Mental Health Needs Assessment
Educational Interests
Please check any topics or areas of interest you would most likely attend CE/CME activities focused on pediatric and adolescent mental health:
Anxiety
Depression
Motivational Interviewing
Safety Planning
Suicide/Suicide Prevention
Substance Abuse
Autism
Early Childhood Developmental Identification
Neonatal Abstinence Syndrome (NAS)/Other Substance Exposure
Evidence-Based Therapy
Therapy for Exposures
Psychopharmacology for the Prescriber
Psychopharmacology for the Non-Prescriber
Pediatric/Childhood Trauma
Other
Thinking about the topics you marked, are there any specific areas of these topics that you would like more education in?
Thinking about the topics you marked, what level of confidence do you have in your abilities to apply interventions with mental health diagnoses?
1 - Not at all Confident: I am unable to apply interventions.
2 - Slightly Confident: I am familiar but am not confident to apply independently.
3 - Moderately Confident: I feel confident to apply initial intervention knowing resources are available for further coaching/consultation.
4 - Confident: I feel confident to apply interventions.
5 - Extremely Confident: I feel confident to apply interventions and advise colleagues.
Continuing Education Formats
What kinds of Continuing Education formats do you use for your professional development? (Select all that apply)
Live in-person seminars/workshops
Live online courses/webinars
Recorded online Videos/Podcasts (shorter than 45 min)
Recorded online Videos/Podcasts (longer than 45 min)
Printed materials (books, manuals, etc.)
Other
How do you typically find professional development opportunities? (Select all that apply)
Email from or postings from my professional board
Email from or postings from my professional society/associations
Through online searches (e.g., Google)
Recommendations from colleagues or peers
Email/announcement from my company leadership
Healthvine
MindPeace
Cincinnati Children’s Website
Cincinnati Children’s email
LinkedIn
Twitter/X
Other
Drag items to indicate their level of importance with the most important at the top of the list
If Other, please specify:
Professional Needs
What challenges do you encounter most frequently when working with pediatric and adolescent patients with mental health concerns?
What topics do you think are most needed in our community to better support the mental health needs of pediatric and adolescent populations?
Professional Information
What is your current profession in the healthcare field? (Please select one)
Behavioral Health Specialist
Clinical Counselor
Intervention Specialist
Nurse
Nurse Practitioner
OT
Pharmacist
Physician
Physician Assistant/Associate
Psychologist
PT
School Administrator
School Counselor
Social Worker
Speech Therapy
Teacher
Other
What kind of practice environment do you work in?
Hospital/Medical Center
Community (PCP, Clinics, Etc)
Academic Institution/University
School
Other
What region of the country do you live/practice in?
Greater Cincinnati
Ohio, Kentucky, or Indiana, but not Greater Cincinnati
Other
Likelihood of Attendance
Would you be interested in attending a live mental health-focused CE/CME activity in-person or online?
Yes
No
Imagine there is an in-person mental health conference scheduled in Cincinnati, covering topics relevant to your practice. Despite potential inconvenience and travel costs, would you realistically commit to attending this conference if it aligned with your interests and needs?
Yes, I would definitely commit to attending.
Maybe, depending on the specific topics and scheduling.
No, I would likely not attend.
Imagine there is an online series for mental health professionals scheduled one evening per week, lasting 8 weeks, covering topics relevant to your practice. Despite potential inconvenience, would you realistically commit to attending at least 6 sessions of this series if it aligned with your interests and needs?
Yes, I would definitely commit to attending.
Maybe, depending on the specific topics and scheduling.
No, I would likely not attend.
Attendance Preferences
What Live format would you prefer and attend?
Live online conference
Live in-person conference
Live online series on a specific topic
You marked that you prefer “Live online conference”. Would you also attend “Live in-person conference” or “Live online series on a specific topic”? (Mark all you would attend)
Live in-person conference
Live online series on a specific topic
You marked that you prefer “Live in-person conference”. Would you also attend “Live online conference” or “Live online series on a specific topic”? (Mark all you would attend)
Live online conference
Live online series on a specific topic
You marked that you prefer “Live online series on a specific topic”. Would you also attend “Live online conference” or “Live in-person conference”? (Mark all you would attend)
Live online conference
“Live in-person conference”
Duration Commitment - Live In-Person Conference
How long would you be willing to commit to a live in-person conference?
Half-day (3-4 hours)
Full-day (6-8 hours)
One and a Half Days (3-4 hours + 6-8 hours)
Two day (6-8 hours, each)
More than 2 days
Duration Commitment - Live Online Conference Series
How long would you be willing to commit to a live online conference?
Less than 1 hour
1-2 hours
Half-day (3-4 hours)
Full-day (6-8 hours)
One and a Half Days (3-4 hours + 6-8 hours)
Two day (6-8 hours, each)
More than 2 days
How long would you be willing to commit to one session of a live online series?
1 hour
1.5 hours
2 hours
2.5 hours
3 hours
>3 hours
What time of day would you prefer for a session of a live online series?
Morning 8am-12pm ET
Afternoon 1-4pm ET
Evening 5-8pm ET
How many weeks would you be willing to commit to a live online series, held weekly?
Less than 6
6-8
9-10
> 10
Would you prefer a different live online series recurrence than weekly?
No
Yes
Ye: l'd prefer a different live online series recurrence than weekly?
Every other week
Twice a month
Once a Month
Which live online series recurrences would you register for?
Weekly
Every other week
Twice a month
Once a Month
How likely is it you would attend a live online series?
Absolutely attending
Likely to attend
Not Likely to attend
Not attending
Duration Commitment - Live Multi-Day Conference
How likely is it you would attend a multi-day live in-person event?
Absolutely attending
Likely to attend
Not Likely to attend
Not attending
How likely is it you would attend a multi-day live online event?
Absolutely attending
Likely to attend
Not Likely to attend
Not attending
Financial Support
Does your institution support you financially to attend education?
Yes
No
Considering an live-online or live in-person conference with approximately 9 hours of credit, how much would you be willing to pay to attend? (select all)
75-100
101-150
151-200
201-250
251-300
>300
Additional Comments & Submit
Do you have any additional comments, suggestions, or topic suggestions for mental health continuing education?
Submit
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