live in Washington State?

* must provide value

Yes

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Have you received care coordination-related services at any time during your childhood?

* must provide value

Yes

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Did you experience any mental health or behavioral health challenges during the time you received care coordination?

* must provide value

Yes

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Were these services provided before you turned 22 years old?

* must provide value

Yes

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You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.