Peer Support Services Survey

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Disability Rights Pennsylvania and Pennsylvania Mental Health Consumers’ Association are interested in learning more about your experience with Peer Support Services. Peer Support Services are services conducted by people with lived experiences current with behavioral health services who are trained and certified to offer support and assistance in helping others in their recovery process. Peer Support Services are available under Medical Assistance (Medicaid) for adults and teens with serious mental illness or a serious emotional disturbance.

We want to hear from you! Please complete this short survey to provide information about accessing Peer Support Services to help with our advocacy. If you are willing to speak with us about your experience, please include your name and contact information at the end of the survey, and we will be in touch. Thank you for your help with this important issue!
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I am...* This field is required.
a person who is receiving or needs mental health services or has in the past
a family member of a person who is receiving or needs mental health services or has in the past
Other
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If you are a family member, “you” in the following questions refers to your family member who receives or needs mental health services.
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Do you receive Medical Assistance or Medicaid in Pennsylvania?* This field is required.
Yes
No
I'm not sure
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In what county do you live?* This field is required.
Please Select
Please Select
Adams County
Allegheny County
Armstrong County
Beaver County
Bedford County
Berks County
Blair County
Bradford County
Bucks County
Butler County
Cambria County
Cameron County
Carbon County
Centre County
Chester County
Clarion County
Clearfield County
Clinton County
Columbia County
Crawford County
Cumberland County
Dauphin County
Delaware County
Elk County
Erie County
Fayette County
Forest County
Franklin County
Fulton County
Greene County
Huntingdon County
Indiana County
Jefferson County
Juniata County
Lackawanna County
Lancaster County
Lawrence County
Lebanon County
Lehigh County
Luzerne County
Lycoming County
McKean County
Mercer County
Mifflin County
Monroe County
Montgomery County
Montour County
Northampton County
Northumberland County
Perry County
Philadelphia County
Pike County
Potter County
Schuylkill County
Snyder County
Somerset County
Sullivan County
Susquehanna County
Tioga County
Union County
Venango County
Warren County
Washington County
Wayne County
Westmoreland County
Wyoming County
York County
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If you have heard of Peer Support Services, how did you learn about it?* This field is required.
Case manager
Primary doctor
Psychiatrist or other mental health professional
County MH/ID office
I am not familiar with PeerSupport Services
Other
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Have you tried to receive Peer Support Services before?* This field is required.
Yes
No
No but I plan to
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When have you tried to receive Peer Support Services before?* This field is required.
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Ok
Ok
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In order to access Peer Support Services, you need a written recommendation from “licensed practitioner of the healing arts (LPHA),” which is a doctor, licensed psychologist, certified registered nurse practitioner, or similar mental health professional. Were you able to get a recommendation for Peer Support Services?* This field is required.
YESNO
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If yes, how long did it take to see the LPHA to get the recommendation? * This field is required.
Please Select
Please Select
7 days or less
Between 7 and 14 days
Between 14 days and 30 days
Over 30 days
Over 90 days
Over 180 days
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If no, why couldn’t you get a recommendation? * This field is required.
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Large
Normal
Small
Ok
Ok
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The wait time to get an appointment with a LPHA to obtain Peer Support Services has been a barrier to obtaining mental health services for me?* This field is required.
YESNO
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Please explain why the wait time to get an appointment with a LPHA to obtain Peer Support Services has been a barrier to obtaining mental health services.* This field is required.
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Large
Normal
Small
Ok
Ok
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After you got the recommendation from the LPHA, how long did it take for Peer Support Services to start? * This field is required.
Please Select
Please Select
7 days or less
Between 7 and 14 days
Between 14 days and 30 days
Over 30 days
Over 90 days
Over 180 days
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Have you received Peer Support Services in the past year? * This field is required.
YESNO
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How would you describe the process to obtain this service?* This field is required.
Please Select
Please Select
Easy
Somewhat difficult
Very difficult
Need to explain further
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Please explain your previous answer.
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Normal
Small
Ok
Ok
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If you were able to access Peer Support Services, did you find the service helpful?* This field is required.
YESNO
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If you are willing to discuss your answers with staff of Disability Rights Pennsylvania and the Pennsylvania Mental Health Consumers' Association (Optional), please provide your information below.
Should be Empty: